Association of part-time clinical work with well-being and mental health in General Internal Medicine: A survey among Swiss hospitalists.
<h4>Introduction</h4>Burnout and low job satisfaction are increasing among the General Internal Medicine (GIM) workforce. Whether part-time compared to full-time clinical employment is associated with better wellbeing, job satisfaction and health among hospitalists remains unclear.<h4...
| Main Authors: | , , , , , , , , , , , , , , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Public Library of Science (PLoS)
2023-01-01
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| Series: | PLoS ONE |
| Online Access: | https://doi.org/10.1371/journal.pone.0290407 |
| _version_ | 1797668296691023872 |
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| author | Lisa Bretagne Stefanie Mosimann Christine Roten Martin Perrig Daniel Genné Manfred Essig Marco Mancinetti Marie Méan Pauline Darbellay Farhoumand Lars C Huber Elisabeth Weber Christoph Knoblauch Andreas W Schoenenberger Sonia Frick Eliane Wenemoser Daniel Ernst Michael Bodmer Drahomir Aujesky Christine Baumgartner |
| author_facet | Lisa Bretagne Stefanie Mosimann Christine Roten Martin Perrig Daniel Genné Manfred Essig Marco Mancinetti Marie Méan Pauline Darbellay Farhoumand Lars C Huber Elisabeth Weber Christoph Knoblauch Andreas W Schoenenberger Sonia Frick Eliane Wenemoser Daniel Ernst Michael Bodmer Drahomir Aujesky Christine Baumgartner |
| author_sort | Lisa Bretagne |
| collection | DOAJ |
| description | <h4>Introduction</h4>Burnout and low job satisfaction are increasing among the General Internal Medicine (GIM) workforce. Whether part-time compared to full-time clinical employment is associated with better wellbeing, job satisfaction and health among hospitalists remains unclear.<h4>Materials and methods</h4>We conducted an anonymized cross-sectional survey among board-certified general internists (i.e. hospitalists) from GIM departments in 14 Swiss hospitals. Part-time clinical work was defined as employment of <100% as a clinician. The primary outcome was well-being, as measured by the extended Physician Well-Being Index (ePWBI), an ePWBI ≥3 indicating poor wellbeing. Secondary outcomes included depressive symptoms, mental and physical health, and job satisfaction. We compared outcomes in part-time and full time workers using propensity score-adjusted multivariate regression models.<h4>Results</h4>Of 199 hospitalists invited, 137 (69%) responded to the survey, and 124 were eligible for analysis (57 full-time and 67 part-time clinicians). Full-time clinicians were more likely to have poor wellbeing compared to part-time clinicians (ePWBI ≥3 54% vs. 31%, p = 0.012). Part-time compared to full-time clinical work was associated with a lower risk of poor well-being in adjusted analyses (odds ratio 0.20, 95% confidence interval 0.07-0.59, p = 0.004). Compared to full-time clinicians, there were fewer depressive symptoms (3% vs. 18%, p = 0.006), and mental health was better (mean SF-8 Mental Component Summary score 47.2 vs. 43.2, p = 0.028) in part-time clinicians, without significant differences in physical health and job satisfaction.<h4>Conclusions</h4>Full-time clinical hospitalists in GIM have a high risk of poor well-being. Part-time compared to full-time clinical work is associated with better well-being and mental health, and fewer depressive symptoms. |
| first_indexed | 2024-03-11T20:27:04Z |
| format | Article |
| id | doaj.art-3bcbaf992abd4c79b6de5421bc0eba75 |
| institution | Directory Open Access Journal |
| issn | 1932-6203 |
| language | English |
| last_indexed | 2024-03-11T20:27:04Z |
| publishDate | 2023-01-01 |
| publisher | Public Library of Science (PLoS) |
| record_format | Article |
| series | PLoS ONE |
| spelling | doaj.art-3bcbaf992abd4c79b6de5421bc0eba752023-10-02T12:18:30ZengPublic Library of Science (PLoS)PLoS ONE1932-62032023-01-01189e029040710.1371/journal.pone.0290407Association of part-time clinical work with well-being and mental health in General Internal Medicine: A survey among Swiss hospitalists.Lisa BretagneStefanie MosimannChristine RotenMartin PerrigDaniel GennéManfred EssigMarco MancinettiMarie MéanPauline Darbellay FarhoumandLars C HuberElisabeth WeberChristoph KnoblauchAndreas W SchoenenbergerSonia FrickEliane WenemoserDaniel ErnstMichael BodmerDrahomir AujeskyChristine Baumgartner<h4>Introduction</h4>Burnout and low job satisfaction are increasing among the General Internal Medicine (GIM) workforce. Whether part-time compared to full-time clinical employment is associated with better wellbeing, job satisfaction and health among hospitalists remains unclear.<h4>Materials and methods</h4>We conducted an anonymized cross-sectional survey among board-certified general internists (i.e. hospitalists) from GIM departments in 14 Swiss hospitals. Part-time clinical work was defined as employment of <100% as a clinician. The primary outcome was well-being, as measured by the extended Physician Well-Being Index (ePWBI), an ePWBI ≥3 indicating poor wellbeing. Secondary outcomes included depressive symptoms, mental and physical health, and job satisfaction. We compared outcomes in part-time and full time workers using propensity score-adjusted multivariate regression models.<h4>Results</h4>Of 199 hospitalists invited, 137 (69%) responded to the survey, and 124 were eligible for analysis (57 full-time and 67 part-time clinicians). Full-time clinicians were more likely to have poor wellbeing compared to part-time clinicians (ePWBI ≥3 54% vs. 31%, p = 0.012). Part-time compared to full-time clinical work was associated with a lower risk of poor well-being in adjusted analyses (odds ratio 0.20, 95% confidence interval 0.07-0.59, p = 0.004). Compared to full-time clinicians, there were fewer depressive symptoms (3% vs. 18%, p = 0.006), and mental health was better (mean SF-8 Mental Component Summary score 47.2 vs. 43.2, p = 0.028) in part-time clinicians, without significant differences in physical health and job satisfaction.<h4>Conclusions</h4>Full-time clinical hospitalists in GIM have a high risk of poor well-being. Part-time compared to full-time clinical work is associated with better well-being and mental health, and fewer depressive symptoms.https://doi.org/10.1371/journal.pone.0290407 |
| spellingShingle | Lisa Bretagne Stefanie Mosimann Christine Roten Martin Perrig Daniel Genné Manfred Essig Marco Mancinetti Marie Méan Pauline Darbellay Farhoumand Lars C Huber Elisabeth Weber Christoph Knoblauch Andreas W Schoenenberger Sonia Frick Eliane Wenemoser Daniel Ernst Michael Bodmer Drahomir Aujesky Christine Baumgartner Association of part-time clinical work with well-being and mental health in General Internal Medicine: A survey among Swiss hospitalists. PLoS ONE |
| title | Association of part-time clinical work with well-being and mental health in General Internal Medicine: A survey among Swiss hospitalists. |
| title_full | Association of part-time clinical work with well-being and mental health in General Internal Medicine: A survey among Swiss hospitalists. |
| title_fullStr | Association of part-time clinical work with well-being and mental health in General Internal Medicine: A survey among Swiss hospitalists. |
| title_full_unstemmed | Association of part-time clinical work with well-being and mental health in General Internal Medicine: A survey among Swiss hospitalists. |
| title_short | Association of part-time clinical work with well-being and mental health in General Internal Medicine: A survey among Swiss hospitalists. |
| title_sort | association of part time clinical work with well being and mental health in general internal medicine a survey among swiss hospitalists |
| url | https://doi.org/10.1371/journal.pone.0290407 |
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