title: [Physicians' well-being is deteriorating. Results from a prospective intervention study. The mental energy decreases as workload increases].
abstract: The impact of the current transformation of health care on the well-being and working conditions of physicians has been analyzed in a 6-year prospective intervention study at the Orebro University Hospital (USO). Physicians' ratings of their work, organization and health have been compared with those of other health care professionals at USO, as well as with ratings by physicians in other hospitals. Feedback on survey results has been periodically provided to employees in all hospital departments as well as to hospital senior management. The results have formed the basis for a range of improvement initiatives. The study identified a number of positive changes, such as increased ratings on scales measuring social climate, skills development and participatory management. However, workload has increased and mental energy decreased during the same period.
authors.affiliation: Enheten för socialmedicin, institutionen för folkhälso- och vårdvetenskap, Uppsala universitet respektive socialmedicinska kliniken/CEOS, Akademiska sjukhuset, Uppsala. bengt.arnetz@pubcare.uu.se
authors.forename: Bengt
authors.initials: B
authors.lastname: Arnetz
authors.forename: Ove
authors.initials: O
authors.lastname: Petersson
authors.forename: Mårten
authors.initials: M
authors.lastname: Prag
mesh_terms: D002055:Burnout, Professional / Q000453:epidemiology / Q000517:prevention & control; D002983:Clinical Competence; D017598:Efficiency, Organizational; D005260:Female; D015276:Health Care Rationing; D018166:Health Care Reform; D020445:Hospitalists; D006785:Hospitals, University / Q000458:organization & administration*; D006801:Humans; D008297:Male; D005222:Mental Fatigue / Q000453:epidemiology / Q000517:prevention & control; D010820:Physicians / Q000523:psychology*; D010822:Physicians, Women / Q000523:psychology; D011446:Prospective Studies; D012931:Social Environment; D011795:Surveys and Questionnaires; D013548:Sweden / Q000453:epidemiology; D000078329:Workforce; D016526:Workload / Q000523:psychology*