von Vultée Pia Jansson, Axelsson Runo, Arnetz Bengt
Department of Public Health and Caring Sciences, Unit for Social Medicine, Uppsala University, Uppsala, Sweden.
Int J Health Care Qual Assur. 2007;20(6):506-15. doi: 10.1108/09526860710819440.
The purpose of this research is to show that the Swedish health care system has undergone major changes during the last decades, which have exerted strong influence on the operational freedom of physicians.
DESIGN/METHODOLOGY/APPROACH: This study consisted of 169 physicians in management positions, who answered a questionnaire assessing the relationship between their organizational settings and their perceived wellbeing. The organizational setting was defined as contact with top management, decision-making influence, well defined organization and whether the physician is acting as a leader. The perceived wellbeing was defined as social climate, work related exhaustion, work satisfaction, influence, development ability and supportive leadership.
According to the results, organizational support improves work satisfaction and mental energy, and decreases work related exhaustion among physicians. This all leads to decreasing turnover rate among physicians.
ORIGINALITY/VALUE: These results point to the importance of maintaining a positive and supportive atmosphere for physicians in their work environment in order to encourage physicians to remain and take on management positions in the health care system. Furthermore enhancing physician influence over decision making processes is important to counteract work-related exhaustion and it might also contribute to a more efficient organization.
本研究的目的是表明瑞典医疗保健系统在过去几十年中发生了重大变化，这些变化对医生的操作自由产生了重大影响。
设计/方法/途径：本研究由169名担任管理职位的医生组成，他们回答了一份问卷，评估他们的组织环境与他们所感知的幸福感之间的关系。组织环境被定义为与高层管理人员的接触、决策影响力、明确的组织以及医生是否担任领导者。所感知的幸福感被定义为社会氛围、工作相关的疲惫、工作满意度、影响力、发展能力和支持性领导。
根据结果，组织支持提高了工作满意度和精神能量，并降低了医生的工作相关疲惫感。所有这些都导致医生的离职率下降。
原创性/价值：这些结果表明，在医生的工作环境中保持积极和支持性的氛围非常重要，以鼓励医生留在医疗保健系统并担任管理职位。此外，增强医生对决策过程的影响力对于抵消工作相关的疲惫很重要，并且这也可能有助于提高组织效率。
