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 | Â | Â | Â |
   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 | Â | Â | Â |
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 | Â | Â | Â |
   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 | Â | Â | Â |
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 |