Abstract
ObjectivesTo examine the prevalence of effort-reward imbalance and explore its associated factors among emergency department physicians in China.MethodsA cross-sectional survey was conducted in the Chinese emergency department in 2018. A total of 10,457 emergency department physicians completed a structured questionnaire containing demographic characteristics, work-related data, and effort-reward imbalance scale. All the data were analyzed using descriptive analysis and stepwise logistic regression.ResultsThe prevalence of effort-reward imbalance was 78.39% among emergency department physicians in China. The results showed that the male emergency department physicians with a bachelor's degree, an intermediate title, long years of service, a high frequency of night shift, and who suffered workplace violence were at a higher risk of effort-reward imbalance. In contrast, physicians with higher monthly income and perceived adequate staff were associated with a lower risk of effort-reward imbalance.ConclusionsThe situation of effort-reward imbalance was serious among emergency department physicians in China. Administrators should pay more attention to key groups and take measures from the perspectives of effort and reward to improve the effort-reward imbalance in emergency department physicians.
Highlights
Emergency department (ED) physicians are crucial in the emergency medical service system
More than two-thirds of ED physicians (73.32%) perceived that the number of physicians was inadequate in ED
This study described the current situation of Emergency PhysiciansEffort-reward imbalance (ERI) and explored its associations with demographic characteristics and workrelated factors among ED physicians in China
Summary
Previous studies in Japan [6] and Switzerland [7] reported that the prevalence of ERI in physicians was 57% and 64.9%, respectively. Studies in Germany [8] and Norway [9] on physicians showed that the proportion was 25.1% and 10.3%, respectively. The prevalence of ERI in physicians varied widely between countries and regions, which may be relevant to differences in health care systems and cultural backgrounds. As an adverse working condition, the imbalance between high effort and low reward has a series of negative effects on employees’ health and work performance [7, 10,11,12,13]. It is necessary to explore the current situation and related factors of ERI in ED physicians
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