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Associations between Psychosocial Working Conditions and Quality of Care (i.e., Slips and Lapses, and Perceived Social Interactions with Patients)—A Cross-Sectional Study among Medical Assistants

Bibliographic Data

ID15467183
AuthorsViola Mambrey (0000-0002-7792-6261, Heinrich Heine University Düsseldorf), Patricia Vu-Eickmann (Heinrich Heine University Düsseldorf), Peter Angerer (0000-0002-9602-7405, Heinrich Heine University Düsseldorf), Adrian Loerbroks (0000-0003-2795-8684, Heinrich Heine University Düsseldorf, corresponding author)
Year2021
Volume18
Issue18
Pages9693-9693
Publication date2021-09-15
Open AccessYes
TypeARTICLE
VenueInternational Journal of Environmental Research and Public Health (JOURNAL)
Journal identifiersISSN: 1661-7827 • E-ISSN: 1660-4601
PublisherMultidisciplinary Digital Publishing Institute (PUBLISHER • CH)
DOI10.3390/ijerph18189693
OpenAlexW3199105717
LanguageEN
References cited46

Adverse psychosocial working conditions in the health care sector are widespread and have been associated with a reduced quality of patient care. Medical assistants (MA) assume that their unfavorable working conditions predominantly lead to a poorer quality of care in terms of slips and lapses, and poorer social interactions with patients. We examined those associations for the first time among MAs. A total of 944 MAs in Germany participated in a survey (September 2016–April 2017). Psychosocial working conditions were measured by the effort-reward imbalance (ERI) questionnaire and a questionnaire specifically designed for MAs. Slips and lapses (3 items, e.g., measurement or documentation errors) and the quality of interactions (3 items) with patients were measured by a questionnaire developed by the study team based on prior qualitative research. We ran Poisson regression to estimate multivariable prevalence ratios (PRs). The ERI ratio and MA-specific working conditions were significantly associated with frequent self-reported slips and lapses (PR = 2.53 and PR ≥ 1.22, respectively) or poor interactions with patients (PR = 3.62 and PR ≥ 1.38, respectively) due to work stress. Our study suggests that various types of adverse psychosocial working conditions are associated with perceptions of slips and lapses or poorer interaction with patients due to work stress among MAs

Cross-sectional study · Family medicine · Psychiatry · Psychosocial · Quality (philosophy · Clinical Psychology · Healthcare professionals’ stress and burnout · Medicine · Musculoskeletal pain and rehabilitation · Psychology · Workplace Health and Well-being

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