Calnan M, Wainwright D, Forsythe M, Wall B, Almond S
Centre for Health Services Studies, University of Kent at Canterbury, UK.
Soc Sci Med. 2001 Feb;52(4):499-507. doi: 10.1016/s0277-9536(00)00155-6.
This study adopted a 'workforce' perspective in a study of job strain in primary care (general practice) in the UK. It explored the level of stress amongst workers in general practice and between practices and examined the relationship between level of stress and work characteristics. Postal questionnaires were sent to a random sample of general practices (n = 81) in southern England. The study showed that 23% of all responders could be classified, according to the GHQ-12, as suffering from mental distress with practice managers having the highest level of stress and clerical and administrative staff the lowest. Work characteristics as measured by Karasek's Job Content Instrument were shown to be significant predictors of job stress as were marital status and health status. The implications of these findings are discussed, particularly focusing on the value of the job strain model for explaining job stress in general practice.
本研究在对英国初级医疗(全科医疗)工作压力的研究中采用了“劳动力”视角。它探讨了全科医疗工作人员之间以及不同诊所之间的压力水平,并研究了压力水平与工作特征之间的关系。向英格兰南部随机抽取的81家全科诊所发放了邮政调查问卷。研究表明,根据一般健康问卷-12(GHQ-12),所有受访者中有23%可被归类为患有精神困扰,其中诊所经理压力水平最高,文书和行政人员压力水平最低。通过 Karasek 工作内容量表衡量的工作特征以及婚姻状况和健康状况被证明是工作压力的重要预测因素。讨论了这些发现的意义,尤其着重于工作压力模型对于解释全科医疗工作压力的价值。