Associations between Confidentiality Requirements, Support Seeking and Burnout among University Hospital Physicians in Norway, Sweden, Iceland and Italy (the HOUPE study)
2013 (English)In: Stress and Health, ISSN 1532-3005, E-ISSN 1532-2998, Vol. 29, no 5, 432-437 p.Article in journal (Refereed) Published
Concerns about protecting patient's privacy are experienced as a limitation in the opportunity to obtain and utilize social support by many physicians. As resources of social support can modify the process of burnout, patient confidentiality may increase risk of this syndrome by interfering with proper stress adaptation. This study investigates if experiencing limitations in seeking social support due to confidentiality concerns are associated with burnout. University hospital physicians in four European countries completed measures of burnout, (Index) of Confidentiality as a Barrier for Support (ICBS), and factors of social resources and job demands. Linear regression analysis showed that ICBS was significantly associated with the burnout dimension of Exhaustion and not with Disengagement. These findings were present when controlling for factors known to diminish or increase the likelihood of burnout. These results are the first to demonstrate that patient confidentiality is associated with burnout in the process of stress management among physicians.
Place, publisher, year, edition, pages
2013. Vol. 29, no 5, 432-437 p.
doctor, burn out, job demands, social support, professional secrecy
Research subject Psychology
IdentifiersURN: urn:nbn:se:su:diva-97435DOI: 10.1002/smi.2479ISI: 000327733800010OAI: oai:DiVA.org:su-97435DiVA: diva2:677737
In Norway funding of HOUPE and this article was provided by Central Norway Regional Health Authority (FT-sak 146-03) and Department of Research and Development [AFFU] at St Olavs University Hospital (Ref 14th of May, 2007). In Sweden, funding was provided by Vinnova (nr 2002-01943/nr 2005-00749/nr 2008-02262), the Stockholm City Council (nr LS 0212-0576), the Swedish Medical Association, the Swedish Society of Medicine (nr 2008-21062) and NorFa (nr 020652). In Iceland, the main contributors of financial support were the Icelandic Medical Association, the Medical Women's Association in Iceland, the Landspitali University hospital, the Directorate of Health in Iceland, the Social Insurance Administration, Administration of Occupational Safety and Health in Iceland, and the Research Centre for Occupational Health & Working Life and RIKK (The Centre for Women's and Gender Studies) at the University of Iceland, Islandsbanki. In Italy, partial funding was provided by the Azienda Ospideliera di Padova.2013-12-102013-12-102014-01-03Bibliographically approved