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The effect of work-related risk factors on health symptoms of hospital physicians

ISSN 2223-6775 Ukrainian journal of occupational health Vol.15, No 4, 2019

The effect of work-related risk factors on health symptoms of hospital physicians

Vangelova K., Dimitrova I., Cekova I., Stoyanova R.

National Center of Public Health and Analyses, Sofia 1413, Bulgaria

Full article (PDF), ENG


Introduction. The job of hospital physicians is responsible and decision-rich, carried under shift work. For years Bulgaria is facing physician’s shortage, which contributes to their long working hours. The aim of the study was to follow the work-related risk factors of hospital physicians in Sofia.

Methods. The study is cross-sectional and comprised 759 physicians (456 females and 303 males) of average age 44.3 ± 14.1 years from 19 hospitals in Sofia. The anonymous questionnaire was filled, including demographic information, working hours and shift system, with special attention to night work and long working hours, stress and health symptoms. Statistical analysis was made using SPSS.

Results. More than 90 % of the physicians felt under strain and emotional dissonance of working with patients. 27.1 % of the physicians worked more than 5 night shifts monthly. Overtime was common, 64.9 % of the studied physicians were working overtime > 2 times per week and 49.8 % worked in second health care establishment, together with a second workplace contributing to long working hours of 51-60 hours per week in 27.8 % of the physicians and > 61 hours in 13.7 %. Work-related stress, night work and long-term working hours were related to self-rated emotional and physical exhaustion and poor health.

Discussion. The work-related factors raise health concerns for occupational health of hospital physicians and urgent preventive measures are needed to control stress and reduce working hours and night work.

Keywords: work-related stress, overtime, shift work


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