Evaluation of quality of life of non-surgical physicians and surgeons
DOI:
https://doi.org/10.5020/18061230.2018.7582Keywords:
Quality of Life, Physicians, Work-Life Balance, Occupational Health.Abstract
Objective: To evaluate the quality of life (QOL) of medical practitioners according to the chosen specialty (non-surgical or surgery). Methods: Cross-sectional analytical study performed in 2016 with physicians working in clinics and hospitals of Rio Verde, Goiás, Brazil. Two questionnaires were used: one on sociodemographic aspects and the second one, for quality of life evaluation, the World Health Organization Quality of Life-BREF (WHOQOL-BREF). Out of 287 questionnaires that were delivered, 144 were answered. Comparative data regarding the domains received analysis with use of ANOVA, MANOVA, MANCOVA, Pearson's correlation and linear regression, considering p˂0.05. Results: The findings showed mean age of 37.7±10.09 years and a majority of men (63.1%; n=91). The physical domain was significantly better evaluated in the mean values of QOL by men (p=0.002), as well as the environmental domain (p=0.031). When comparing the mean values of the QOL and their domains according to the clinical and/or surgical practice of the physicians, there was no significant difference. When comparing physicians that work alternative shifts to those working regular day shifts, it was found that the domains of social relationships (p=0.049) and environment (p=0.001), and the global QOL (p=0.024) as well, regardless of the workload, were worsened among the shift workers. The longer the length of time since graduating from college, the greater the perception of the environmental domain (p=0.02). There was no significant difference as for the salary range. Conclusion: There was no difference in the global quality of life between the evaluated non-surgical physicians and surgeons. However, when compared by sex, men achieved a more satisfactory performance in terms of the physical and environmental domains. It was evidenced that the salary range does not influence the quality of life of these professionals.Downloads
References
Pires AC, Fleck MP, Power Mick RNS. Psychometric properties of the EUROHIS-QOL 8-item index (WHOQOL-8) in a Brazilian sample. Rev Bras Psiquiatr. 2018;40(3):249-55.
Roriz PC, Paschoal T. Relação entre ações de qualidade de vida no trabalho e bem-estar laboral. Psicol Argum. 2012;30(70):585-93.
Snell DL, Siegert RJ, Surgenor LJ, Dunn JA, Hooper GJ. Evaluating quality of life outcomes following joint replacement: psychometric evaluation of a short form of the WHOQOL-Bref. Qual Life Res. 2016;25(1):51-61.
The Whoqol Group. Development of the World Health Organization WHOQOL- BREF. Quality of Life Assesment 1998. Psychol. Med 1998;28(3):551-8.
Bampi LNS, Baraldi S, Guilhem D. Qualidade de vida de estudantes de medicina na Universidade de Brasília. Rev Bras Educ Médica. 2013;37(2):217-25.
Arenson-pandikow HM, Oliviera LT, Bortolozzo CR. Perception of quality of Life among anesthesiologists and non-anesthesiologists. Rev Bras Anest. 2012;62(1):48-55.
Scheffer M, organizador. Demografia Médica no Brasil 2018. São Paulo: FMUSP; 2018.
Rasslan S, Arakaki MS, Rasslan R, Utiyama EM. Perfil do residente de Cirurgia Geral: quais as mudanças no Século XXI? Rev Col Bras Cir [Internet]. 2018 [acesso em 2018 Jul 14];45(2):e1706. Disponível em: http://www.scielo.br/pdf/rcbc/v45n2/pt_1809-4546-rcbc-45-02-e1706.pdf
Schmick A, Juergensen M, Rohde V, Katalinic A, Waldmann A. Assessing health-related quality of life in urology – a survey of 4500 German urologists. BMC Urol. 2017;17(1):46.
Kang SH, Boo YJ, Lee JS, Han HJ, Jung CW, Kim CS. High occupational stress and low career satisfaction of korean surgeons. J Korean Med Sci. 2015;30(2):133-9.
Bohrer T, Koller M, Schlitt HJ, Bauer H. Quality of life of german surgeons: results of a survey of 3,652 attendees of the annual meetings of the German Surgical Societies. Dtsch Med Wochenschr. 2011;136(42):2140-4.
Vilas Boas AA, Faria DA, Pires AAS, Morin EM. Quality of life factors in the work of teachers from federal institutions in the southeast, central-west and Federal District. Braz J Develop. 2018;4(5):2458-82.
Hawthorne G, Richardson J, Osborne R. The Assessment of Quality of Life (AQoL) Instrument: a psychometric measure of health-related quality of life. Qual Life Res. 1999;8(3):209-24.
Santos FAAS, Sousa LP, Serra MAO, Rocha FAC. Fatores que influenciam na qualidade de vida dos agentes comunitários de saúde. Acta Paul Enferm. 201629(2):191-7.
Mullola S, Hakulinen C, Presseau J. Personality traits and career choices among physicians in Finland: employment sector, clinical patient contact, specialty and change of specialty. BMC Med Educ. 2018;18(1):52.
Pulcrano M, Evans SRT, Sosin M. Quality of life and burnout rates across surgical specialties a systematic review. JAMA Surg. 2016;151(10):970-8.
Mullola S, Hakulinen C, Ruiz de Porras DG, Presseau J, Jokela M, Vänskä J, et al. Medical specialty choice and well-being at work: physician's personality as a moderator. Arch Environ Occup Health. 2018:1-15.
Hipp M, Pilz L, Al-Batran SE, Hautmann MG, Hofheinz RD. Workload and quality of life of medical doctors in the field of oncology in Germany: a survey of the working group quality of life of the AIO for the study group of internal oncology. Oncol Res Treat. 2015;38(4):154-9.
Purim KSM, Borges LMC, Possebom AC. Perfil do médico recém-formado no sul do Brasil e sua inserção profissional. Rev Col Bras Cir. 2018;43(4):295-300.
Pereira EF, Teixeira CS, Andrade RD, Silva-Lopes A. O trabalho docente e a qualidade de vida dos professores na educação básica. Rev Salud Públ. 2014;16(2):221-31.
Ozder A, Eker HH. The prevalence of excessive daytime sleepiness among academic physicians and its impact on the quality of life and occupational performance. Int J Occup Med Environ Health. 2015;28(4):721-30.
Khoushhal Z, Hussain MA, Greco E, Mamdani M, Verma S, Rotstein O, et al. Prevalence and causes of attrition among surgical residents. a systematic review and meta-analysis. JAMA Surg. 2017;152(3):265-72.
Palhares VDC, Corrente JE, Matsubara BB. Association between sleep quality and quality of life in nursing professionals working rotating shifts. Rev Saúde Pública. 2014;48(4):594-601.
Coelho MF, Chaves LDP, Anselmi ML, Hayashida M, Santos CB. Analysis of the organizational aspects of a clínical emergency department: a study in a General Hospital in Ribeirao Preto, SP, Brazil. Rev Latinoam Enferm. 2010;18(4):770-7.
Kinzl JF, Traweger C, Trefalt E, Riccabona U, Lederer W. Work stress and gender-dependent coping strategies in anesthesiologists at a university hospital. J Clin Anesth. 2007;19(5):334-8.
Mikalauskas A, Benetis R, Širvinskas E, Andrejaitienė J, Kinduris S, Macas A, et al. Burnout among anesthetists and intensive care physicians. Open Med. 2018;13:105-12.
Torres A, Rodrigues RT, Muller SS, Lima MCP. Qualidade de vida e saúde física e mental de médicos. Rev Bras Epidemiol. 2011;14(2):264-75.
Vitorino LM, Monteiro FP, Silva JV, Dias EN, Santos AEO. Qualidade de vida da equipe de enfermagem em unidades de urgência e emergência. Rev Ciênc Méd (Campinas). 2014;23(2):83-9.
Wachholz PA, Lima SAM, Villas Boas PJF. Da prática baseada em evidências para a saúde coletiva informada por evidências: revisão narrativa. Rev Bras Promoç Saúde. 2018;31(2):1-7.
Silva JRA, Lemos EC, Hardman CM, Santos SJ, Antunes MBC. Educação em saúde na estratégia de saúde da família: percepção dos profissionais. Rev Bras Promoç Saúde. 2018;28(1):75-81.
