Work characteristics and work-related psychosocial stress among general practitioners in Lithuania
Independent thesis Advanced level (degree of Master (Two Years))Student thesis
Background. There are a number of studies showing that general practice is oneof the most stressful workplaces for health care workers. Since the Baltic States regained independence in 1990, a reform of the health care systems took place in which a new role and more responsibilities were allocated to general practitioners.
This study aimed to explore the psychosocial stress level among Lithuanian general practitioners (GPs) and examine the relationship between their psychosocial stress and work characteristics.
Methods. A cross-sectional study was madeof 300 Lithuanian general practitioners. Psychosocial stress was investigated with a questionnaire based on the Reeder scale. Job demands were investigated with the Karasek scale. The analyses included descriptive statistics, interrelationship analysis between the different characteristics, and multivariate logistic regression to estimate odd ratios for each of the independent variables in the model.
Results. The study shows that 48% of the respondents could be classified as suffering from work related psychosocial stress by the Reeder scale. The highest job strain prevalence was among widowed, single and female GPs. The lowest job strain prevalence was among males and GPs of older age. Job strain occurs when job demands are high and jobdecision latitude is low.
Conclusions. The greatest risk tophysical and mental health from stress occurs to general practitioners facing high psychological workload demands combined with low decision latitude in meeting those demands. High job demands, patient load more than 18 patients per day and young age of general practitioners can predict a statistically significant effect on job strain.
Place, publisher, year, edition, pages
2005. , 42 p.
Master of Public Health, MPH, ISSN 1104-5701 ; MPH 2005:8
General Practice, Psychosocial Stress, Work Characteristics, Lithuania
Medical and Health Sciences
IdentifiersURN: urn:nbn:se:norden:org:diva-3278OAI: oai:DiVA.org:norden-3278DiVA: diva2:732823
2005-03-30, Nordic School of Public Health NHV, Box 12133, 402 42 Göteborg, Sweden, 13:00 (English)
Bihari-Axelsson, Susanna, Docent, Universitetslektor
ISBN 91-7997-095-82014-07-072014-07-072015-01-30Bibliographically approved