Objective: Four university hospitals started 2005 a comprehensive research program Health and Organization among University hospitals Physicians in four European countries - The HOUPE study. The project aims to provide a systematic comparison on how research activity, work conditions, gender equality, career advancement, impact on the health and wellbeing of physicians. Here we present data from Sweden and how we used them to conduct an intervention project to develop the working conditions and thereby enhance the health of physicians working.
Methods: Cross sectional survey in 2005 (N = 1800) among university hospital physicians employed permanently more than one year. Measures: Physician Career Path Questionnaire (Fridner, 2004), General Health Questionnaire-12 (Goldberg and Williams, 1991), Oldenburg Burnout Inventory (Demerouti et al., 2001, 2003), Question About Suicidal Ideation and Attempted Suicide (Meehan et al, 1992), and selected scales from Questionnaire about Psychological and Social Factors at Work (Lindström et al, 2000). Survey feedback seminars with physicians working in one university hospital.
Results: All employed physicians (2300), the hospital management and HR-consultants recieved a written report where the results from the survey were presented. 10 % of all physicians participated in a three hour survey feedback seminar. Researchers documented these seminars, and reports were distributed to all the physicians working in the clinic/clinics which enabled non-participating physicians to gain knowledge from the seminars. One summarising report from all the survey feedback seminars was written and distributed to all physicians.
Conclusions: The seminars were emotionally charged since a lot of frustration could be spoken out, but also a serious listening when results of the physcians´health and results about harrassments among colleagues were presented. Each feed-back seminar ended with the physicians themselves made proposals as to how they wanted to change work conditions in their specific clinic.
Comments: Overall, the research team gave 20 survey feedback meetings in collaboration with head of clinic and HR-consultants. Three hours is minum to keep up with the process it means to understand their health and work situation, and to be constructive in their cooperation in order to achieve change.
21st International Conference on Health Promoting Hospitals and Health Services. Gothenburg, Sweden, May 23rd-24th 2013