Organizational Justice in Primary-Care Health Centers and Glycemic Control in Patients With Type 2 Diabetes

Datos Bibliográficos

ID9104810
AutoresMarianna Virtanen (0000-0001-8361-3301, Finnish Institute of Occupational Health, autor de correspondencia), Tuula Oksanen (0000-0002-0004-1035, Finnish Institute of Occupational Health, autor de correspondencia), Ichiro Kawachi (0000-0003-3579-4456, Harvard University), V Subramanian (0000-0003-2365-4165, Harvard University), SV Subramanian, Marko Elovainio (0000-0002-1401-1910, Finnish Institute for Health and Welfare), Sakari Suominen (0000-0001-6648-603X, Folkhälsans Forskningscentrum), Anne Linna (Finnish Institute of Occupational Health, autor de correspondencia), Anne Koponen, Anne M Koponen (0000-0003-2644-9095, Folkhälsans Forskningscentrum), Jaana Pentti (Finnish Institute of Occupational Health, autor de correspondencia), Mika Kivimäki (0000-0002-4699-5627, University of Helsinki, autor de correspondencia), Jussi Vahtera (0000-0002-6036-061X, Harvard University, autor de correspondencia)
Año2012
Volumen50
Número10
Páginas831-835
Fecha de publicación2012-10-01
Peer ReviewedSí
Open AccessNo
TipoARTICLE
RevistaMedical Care (JOURNAL)
Identificadores de la revistaISSN: 0025-7079 • E-ISSN: 1537-1948
EditorialOvid Technologies (Wolters Kluwer Health) (PUBLISHER)
DOI10.1097/mlr.0b013e31825dd741
PMID22710278
OpenAlexW2035283070
IdiomaEN
Citas recibidas5
Referencias citadas20

BACKGROUND: Organizational justice has been put forward as a measure of leadership quality that is associated with better health among employees. OBJECTIVES: We extended that idea to test whether perceived organizational justice among health care providers might be positively associated with glycemic control among their diabetic patients. SETTING: Eighteen primary-care health centers (HCs) in Finland. PARTICIPANTS: Type 2 diabetes patients (n=8954) and HC staff (n=422). MEASUREMENTS: : Mean of 1 year's measurements of glycated hemoglobin [≥ 7.0 (the least optimal); 6.5-6.9; 6.0-6.4; and 4.5-5.9 (the most optimal)], health-center psychosocial work characteristics (staff-reported procedural justice and relational justice, effort-reward imbalance, and work-unit team climate), and individual-level and work-unit-level covariates. RESULTS: Perceptions of higher levels of procedural justice among staff were associated with more optimal glycated hemoglobin levels among patients (cumulative odds ratio per 1-U increase in justice=1.54, 95% confidence interval, 1.08-2.18) after adjustment for patient-level and unit-level covariates. Relational justice, effort-reward imbalance, and work-unit team climate were not associated with glycemic control. CONCLUSION: The quality of leadership at HCs, as indicated by staff perceptions of procedural justice, may play a role in achieving good glycemic control among type 2 diabetes patients

Diabetes mellitus · Economic Justice · Family medicine · Glycated hemoglobin · Glycemic · Health care · Odds ratio · Organizational commitment · Organizational justice · Perception · Political science · Procedural justice · Type 2 diabetes · Diabetes Management and Education · Internal Medicine · Interprofessional Education and Collaboration · Medicine · Nursing · Psychology · Social Psychology · Workplace Health and Well-being