title: The impact of management programs on physicians' work environment and health. A prospective, controlled study comparing different interventions.
abstract: Female physicians have less influence over their daily work conditions and exhibit slower career advancement as compared to their male colleagues. The aim of this study is to assess the impact on individual and organizational well being from different kinds of management programs. Female physicians participating in management intervention programs were compared with a reference group of matched physicians and sickness absenteeism was significantly lower in the intervention group. No significant differences were found between the groups with regard to career advancement, individual, organizational and professional well being. Health care organizations spend a substantial amount of resources on management programs in order to improve leadership, autonomy and the work-environment of physicians in times of increasing discontent among this key group of health care employees. Our study indicates some beneficial health effects from structured management programs but there is a need to develop and assess the efficacy of these programs further.
authors.affiliation: Uppsala University, Department of Public Health and Caring Sciences, Unit for Social Medicine, Uppsala, Sweden.
authors.forename: Pia Jansson
authors.initials: PJ
authors.lastname: von Vultée
authors.forename: Bengt
authors.initials: B
authors.lastname: Arnetz
mesh_terms: D000328:Adult; D002322:Career Mobility; D005260:Female; D006785:Hospitals, University / Q000458:organization & administration; D006801:Humans; D008875:Middle Aged; D016272:Occupational Health; D015279:Organizational Culture; D010822:Physicians, Women / Q000523:psychology*; D011209:Power, Psychological; D017009:Professional Autonomy; D011361:Professional Competence; D015397:Program Evaluation; D013192:Staff Development / Q000458:organization & administration*; D013315:Stress, Psychological / Q000517:prevention & control*; D011795:Surveys and Questionnaires; D013548:Sweden; D000078329:Workforce