| Titre : | Symposium on the physicians'role in transition. Psychosocial challenges facing physicians of today. (2001) |
| Auteurs : | Bengt-B ARNETZ ; Olaf-Gjerlow Aasland, éd. |
| Type de document : | Article |
| Dans : | Social science and medicine (vol. 52, n° 2, 2001) |
| Pagination : | 203-213 |
| Langues: | Anglais |
| Mots-clés : | Médecin ; Profession santé ; Homme ; Stress ; Milieu professionnel ; Personnel hospitalier ; Personnel médical hospitalier ; Enquête ; Suède ; Europe ; Bien être ; Rôle du professionnel |
| Résumé : | [BDSP. Notice produite par INIST 7BR0x4ND. Diffusion soumise à autorisation]. Fundamental changes in the organization, financing, and delivery of health care have added new stressors or opportunities to the medical profession. These new potential stressors are in addition to previously recognized external and internal ones. The work environment of physicians poses both psychosocial, ergonomic, and physico-chemical threats. The psychosocial work environment has, if anything, worsened. Demands at work increase at the same time as influence over one's work and intellectual stimulation from work decrease. In addition, violence and the threat of violence is anoher major occupational health problem physicians increasingly face. Financial constraint, managed care and consumerism in health care are other factors that fundamentally change the role of physicians. The rapid deployment of new information technologies will also change the role of the physician towards being more of an advisor and information provider. Many of the minor health problems will increasingly be managed by patients themselves and by non-physician professionals and practitioners of complementary medicine. Finally, the economic and social status of physicians are challenged which is reflected in a slower salary increase compared to many other professional groups. The picture painted above may be seen as uniformly gloomy. In reality, that is not the case. There is growing interest in and awareness of the importance of the psychosocial work environment for the delivery of high quality care. Physicians under stress are more likely to treat patients poorly, both medically and psychologically. They are also more prone to make errors of judgment. Studies where physicians'work environment in entire hospitals has been assessed, results fed-back, and physicians and management have worked with focused improvement processes, have demonstrated measurable improvements in the ratings of the psychosocial work environment. (...) |
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