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Physicians’ work climate at three hospitals under different types of ownership
Stockholm University, Faculty of Social Sciences, Department of Psychology.
Stockholm University, Faculty of Social Sciences, Department of Psychology.
Stockholm University, Faculty of Social Sciences, Department of Psychology.
Stockholm University, Faculty of Social Sciences, Department of Psychology.
2005 (English)In: Change and Quality in Human Service Work: Organizational psychology and health care, München: Rainer Hampp , 2005, 47-65 p.Chapter in book (Other academic)
Abstract [en]

In an attempt to make hospitals more cost effective and improving the quality of medical care, privatization of Swedish hospitals have become more frequent during the past decade. There is a need for knowledge about psychological effects of privatization on health care personnel. We investigated physicians' perception of their work environment in three hospitals with different forms of ownership - from traditional public administration to for-profit private stock company. The results point towards certain advantages of privatized hospitals. Physicians at the privatized hospital included in the study perceived their work environment in some respects as more positive than did the physicians at the non-privatized hospitals.

Place, publisher, year, edition, pages
München: Rainer Hampp , 2005. 47-65 p.
Keyword [en]
work climate, health care, privatization
National Category
Psychology
Identifiers
URN: urn:nbn:se:su:diva-13570ISBN: 3-87988-915-5 (print)OAI: oai:DiVA.org:su-13570DiVA: diva2:180090
Available from: 2008-04-11 Created: 2008-04-11 Last updated: 2010-02-22Bibliographically approved
In thesis
1. How privatization and corporatization affect healthcare employees’ work climate, work attitudes and ill-health: Implications of social status
Open this publication in new window or tab >>How privatization and corporatization affect healthcare employees’ work climate, work attitudes and ill-health: Implications of social status
2010 (English)Doctoral thesis, comprehensive summary (Other academic)
Abstract [en]

Political liberalization and increased public costs have placed new demands on the Swedish public sector. Two ways of meeting these novel requirements have been to corporatize and privatize organizations. With these two organizational changes, however, comes a risk of increased insecurity and higher demands on employees; the ability to handle these changes is likely dependent on their social status within an organization. The general aim of the thesis is to contribute to the understanding of how corporatization and privatization might affect employees’ work climate, work attitudes and ill-health. Special importance is placed on whether outcomes may differ depending on the employees’ social status in the form of hierarchic level and gender. Questionnaire data from Swedish acute care hospitals were used in three empirical studies. Study I showed that physicians at corporatized and privatized hospitals reported more positive experiences of their work climate compared with physicians at a public administration hospital. Study II showed that privatization had more negative ramifications for a middle hierarchic level (i.e., registered nurses) who reported deterioration of work attitudes, while there were no major consequences for employees at high (physicians) or low (assistant nurses) hierarchic levels. Study III found that although the work situation for women and men physicians were somewhat comparable (i.e., the same occupation, the same organization), all of the differences that remained between the genders were to the detriment of women. The results of this thesis suggest that corporatizations and privatizations do not necessarily imply negative consequence for employees. However, the consequences appear to differ between groups with different social status. Employees whose immediate work situation is affected but who do not have sufficient resources to handle the requirements associated with an organizational change may perceive the most negative consequences.

Place, publisher, year, edition, pages
Stockholm: Department of Psychology, Stockholm University, 2010. 70 p.
Keyword
Privatization, corporatization, organizational change, ownership, healthcare employees, acute care hospitals, physicians, social status, hierarchic level, gender, work climate, work attitudes, ill-health
National Category
Psychology
Research subject
Psychology
Identifiers
urn:nbn:se:su:diva-37308 (URN)978-91-7447-019-2 (ISBN)
Public defence
2010-04-12, David Magnussonsalen (U31), Frescati Hagväg 8, Stockholm, 10:00 (Swedish)
Opponent
Supervisors
Note
At the time of the doctoral defense, the following papers were unpublished and had a status as follows: Paper 3: Manuscript.Available from: 2010-03-21 Created: 2010-02-22 Last updated: 2010-06-15Bibliographically approved

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