The Predominance of the Health-Promoting Patterns of Work Behavior and Experience in General Practice Teams—Results of the IMPROVEjob Study

Author:

Thielmann Beatrice12ORCID,Wagner Anke1ORCID,Bozorgmehr Arezoo3ORCID,Rind Esther1ORCID,Siegel Achim1,Hippler Melina1,Weltermann Birgitta3ORCID,Degen Lukas3ORCID,Göbel Julian3ORCID,Minder Karen3,Seifried-Dübon Tanja4ORCID,Junne Florian4,Herrmann-Werner Anne5ORCID,Jöckel Karl-Heinz6,Schröder Verena6,Pieper Claudia7ORCID,Eilerts Anna-Lisa7,Wittich Andrea8,Rieger Monika A.1ORCID,Böckelmann Irina2ORCID

Affiliation:

1. Institute of Occupational and Social Medicine and Health Services Research, University Hospital Tübingen, Wilhelmstr. 27, 72074 Tübingen, Germany

2. Institute of Occupational Medicine, Faculty of Medicine, Otto von Guericke University Magdeburg, Leipziger Str. 44, 39120 Magdeburg, Germany

3. Institute of General Practice and Family Medicine, University Hospital Bonn, Venusberg-Campus. 1, 53127 Bonn, Germany

4. Department of Psychosomatic Medicine and Psychotherapy, University Hospital Tübingen, Osianderstr. 5, 72076 Tübingen, Germany

5. Tübingen Institute for Medical Education (TIME), Faculty of Medicine, University of Tuebingen, 72076 Tübingen, Germany

6. Center for Clinical Trials, University Hospital Essen, University of Duisburg-Essen, Hufelandstr. 55, 45122 Essen, Germany

7. Institute for Medical Informatics, Biometry and Epidemiology, University Hospital Essen, University of Duisburg-Essen, Hufelandstr. 55, 45122 Essen, Germany

8. Occupational Health Psychology—Research and Consulting, Sternbergstr 19, 72074 Tübingen, Germany

Abstract

This study aims to identify the distribution of the “Work-related behavior and experience patterns” (Arbeitsbezogenes Verhaltens-und Erlebnismuster, AVEM) in general practitioners and their teams by using baseline data of the IMPROVEjob study. Members of 60 general practices with 84 physicians in a leadership position, 28 employed physicians, and 254 practice assistants participated in a survey in 2019 and 2020. In this analysis, we focused on AVEM variables. Age, practice years, work experience, and working time were used as control variables in the Spearman Rho correlations and analysis of variance. The majority of the participants (72.1%) revealed a health-promoting pattern (G or S). Three of eleven AVEM dimensions were above the norm for the professional group “employed physicians”. The AVEM dimensions “striving for perfection” (p < 0.001), “experience of success at work” (p < 0.001), “satisfaction with life” (p = 0.003), and “experience of social support” (p = 0.019) differed significantly between the groups’ practice owners and practice assistants, with the practice owners achieving the higher values, except for experience of social support. Practice affiliation had no effect on almost all AVEM dimensions. We found a high prevalence of AVEM health-promoting patterns in our sample. Nearly half of the participants in all professional groups showed an unambitious pattern (S). Adapted interventions for the represented AVEM patterns are possible and should be utilized for maintaining mental health among general practice teams.

Funder

German Federal Ministry for Education and Research

Institute of Occupational and Social Medicine and Health Services Research

Baden-Württemberg

Open Access Publication Fund of the University of Tübingen

Publisher

MDPI AG

Subject

Health Information Management,Health Informatics,Health Policy,Leadership and Management

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