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Table 4 Effort-reward imbalance, job strain and self-rated quality of care (SERVQUAL; lower tertile), medical errors (upper tertile) controlling for gender, occupational position, job experience: Odds ratiosa (OR) and 95% confidence intervals (CI)

From: Psychosocial stress at work and perceived quality of care among clinicians in surgery

 

Organisation of care

Patient orientation

Medical errors

 

OR (95% CI)

OR (95% CI)

OR (95% CI)

Effort-reward imbalance model

   

   ERI ≤ 1

1

1

1

   ERI > 1

2.33 (1.76-3.09)

1.90 (1.43-2.53)

1.24 (0.90-1.69)

   Overcommitment (lower two tertiles)

1

1

1

   Overcommitment (upper tertile)

1.29 (0.99-1.67)

0.94 (0.73-1.23)

1.36 (1.01-1.82)

Control variables

   

Male

1

1

1

Female

0.91 (0.71-1.18)

0.87 (0.68-1.13)

1.05 (0.79-1.39)

Chief/senior physicians

1

1

1

Residents

0.91 (0.64-1.30)

1.09 (0.76-1.56)

1.39 (0.93-2.08)

Job experience > 9 years

1

1

1

Job experience ≤ 9 years

1.85 (1.35-2.55)

1.65 (1.21-2.26)

1.05 (0.74-1.49)

   Cox and Snell Pseudo-R2

0.054

0.035

0.012

   Nagelkerke's Pseudo-R2

0.074

0.047

0.018

   Significance level (Chi2)

0.000

0.000

0.015

Demand-control model

   

   No strain (low demands/high control)

1

1

 

   Active job (high demands/high control)

2.84 (1.99-4.06)

1.59 (1.10-2.29)

1.28 (0.86-1.91)

   Passive job (low demands/low control)

1.80 (1.27-2.54)

2.16 (1.53-3.03)

1.33 (0.92-1.92)

   Job strain (high demands/low control)

3.21 (2.23-4.61)

3.08 (2.14-4.42)

1.04 (0.70-1.57)

Control variables

   

Male

1

1

1

Female

0.82 (0.64-1.05)

0.78 (0.61-1.00)

1.07 (0.81-1.41)

Chief/senior physicians

1

1

1

Residents

1.00 (0.70-1.42)

0.95 (0.67-1.36)

1.36 (0.91-2.03)

Job experience > 9 years

1

1

1

Job experience ≤ 9 years

1.53 (1.13-2.08)

1.36 (1.01-1.85)

1.17 (0.84-1.64)

   Cox and Snell Pseudo-R2

0.059

0.045

0.011

   Nagelkerke's Pseudo-R2

0.080

0.062

0.017

   Significance level (Chi2)

0.000

0.000

0.022

  1. aSignificant odds ratios are bold