Abstract

DIANA DOMINGUEZ, Dr. Ismael S.. Work satisfaction and temporary sick leave prescription in a sample of doctors inside a mutual society of industrial accidents and occupational diseases (matepss). Med. segur. trab. [online]. 2009, vol.55, n.215, pp.72-81. ISSN 1989-7790.

Objetive: Find the level of work satisfaction in a sample of doctors inside a mutual society of industrial accidents and occupational diseases (MATEPSS). In this report, the relation between work satisfaction, socio-demographics and industrial factors, and its influence on temporary sick leave is shown. Teaching aid and method: A transverse study has been carried out on a final sample of 156 doctors (whole sample: 250 doctors) belonging to MATEPSS. The doctors are distributed in all Spanish geography. "The Maslach burnout inventory" was given to them. This questionnaire measures the burnout in its three sections: emotional tiredness, depersonalization and personal accomplishment. Another questionnaire was given also to them. This one, elaborated by the author, measures socio-demographics variables. On 131 doctors of the previous sample, it was made a study about the influence of burnout and socio-demographics variables on sick-leave prescriptions. Statistics-packet SPSS was used. Two different statistics methods were carried out in order to compare our results. First method (method 1 from now on) consists of the calculation of a "ψ²" between all the variables had and, from this point, the calculation of a logistic binary regression between the variables that have emerged significant. Second statistic method (method 2 from now on) consists of the calculation of a logistic regression step by step conditioned to the significance coefficient. Results: Method 1 showed that the possibility of suffer high level of emotional tiredness is connected with feeling of lack of resources and time with statistical significance (p<0,05). Unhappiness with the job, wishes of a professional change, and the felling that personal life is affected by working problems are also connected with it in the same proportion. The high level of depersonalization resulted connected with the feeling of lack of resources, unhappiness with the work carried out and the feeling of a frequent interference in the work by a superior. On the other hand, protective-factors against depersonalization are being woman and working exclusively inside of mutual society. The absence of personal accomplishment resulted linked with statistical significance to the feeling of non-fulfillment with professional aspirations and the thought that workers do not develop correctly their duties due to a lack of training. Wishes of company change and the frequent interference in the work by a superior are also linked to it in the same ratio. In relation to factors connected with hyper-prescription of sick-leaves with method 1 it can be concluded they are connected with statistical significance to the lack of time and human resources. With method 2, the results are different. In this case, hyper-prescription appears also linked to variable "interference in the work by a superior" and the variable "lack of human-resource feeling" disappears. Conclusion: The profile of a mutual society doctor who suffers burnout is: a man, with more than one work, unhappy with his job and with the believe that he is not achieving his professional aspirations. Working-problems affect his personal-life. He thinks he needs more resources and time to finish his tasks. He also thinks workers are not enough good-trained to develop correctly their duties. He feels he suffers a frequent interference in his work by a superior and he wishes a change of company and even his profession. With a logistic regression step by step conditioned to the significance coefficient, it should be added that he is a family-doctor. The profile of hyper-prescriptor of sick-leaves is a doctor, man or woman with burnout or without it, who feels lack of time to finish the work, lack of resources and, considering method 2, with the feeling of a frequent interference in his/her job by a superior. This fact produces he/she signs a lower numbers of sick-leaves.

Keywords : Burnout; Doctors; Mutual society; Temporary sick-leave.

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