Time utilization and psychosocial work environments in primary care

2020 ◽  
Vol 26 (3) ◽  
pp. 30-33
Author(s):  
Eva Anskär
Keyword(s):  
Primary Care ◽  
Work Environments ◽  
Psychosocial Work ◽  
Time Utilization

Practice Patterns, Work Environments, and Job Outcomes of Rural and Urban Primary Care Nurse Practitioners

2020 ◽  
pp. 107755872097453
Author(s):  
Hayley D. Germack ◽  
Jordan Harrison ◽  
Lusine Poghosyan ◽  
Grant R. Martsolf
Keyword(s):  
Primary Care ◽  
Rural Communities ◽  
Nurse Practitioners ◽  
Practice Patterns ◽  
Quality Care ◽  
Work Environments ◽  
Independent Practice ◽  
Job Outcomes ◽  
High Quality ◽  
Rural And Urban

As nurse practitioners (NPs) are increasingly relied on to deliver primary care in rural communities, it is critical to understand the contexts in which they work and whether they are characterized by work environments and infrastructures that facilitate the provision of high-quality patient care. This study compares urban and rural NPs using data from a survey of 1,244 primary care NPs in Arizona, California, New Jersey, Pennsylvania, Texas, and Washington. While rural and urban NPs have a number of similarities in terms of demographic characteristics, practice patterns, and job outcomes, they also have noteworthy differences. Rural NPs report higher levels of independent practice, fewer structural capabilities that facilitate quality care, and poorer relationships with physicians. Health care organizations in rural communities may need to invest in work environments and infrastructures that facilitate high-quality care and autonomous practice for NPs.

scholarly journals Associations between psychosocial work environments and social capital: a multilevel analysis study in a Chinese context

2018 ◽  
Vol 18 (1) ◽  
Author(s):  
Junling Gao ◽  
Jing Wang ◽  
Denglai Yu ◽  
Junming Dai ◽  
Yongkai Zhu ◽  
...  
Keyword(s):  
Social Capital ◽  
Multilevel Analysis ◽  
Work Environments ◽  
Psychosocial Work ◽  
Analysis Study ◽  
Chinese Context

scholarly journals Digital Consultations in Swedish Primary Health Care: A Qualitative Study of Physicians’ Job control, Demand and Support

2020 ◽  
Author(s):  
Hanna Fernemark ◽  
Janna Skagerstrom ◽  
Ida Seing ◽  
Carin Ericsson ◽  
Per Nilsen
Keyword(s):  
Primary Care ◽  
Health Care ◽  
Work Environment ◽  
Primary Care Physicians ◽  
Psychosocial Work Environment ◽  
Mobile Telephone ◽  
Full Time ◽  
Psychosocial Work ◽  
Structured Interviews ◽  
Demand Control

Abstract Background: Digital consultation with primary care physicians via mobile telephone apps has been spreading rapidly in Sweden since 2014. Digital consultation allows remote working because physicians can work from home, outside their traditional primary care environment. Despite the spread of digital consultation in primary care, there is a lack of knowledge concerning how the new service affects physicians’ psychosocial work environment. Previous research has focused primarily on the patients’ point of view and the cost-effectiveness of digital consultation. Hence, there is a paucity of studies from the perspective of physicians, focusing on their psychosocial work environment. The aim of this study was to investigate primary care physicians’ perceived work demands, control over working processes, and social support when providing digital consultation to primary care patients.Methods: The study has a qualitative design, using semi-structured interviews conducted in Sweden in 2019. We used a purposeful sampling strategy to achieve a heterogeneous sample of physicians who represented a broad spectrum of experiences and perceptions. The interviews were conducted by video meeting, telephone, or a personal meeting, depending on what suited the participant best. The interview questions were informed by the Job Demand-Control-Support (JDCS) model, which was also used as the framework to analyze the data by categorizing the physicians’ perceptions and experiences into the three categories of the model (Demand, Control, Support), in the deductive analysis of the data.Results: Analysis of the data yielded 9 subcategories, which were mapped onto the 3 categories of the JDCS model. Overall, the participants saw numerous benefits with digital consultations, not only with regard to their own job situation but also for patients and the health care system in general even though they identified some shortcomings and risks with digital care.Conclusions: This study has demonstrated that physicians perceive working with digital consultation as flexible with a high grade of autonomy and reasonable to low demands. According to the participants, digital consultation is not something you can work with full time if medical skills and abilities are to be maintained and developed.

Sign in / Sign up

Export Citation Format

Share Document