Universität zu Köln

Ansmann, Lena ORCID: 0000-0002-8628-7166, Wirtz, Markus, Kowalski, Christoph, Pfaff, Holger ORCID: 0000-0001-9154-6575, Visser, Adriaan and Ernstmann, Nicole ORCID: 0000-0001-7685-6110 (2014). The impact of the hospital work environment on social support from physicians in breast cancer care. Patient Educ. Couns., 96 (3). S. 352 - 361. CLARE: ELSEVIER IRELAND LTD. ISSN 1873-5134

Full text not available from this repository.

Abstract

Objective: Research on determinants of a good patient-physician interaction mainly disregards systemic factors, such as the work environment in healthcare. This study aims to identify stressors and resources within the work environment of hospital physicians that enable or hinder the physicians' provision of social support to patients. Methods: Four data sources on 35 German breast cancer center hospitals were matched: structured hospital quality reports and surveys of 348 physicians, 108 persons in hospital leadership, and 1844 patients. Associations between hospital structures, physicians' social resources as well as job demands and control and patients' perceived support from physicians have been studied in multilevel models. Results: Patients feel better supported by their physicians in hospitals with high social capital, a high percentage of permanently employed physicians, and less physically strained physicians. Conclusion: The results highlight the, importance of the work environment for a good patient-physician interaction. They can be used to develop interventions for redesigning the hospital work environment, which in turn may improve physician satisfaction, well-being, and performance and consequently the quality of care. Practice implications: Health policy and hospital management could create conditions conducive to better patient-physician interaction by strengthening the social capital and by increasing job security for physicians. (C) 2014 Elsevier Ireland Ltd. All rights reserved.

Item Type:	Journal Article
Creators:	Creators Email ORCID ORCID Put Code Ansmann, Lena UNSPECIFIED orcid.org/0000-0002-8628-7166 UNSPECIFIED Wirtz, Markus UNSPECIFIED UNSPECIFIED UNSPECIFIED Kowalski, Christoph UNSPECIFIED UNSPECIFIED UNSPECIFIED Pfaff, Holger UNSPECIFIED orcid.org/0000-0001-9154-6575 UNSPECIFIED Visser, Adriaan UNSPECIFIED UNSPECIFIED UNSPECIFIED Ernstmann, Nicole UNSPECIFIED orcid.org/0000-0001-7685-6110 UNSPECIFIED
URN:	urn:nbn:de:hbz:38-429939
DOI:	10.1016/j.pec.2014.07.016
Journal or Publication Title:	Patient Educ. Couns.
Volume:	96
Number:	3
Page Range:	S. 352 - 361
Date:	2014
Publisher:	ELSEVIER IRELAND LTD
Place of Publication:	CLARE
ISSN:	1873-5134
Language:	English
Faculty:	Unspecified
Divisions:	Unspecified
Subjects:	no entry
Uncontrolled Keywords:	Keywords Language NATIONWIDE SURVEY; PATIENT; BURNOUT; HEALTH; SATISFACTION; MORTALITY; QUALITY; STRESS; COMMUNICATION; ENGAGEMENT Multiple languages Public, Environmental & Occupational Health; Social Sciences, Interdisciplinary Multiple languages
URI:	http://kups.ub.uni-koeln.de/id/eprint/42993