Interaction among general practitioners age and patient load in the prediction of job strain, decision latitude and perception of job demands. A Cross-sectional study

Vanagas, Giedrius; Bihari-Axelsson, Susanna
January 2004
BMC Public Health;2004, Vol. 4, p59
Academic Journal
Background: It is widely recognized and accepted that job strain adversely impacts the workforce. Individual responses to stressful situations can vary greatly and it has been shown that certain people are more likely to experience high levels of stress in their job than others. Studies highlighted that there can be age differences in job strain perception. Methods: Cross-sectional postal survey of 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 analysis included descriptive statistics; logistic regression beta coefficients to find out predictors and interactions between characteristics and predictors. Results: Response rate was 66% (N = 197). Logistic regression as significant predictors for job strain assigned -- duration of work in primary care; for job demands- age and duration of working in primary care; for decision latitude- age and patient load. The interactions with regard to job strain showed that GP's age and job strain are negatively associated to a low patient load. Lower decision latitude for older GP age is strongly related to higher patient load. Job demands and GP age are slightly positively related at low patient load. Conclusions: Lithuanian GP's have high patient load and are at risk of stress, they have high job demands and low decision latitude. Older GP's perceive less strain, lower job demands and higher decision latitude in case of low patient load. Young GP's decision latitude has week association to patient load. Regarding to the changes in patient load younger GP's perceive it more sensitively as changes in job demands.


Related Articles

  • The night I totally lost it. Barron, Lauren // Medical Economics;11/22/2002, Vol. 79 Issue 22, p71 

    Relates the experience of a physician undergoing stress while taking care of patients in the U.S. Details on the conditions of an AIDS patient seeking for medical care; Decision of the patient to be admitted to a nursing home; Reaction of the medical staff on the behavior of the physician...

  • GPs work when unwell despite risks.  // Occupational Health;Mar2008, Vol. 60 Issue 3, p7 

    The article discusses a survey by mutual healthcare provider Benenden Healthcare Society which revealed that the average general pratitioners (GP) works six days a year when they are feeling ill despite the possible health risks for them and patients. Based on the survey, 18% of GP said they had...

  • The impact of general practitioner morale on patient satisfaction with care: a cross-sectional study. McKinstry, Brian; Walker, Jeremy; Porter, Mike; Fulton, Colette; Tait, Ashley; Hanley, Janet; Mercer, Stewart // BMC Family Practice;2007, Vol. 8, p57 

    Background: The association between stress and morale among general practitioners (GP) is well documented. However, the impact of GP stress or low morale on patient care is less clear. GPs in the UK now routinely survey patients about the quality of their care including organizational issues and...

  • Personal View. Wilson, Niel // British Medical Journal (Clinical Research Edition);10/17/1987, Vol. 295 Issue 6604, p994 

    Focuses on the discomfort encountered by general practitioners on their job caused by their out of hours commitment. Services needed by a patient during midnight; Suggestions for the offload of the discomforts that general practitioners encountered.

  • Ten coping strategies for the worn-out GP. Nabi, Shaba // Pulse;Jun2015, p98 

    The article discusses various methods to manage work stress for general practitioners. Topics discussed include getting support from peers, learning to say no to patients and colleagues and taking regular short breaks and annual holidays. Additional topics discussed include the importance of...

  • 'Avoidable' pressures could relieve doctors' stress. Dillner, Luisa // BMJ: British Medical Journal (International Edition);6/20/92, Vol. 304 Issue 6842, p1587 

    Focuses on the avoidable pressures that could be removed stress through good management and working practice of doctors in Great Britain. Argument on the high level of alcohol and drug misuse of physicians; Changes in the National Health Service; Suggestions for the training of general...

  • Misery to happiness a matter of seconds. Lockley, John // GP: General Practitioner;11/25/2002, p36 

    Discusses how general practitioners (GP) can handle their workload to reduce stress. Description of Charles Dickensian maxim regarding this issue; Use of computerized 'call-in board' to save time and reduce workload of GP.

  • Mental health, job satisfaction, and job stress among general practitioners. Cooper, Cary L.; Rout, Usha; Faragher, Brian // BMJ: British Medical Journal (International Edition);2/11/89, Vol. 298 Issue 6670, p366 

    Identifies sources of job stress associated with high levels of job dissatisfaction and negative mental wellbeing of physicians in England. Conduction of a survey to general practitioners; Comparison on the levels of job satisfaction of women physicians with men physicians; Proposals to provide...

  • How to… …avoid stress at work.  // GP: General Practitioner;11/3/2006, p44 

    The article offers information about how general practitioners can avoid stress at work. Overstressing oneself by working above the level of competency can lead to exhaustion. One should rank work in order of importance, and delegate it when necessary. One should try not to take patients'...


Read the Article


Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics