Department of Sociology, Centre for Population, Health and Family, University of Antwerp, Antwerp, Belgium.
Faculty of Medicine and Health Sciences, Centre for Research and Innovation in Care, University of Antwerp, Antwerp, Belgium.
BMC Prim Care. 2023 Jun 29;24(1):133. doi: 10.1186/s12875-023-02082-w.
The Quintuple aim explicitly includes 'health and wellbeing of the care team' as requirement for the care of patients. Therefore, we examined working conditions, work engagement and health status of professionals active in primary care in Belgium (Flanders), and how these are interrelated.
Data of the cross-sectional 'Health professionals survey of the Flemish Primary care academy' of 2020 were examined. We performed logistic regression analyses to study the relationship between working conditions and self-reported dichotomized health of primary care professionals (sample size = 1033).
The majority of respondents (90%) reported having a good to very good general health and has a strong work engagement. Quality of employment was high, in particular regarding job security and supportive relations with colleagues, while less in terms of proper rewards and job career opportunities. Working as self-employee (vs. as salaried employee), and in a multidisciplinary group practice (vs. other organizational settings) were positively related to health. Work engagement and all dimensions of employment quality were related to general health, but work family balance, proper rewards, and perceived employability were independently positively related to self-reported health.
Nine out of 10 Flemish primary care professionals working in diverse conditions, employment arrangements and organizational settings report good health. Work family balance, proper rewards, and perceived employability were important for primary care professionals' health, and could provide opportunities to further strengthen the job quality and health of primary care professionals.
五重目标明确将“护理团队的健康和福利”作为患者护理的要求。因此,我们研究了比利时(佛兰德)初级保健专业人员的工作条件、工作投入和健康状况,以及它们之间的相互关系。
我们检查了 2020 年“佛兰德初级保健学院卫生专业人员调查”的横断面数据。我们进行了逻辑回归分析,以研究工作条件与初级保健专业人员自我报告的二分健康状况之间的关系(样本量=1033)。
大多数受访者(90%)报告他们的总体健康状况良好到非常好,并且工作投入度高。就业质量较高,特别是在工作保障和与同事的支持关系方面,而在适当的薪酬和职业机会方面则较低。作为自雇者(相对于受薪员工)工作,以及在多学科小组实践中(相对于其他组织环境)工作与健康呈正相关。工作投入和就业质量的所有维度都与总体健康有关,但工作-家庭平衡、适当的薪酬和感知就业能力与自我报告的健康状况独立相关。
在不同条件、就业安排和组织环境下工作的 10 名佛兰德初级保健专业人员中,有 9 名报告健康状况良好。工作-家庭平衡、适当的薪酬和感知就业能力对初级保健专业人员的健康很重要,并为进一步加强初级保健专业人员的工作质量和健康状况提供了机会。