National Institute for Health and Welfare, Helsinki, Finland.
Eur J Public Health. 2011 Aug;21(4):520-5. doi: 10.1093/eurpub/ckq107. Epub 2010 Aug 13.
The present study examined whether there are differences in job-related attitudes and well-being among physicians working in private sector and public sector. In addition, we examined whether psychosocial factors (organizational justice and job control) could mediate these possible differences in different sectors.
Cross-sectional survey data from the Finnish Health Professional Study was used. A random sample of Finnish physicians included 1522 women and 1047 men aged 25-65 years. Outcome variables were job satisfaction, organizational commitment, psychological distress, work ability and sleeping problems. Job control and organizational justice were measured using established questionnaires. Series of regression analyses were performed and the mediational effects were tested following the procedures outlined by Baron and Kenny.
Physicians working in private sector had higher levels of job satisfaction and organizational commitment and lower levels of psychological distress and sleeping problems when compared with physicians working in public sector. Private physicians also had higher levels of organizational justice, which acted as a mediator behind more positive attitudes and better well-being in private sector. Private physicians had higher levels of job control but it did not act as a mediator.
Private physicians feel better than public physicians and this is partly due to higher organizational justice in private sector. Public health care organizations should invest effort to increase the fairness in their organizations and management and pay more attention in improving the well-being of their employees, which could possibly increase the attractiveness of public sector as a career option.
本研究旨在探讨在私人部门和公共部门工作的医生在与工作相关的态度和幸福感方面是否存在差异。此外，我们还研究了心理社会因素（组织公平和工作控制）是否可以在不同部门中调解这些可能存在的差异。
使用芬兰卫生专业人员研究的横断面调查数据。芬兰医生的随机样本包括 1522 名女性和 1047 名 25-65 岁的男性。因变量为工作满意度、组织承诺、心理困扰、工作能力和睡眠问题。工作控制和组织公平使用已建立的问卷进行测量。进行了一系列回归分析，并按照 Baron 和 Kenny 概述的程序测试了中介效应。
与在公共部门工作的医生相比，在私人部门工作的医生的工作满意度和组织承诺更高，心理困扰和睡眠问题更少。与公共部门相比，私人部门的医生也具有更高的组织公平性，这是私人部门态度更为积极和幸福感更好的中介因素。私人医生的工作控制水平较高，但它并没有起到中介作用。
私人医生比公共医生感觉更好，这在一定程度上是由于私人部门的组织公平性更高。公共医疗保健机构应努力提高组织内部的公平性和管理水平，并更加关注改善员工的幸福感，这可能会增加公共部门作为职业选择的吸引力。
