Göbel Julian, Degen Lukas, Minder Karen, Rieger Monika A, Weltermann Birgitta M
Institute of General Practice and Family Medicine, Medical Faculty of the University of Bonn, Venusberg-Campus 1, 53127 Bonn, Germany.
Bonn Network Health Services Research, 53127 Bonn, Germany.
Behav Sci (Basel). 2025 May 3;15(5):624. doi: 10.3390/bs15050624.
The health of primary care professionals is crucial for the health of populations. A lower number of general practitioners per 1000 patients correlates with higher patient mortality. Challenging work demands, work-privacy conflict, and poor leadership quality are associated with higher perceived chronic stress and/or burnout in physician populations. However, studies investigating the influence of all three factors in a single quantitative model are lacking. This study analysed the associations between the mentioned parameters and perceived chronic stress among general practice personnel based on baseline data of the cluster-randomized IMPROVE study. It comprised 60 German general practices with 366 participants (84 general practice leaders, 28 employed physicians, 254 practice assistants). Perceived chronic stress (TICS-SSCS), leadership quality (LMX-7, FIF), work-privacy conflict (COPSOQ), and quantitative and emotional work demands (COPSOQ) were measured with validated questionnaires. The factors associated with lower perceived chronic stress were identified using a multilevel regression model approach. The model showed a significant association with less work-privacy conflict ( < 0.001, = 0.31), lower quantitative work demands ( < 0.001, = 0.28), and good leadership quality ( < 0.001, = -0.22). Especially transformational leadership with the dimension 'innovation of the leader' was associated with lower perceived chronic stress. The data support the importance of high-quality leadership as a protective factor for perceived chronic stress among general practice personnel, which needs to be considered in future leadership interventions in this setting.
基层医疗专业人员的健康对人群健康至关重要。每千名患者中全科医生数量较少与患者较高的死亡率相关。具有挑战性的工作要求、工作与隐私的冲突以及糟糕的领导质量与医生群体中更高的慢性压力感知和/或职业倦怠相关。然而，缺乏在单一量化模型中研究这三个因素影响的研究。本研究基于整群随机IMPROVE研究的基线数据，分析了上述参数与全科医疗人员慢性压力感知之间的关联。该研究包括60家德国全科诊所，共366名参与者（84名全科诊所负责人、28名受雇医生、254名诊所助理）。使用经过验证的问卷测量慢性压力感知（TICS - SSCS）、领导质量（LMX - 7、FIF）、工作与隐私冲突（COPSOQ）以及定量和情感工作要求（COPSOQ）。使用多水平回归模型方法确定与较低慢性压力感知相关的因素。该模型显示与较少的工作与隐私冲突（<0.001，β = 0.31）、较低的定量工作要求（<0.001，β = 0.28）以及良好的领导质量（<0.001，β = - 0.22）存在显著关联。特别是具有“领导者创新”维度的变革型领导与较低的慢性压力感知相关。数据支持高质量领导作为全科医疗人员慢性压力感知保护因素的重要性，在该背景下的未来领导干预中需要予以考虑。
