Quality of working life of medical doctors and associated risk factors: a cross-sectional survey in public hospitals in China
Objectives To assess the quality of working life (QWL) of medical doctors and associated risk factors.Setting and participants A cross-sectional questionnaire survey of 2915 medical doctors from 48 hospitals was conducted in China.Methods The QWL-7–32 scale was adopted to assess seven domains of QWL...
| Main Authors: | , , |
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| Format: | Article |
| Language: | English |
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BMJ Publishing Group
2022-11-01
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| Series: | BMJ Open |
| Online Access: | https://bmjopen.bmj.com/content/12/11/e063320.full |
| _version_ | 1811319695015411712 |
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| author | Chaojie Liu Changmin Tang Cuiling Guan |
| author_facet | Chaojie Liu Changmin Tang Cuiling Guan |
| author_sort | Chaojie Liu |
| collection | DOAJ |
| description | Objectives To assess the quality of working life (QWL) of medical doctors and associated risk factors.Setting and participants A cross-sectional questionnaire survey of 2915 medical doctors from 48 hospitals was conducted in China.Methods The QWL-7–32 scale was adopted to assess seven domains of QWL: physical health, mental health, job and career satisfaction, work passion and initiative, professional pride, professional competence, and balance between work and family.Primary and secondary outcome measures Data were analysed using SPSS V.19.0. Analysis of variance tests and multivariate linear regression analyses were performed to identify the sociodemographic characteristics and job factors associated with overall QWL and its seven subdomain scores.Results On average, the respondents reported an overall QWL score of 92.51 (SD=17.74) of a possible 160. Over 35% of respondents reported more than 60 hours of weekly working time; 59.9% experienced night sleep deprivation frequently; 16.6% encountered workplace violence frequently. The multivariate regression models revealed that the eastern region (β≤−2.887 for non-eastern regions, p<0.001), shorter working hours (β≤−2.638 for over 40 hours a week, p<0.01), less frequent night sleep deprivation (β≤−5.366 for sometimes or frequent, p<0.001), higher income (β≥2.795 for lower income, p<0.001) and less frequent encounters of workplace violence (β≤−9.267 for sometimes or frequent, p<0.001) were significant predictors of higher QWL. Night sleep deprivation and workplace violence were common predictors (p<0.05) for all seven domains of QWL.Conclusion The low QWL of medical doctors working in public hospitals in China is evident, which is associated with high workloads, low rewards and workplace violence. There are also significant regional differences in the QWL of medical doctors, with the eastern developed region featuring better QWL. Public hospitals in China are facing serious challenges in occupational health and safety, which needs to be addressed through a systems approach. |
| first_indexed | 2024-04-13T12:47:09Z |
| format | Article |
| id | doaj.art-3c555eb995f541359ccb97156604880e |
| institution | Directory Open Access Journal |
| issn | 2044-6055 |
| language | English |
| last_indexed | 2024-04-13T12:47:09Z |
| publishDate | 2022-11-01 |
| publisher | BMJ Publishing Group |
| record_format | Article |
| series | BMJ Open |
| spelling | doaj.art-3c555eb995f541359ccb97156604880e2022-12-22T02:46:20ZengBMJ Publishing GroupBMJ Open2044-60552022-11-01121110.1136/bmjopen-2022-063320Quality of working life of medical doctors and associated risk factors: a cross-sectional survey in public hospitals in ChinaChaojie Liu0Changmin Tang1Cuiling Guan2School of Psychology & Public Health, La Trobe University, Melbourne, VIC, Australia6 School of Management, Hubei University of Traditional Chinese Medicine, Wuhan, China1 School of Management, Hubei University of Chinese Medicine, Wuhan, Hubei, ChinaObjectives To assess the quality of working life (QWL) of medical doctors and associated risk factors.Setting and participants A cross-sectional questionnaire survey of 2915 medical doctors from 48 hospitals was conducted in China.Methods The QWL-7–32 scale was adopted to assess seven domains of QWL: physical health, mental health, job and career satisfaction, work passion and initiative, professional pride, professional competence, and balance between work and family.Primary and secondary outcome measures Data were analysed using SPSS V.19.0. Analysis of variance tests and multivariate linear regression analyses were performed to identify the sociodemographic characteristics and job factors associated with overall QWL and its seven subdomain scores.Results On average, the respondents reported an overall QWL score of 92.51 (SD=17.74) of a possible 160. Over 35% of respondents reported more than 60 hours of weekly working time; 59.9% experienced night sleep deprivation frequently; 16.6% encountered workplace violence frequently. The multivariate regression models revealed that the eastern region (β≤−2.887 for non-eastern regions, p<0.001), shorter working hours (β≤−2.638 for over 40 hours a week, p<0.01), less frequent night sleep deprivation (β≤−5.366 for sometimes or frequent, p<0.001), higher income (β≥2.795 for lower income, p<0.001) and less frequent encounters of workplace violence (β≤−9.267 for sometimes or frequent, p<0.001) were significant predictors of higher QWL. Night sleep deprivation and workplace violence were common predictors (p<0.05) for all seven domains of QWL.Conclusion The low QWL of medical doctors working in public hospitals in China is evident, which is associated with high workloads, low rewards and workplace violence. There are also significant regional differences in the QWL of medical doctors, with the eastern developed region featuring better QWL. Public hospitals in China are facing serious challenges in occupational health and safety, which needs to be addressed through a systems approach.https://bmjopen.bmj.com/content/12/11/e063320.full |
| spellingShingle | Chaojie Liu Changmin Tang Cuiling Guan Quality of working life of medical doctors and associated risk factors: a cross-sectional survey in public hospitals in China BMJ Open |
| title | Quality of working life of medical doctors and associated risk factors: a cross-sectional survey in public hospitals in China |
| title_full | Quality of working life of medical doctors and associated risk factors: a cross-sectional survey in public hospitals in China |
| title_fullStr | Quality of working life of medical doctors and associated risk factors: a cross-sectional survey in public hospitals in China |
| title_full_unstemmed | Quality of working life of medical doctors and associated risk factors: a cross-sectional survey in public hospitals in China |
| title_short | Quality of working life of medical doctors and associated risk factors: a cross-sectional survey in public hospitals in China |
| title_sort | quality of working life of medical doctors and associated risk factors a cross sectional survey in public hospitals in china |
| url | https://bmjopen.bmj.com/content/12/11/e063320.full |
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