Sutinen R, Kivimäki M, Elovainio M, Virtanen M
Occupational Health unit, Vaasa Central Hospital, Vaasa, Finland.
Scand J Public Health. 2002;30(3):209-15. doi: 10.1080/14034940210133843.
Prior research has reported high levels of stress for physicians, but determinants of this stress are poorly understood. We explored whether problems in decision-making procedures and treatment of employees, as expressed in the theory of organizational fairness, may contribute to psychological distress in hospital physicians.
Structural equation modelling (LISREL) was based on survey responses from 251 male and 196 female physicians working in 11 public hospitals in Finland.
Low organizational fairness increased the risk of psychological distress in male physicians but not in female physicians. In the former group, the association between organizational fairness and psychological distress was partially mediated by decreased job control and increased workload.
These findings suggest that broadening the view from the traditional psychosocial work characteristics to justice in management may assist in efforts to promote physicians' health and well-being.
先前的研究报告称医生承受着高水平的压力，但对这种压力的决定因素却知之甚少。我们探讨了组织公平理论中所表达的决策程序和员工待遇方面的问题是否可能导致医院医生出现心理困扰。
结构方程模型（LISREL）基于对芬兰11家公立医院的251名男医生和196名女医生的调查回复。
组织公平感低会增加男医生出现心理困扰的风险，但女医生不会。在前一组中，组织公平感与心理困扰之间的关联部分是由工作控制减少和工作量增加介导的。
这些发现表明，将视角从传统的心理社会工作特征拓宽到管理中的公平性，可能有助于促进医生的健康和福祉。
