Abstract:
OBJECTIVES:To identify factors in favor of or against establishing and working in private practice, to determine the quality of life and work-related behavior and experience patterns of German physicians working in private practice, and to analyze the correlation of those factors. MATERIAL AND METHODS:A representative sample of physicians in private practice in Schleswig-Holstein, Germany, was surveyed according to a 2-year longitudinal design (T1 - 2008, N = 549 and T2 - 2010, N = 414). The study included 22 items regarding the attractiveness of establishing and working in private practice, and the questionnaires: the Short Form-12 Health Survey (SF-12), and Work-related Behavior and Experience Pattern (Arbeitsbezogenes Verhaltens- und Erlebensmuster - AVEM). RESULTS:Job satisfaction among those private practitioners decreased over time but their willingness to choose the profession once again remained unchanged. Patient care and the continuity of physician-patient relationship encouraged establishing and working in private practice; state regulation, financial risk, and administrative effort weighed against it. At both T1 and T2, physicians scored significantly lower for mental health than general population. About 20% of physicians showed a healthy behavior and experience pattern but 40% of them showed the pattern of reduced working motivation. About 20% of participants were at elevated risk for overexertion and for burnout. Physical and mental health as well as the total distribution of patterns did not change significantly during the 2-year observation period. Physicians at higher burnout risk rated tasks related to patient care considerably less positively than those with healthy pattern. CONCLUSIONS:In order to improve job satisfaction and quality of life, and to make private practice more attractive, those German physicians require a) improved legislation, b) educational programs that promote the attractiveness of private practice, and c) highly accessible counseling services for the prevention and treatment of stress, overexertion, and burnout. Int J Occup Med Environ Health 2017;30(3):485-498.
journal_name
Int J Occup Med Environ Healthauthors
Voltmer E,Spahn C,Frank Edoi
10.13075/ijomeh.1896.00775subject
Has Abstractpub_date
2017-05-08 00:00:00pages
485-498issue
3eissn
1232-1087issn
1896-494Xpii
63135journal_volume
30pub_type
杂志文章abstract:INTRODUCTION:The study aimed at measuring exhaled breath malondialdehyde (EBC-MDA) in workers exposed to dust containing silica and at its comparison with the non-exposed control group. MATERIAL AND METHODS:The cross sectional, case-control study (N = 50) was performed in a tile and ceramics production factory in Yazd...
journal_title:International journal of occupational medicine and environmental health
pub_type: 杂志文章
doi:10.13075/ijomeh.1896.00262
更新日期:2015-01-01 00:00:00
abstract:OBJECTIVES:To describe blood lead (Pb-B), cadmium (Cd-B) and mercury (Hg-B) levels in children living in urban, industrial and rural areas in Fez city (north of Morocco) and to identify the determinants and some renal effects of exposure. MATERIAL AND METHODS:The study was conducted from June 2007 to January 2008 in 2...
journal_title:International journal of occupational medicine and environmental health
pub_type: 杂志文章
doi:10.2478/s13382-014-0275-7
更新日期:2014-08-01 00:00:00
abstract:OBJECTIVES:Good communication between seafarers and their families at home is essential to compensate for the work-related strain experienced on board ships. This paper presents the needs and possibilities for communication with home in seafaring. MATERIAL AND METHODS:In total, 323 seafarers were interviewed during th...
journal_title:International journal of occupational medicine and environmental health
pub_type: 杂志文章
doi:10.13075/ijomeh.1896.01436
更新日期:2019-11-15 00:00:00
abstract:OBJECTIVES:The method for the determination of As, Al, Cd, Ni, Pb (toxic elements) and Cr, Co, Cu, Fe, Mn, Zn (essential elements) in human urine by the use of Inductively Coupled Plasma Mass Spectrometry (quadrupole ICP-MS DRCe Elan, Perkin Elmer) with the dynamic reaction cell (DRC) was developed. MATERIALS AND METH...
journal_title:International journal of occupational medicine and environmental health
pub_type: 杂志文章
doi:10.2478/s13382-013-0106-2
更新日期:2013-04-01 00:00:00
abstract:BACKGROUND:Benzalkonium chloride (BAC) is a quaternary ammonium compound (QAC) with a C8 to C18 chain length of alkyl groups. Since BAC exerts toxic effects on microorganisms, it has been used as an effective germicide and preservative, mostly in cosmetic industry and medicine. However, the toxic potential of BAC may b...
journal_title:International journal of occupational medicine and environmental health
pub_type: 杂志文章
doi:10.2478/v10001-008-0020-1
更新日期:2008-01-01 00:00:00
abstract:OBJECTIVES:Methylnaphthalenes have been used extensively as chemical intermediates in organic synthesis, as solvents for pesticides, sulphur and various aromatic compounds. A wide use of methylnaphthalenes has contributed to their emission into the environment. The aim of the study was to explain the role of glutathion...
journal_title:International journal of occupational medicine and environmental health
pub_type: 杂志文章
doi:
更新日期:2003-01-01 00:00:00
abstract:OBJECTIVES:Musicians represent a very specific professional group, which due to some occupational hazards is exposed to different health problems known as playing-related musculoskeletal disorders (PRMDs). The aim of this study was to assess correlations between the level of physical activity, and the occurrence of mus...
journal_title:International journal of occupational medicine and environmental health
pub_type: 杂志文章
doi:10.2478/s13382-014-0224-5
更新日期:2014-01-01 00:00:00
abstract:OBJECTIVE:There are two theories (by Horowitz and by Foa) which attempt at explaining the process of posttraumatic stress disorder (PTSD) development by information dissonance. The purpose of the present study was to verify these theories via cross-sectional and longitudinal studies. MATERIALS AND METHODS:The study ba...
journal_title:International journal of occupational medicine and environmental health
pub_type: 杂志文章
doi:10.2478/s13382-011-0010-6
更新日期:2011-03-01 00:00:00
abstract:OBJECTIVES:Limited research on the health situation of teachers on long-term sick leave is available. The aim of this study has been to describe the health status of female teachers on long-term sick leave (LSFT) in comparison to working female teachers (WFT) and to determine predictors for their state of mental health...
journal_title:International journal of occupational medicine and environmental health
pub_type: 杂志文章
doi:10.13075/ijomeh.1896.01115
更新日期:2018-01-07 00:00:00
abstract:OBJECTIVES:The research purpose was to analyze data concerning chemical incidents in Poland collected in 1999-2009 in terms of health hazards. MATERIAL AND METHODS:The data was obtained, using multimodal information technology (IT) system, from chemical incidents reports prepared by rescuers at the scene. The final an...
journal_title:International journal of occupational medicine and environmental health
pub_type: 杂志文章
doi:10.13075/ijomeh.1896.00734
更新日期:2017-02-21 00:00:00
abstract::The aim of the present study was to investigate persistent neurobehavioural effects of repeated low-level exposure to chlorphenvinphos ((2-chloro-1-(2,4-dichlorophenyl) vinyl diethyl phosphate-CVP) in rats. The rats received 10 i.p. injections of CVP at daily doses of 0.5 mg/kg or 1.0 mg/kg (one injection/day, five da...
journal_title:International journal of occupational medicine and environmental health
pub_type: 杂志文章
doi:
更新日期:1999-01-01 00:00:00
abstract::Policies can influence health of a population in various ways. Numerous epidemiological studies supported by toxicological investigations demonstrate a positive association between ambient concentrations of airborne particulate matter and increased adverse cardio-respiratory events, including morbidity and mortality. ...
journal_title:International journal of occupational medicine and environmental health
pub_type: 杂志文章,评审
doi:10.13075/ijomeh.1896.00436
更新日期:2016-01-01 00:00:00
abstract:OBJECTIVES:To evaluate existing research on the environmental health of children and provide a prioritised list of risk factors and policy recommendations for action, the Policy Interpretation Network on Children's Health and Environment (PINCHE) was set up within EU FP5 (QLK4-2002-02395). The project focused on air po...
journal_title:International journal of occupational medicine and environmental health
pub_type: 杂志文章,评审
doi:10.2478/v10001-007-0022-4
更新日期:2007-01-01 00:00:00
abstract::Breast cancer is responsible for considerable morbidity and the majority of female deaths in industrialized countries. In the etiology of breast cancer many endogenous and exogenous risk factors have been discussed. It is estimated that about 40% of all cancers in women are hormonally mediated. Both estrogens and andr...
journal_title:International journal of occupational medicine and environmental health
pub_type: 杂志文章,评审
doi:
更新日期:2003-01-01 00:00:00
abstract::The strategy for the improvement of occupational safety and health is presented. The role of the state and the workers in shaping working conditions has changed over the years, and this process is traced through ILO and EC documents. There must be a coherent up-to-date national policy in this field. Safety and the pro...
journal_title:International journal of occupational medicine and environmental health
pub_type: 杂志文章
doi:
更新日期:2001-01-01 00:00:00
abstract::This paper provides a summary review of the major biological features concerning the essential oil of turpentine, its origin and use in traditional and modern medicine. More precisely, the safety of this volatile fraction to human health, and the medical, biological and environmental effects of the two major compounds...
journal_title:International journal of occupational medicine and environmental health
pub_type: 杂志文章,评审
doi:10.2478/v10001-009-0032-5
更新日期:2009-01-01 00:00:00
abstract::Isoprostanes are prostaglandin-like compounds that are produced by free radical mediated peroxidation of polyunsaturated fatty acids. There is a direct evidence showing that F2-isoprostanes can be utilized as a marker of lipid peroxidation due to the mechanism of their formation (nonenzymatic oxidation of arachidonic ...
journal_title:International journal of occupational medicine and environmental health
pub_type: 杂志文章,评审
doi:
更新日期:2002-01-01 00:00:00
abstract:OBJECTIVES:The authors formulated a hypothesis that, on completion of the training program by cadets, their vestibular habituation would increase, measured by the time of the duration of the test on the unlocked looping, in contrast to the initial values and the control group. MATERIAL AND METHODS:The research involve...
journal_title:International journal of occupational medicine and environmental health
pub_type: 杂志文章
doi:10.13075/ijomeh.1896.01515
更新日期:2020-06-16 00:00:00
abstract::In the noisy environment, workers use hearing protectors to protect their hearing organ against adverse effects of noise. Hearing protectors should be well selected according to the spectrum and level of noise. The selection of hearing protectors is based on the sound attenuation values measured in laboratory conditio...
journal_title:International journal of occupational medicine and environmental health
pub_type: 杂志文章
doi:
更新日期:2003-01-01 00:00:00
abstract:OBJECTIVES:The aim of this study was to investigate the prevalence of obesity, alcoholic beverage consumption, unhealthy alcohol use and sudden sleep onset at the wheel among Italian truck drivers. In addition to prevalence rates, this study also aimed at investigating potential predictors for sudden-onset sleepiness a...
journal_title:International journal of occupational medicine and environmental health
pub_type: 杂志文章
doi:10.13075/ijomeh.1896.00638
更新日期:2016-01-01 00:00:00
abstract:OBJECTIVES:Abnormalities in the timing and course of spermatozoa capacitation and hyperactivation underlie common pathologies related to male infertility. Recent data shows that low frequency electromagnetic waves may influence cell membrane potential and permeability. It is therefore possible that low frequency electr...
journal_title:International journal of occupational medicine and environmental health
pub_type: 杂志文章
doi:10.13075/ijomeh.1896.01262
更新日期:2018-12-20 00:00:00
abstract:Objectives:Over the last 20 years, tertiary institutions have been subjected to several changes. This has resulted in increased workloads for academics. Some academics have started to experience symptoms that are related to chronic fatigue syndrome and burnout. Researchers, however, cannot agree whether the 2 syndromes...
journal_title:International journal of occupational medicine and environmental health
pub_type: 杂志文章
doi:10.13075/ijomeh.1896.01274
更新日期:2019-02-27 00:00:00
abstract:OBJECTIVES:Cyclophosphamide (CP) and ifosfamide (IF) are effective anti-cancer drugs but their genotoxicity can harm everyone contacting them occupationally or environmentally. Therefore, a sensitive method for monitoring their amounts in biological and environmental samples is needed. This has aimed to develop a metho...
journal_title:International journal of occupational medicine and environmental health
pub_type: 杂志文章
doi:10.13075/ijomeh.1896.00773
更新日期:2016-01-01 00:00:00
abstract:OBJECTIVES:Panic behavior poses a particular threat to the health and safety of subaquatic occupational specialists. Trait anxiety has previously been identified as a marker of panic behavior under water, and Spielberger's State-Trait Personality Inventory (trait anxiety subscale) has been previously used to measure tr...
journal_title:International journal of occupational medicine and environmental health
pub_type: 杂志文章
doi:10.2478/s13382-014-0321-5
更新日期:2014-12-01 00:00:00
abstract::Conceptual research to define the Precautionary Principle and its role in science, science policy, and public health is making substantial progress. In September 2001, participants at the International Summit on Science and the Precautionary Principle developed a vision for science to address the complexity of contemp...
journal_title:International journal of occupational medicine and environmental health
pub_type: 杂志文章,评审
doi:
更新日期:2004-01-01 00:00:00
abstract::Many etiologies are held accountable for nasal septum perforations. Topical nasal drug usage, previous surgeries, trauma, nose picking, squamous cell carcinoma, some rheumatological disorders such as granulomatosis with polyangiitis (Wegener granulomatosis), some infectious diseases such as syphilis and leprosy are am...
journal_title:International journal of occupational medicine and environmental health
pub_type:
doi:10.13075/ijomeh.1896.01019
更新日期:2017-10-06 00:00:00
abstract::The paper describes an atypical case of simultaneous airborne and direct contact dermatitis in a beekeeper from the Małopolska region. This is the third such case described in a beekeeper in the world and the first in Poland. I suggest that propolis should be regarded as both a direct and airborne contact allergen in ...
journal_title:International journal of occupational medicine and environmental health
pub_type: 杂志文章
doi:10.2478/s13382-012-0054-2
更新日期:2012-09-01 00:00:00
abstract:OBJECTIVES:The correlation between quartz dust concentrations in the Swiss enterprises and the incidence of silicosis and other related diseases acknowledged as occupational diseases (OD) was investigated. MATERIAL AND METHODS:Quartz dust concentrations were obtained from Suva's databases of occupational health survei...
journal_title:International journal of occupational medicine and environmental health
pub_type: 杂志文章
doi:10.13075/ijomeh.1896.01272
更新日期:2018-10-23 00:00:00
abstract:OBJECTIVES:The article presents the results of selected pilot studies conducted in medical ambulances. Their aim was to determine the working conditions and identify troublesome factors accompanying the performance of basic medical procedures by rescue teams. MATERIAL AND METHODS:The study of working conditions was ca...
journal_title:International journal of occupational medicine and environmental health
pub_type: 杂志文章
doi:10.13075/ijomeh.1896.01479
更新日期:2020-01-17 00:00:00
abstract::A pumped storage power plant produces significant noise such that adjacent areas were deemed uninhabitable for the local population. In recent years, the population in the area has increased, and the noise levels are now causing significant distress to the local population. The company operating the power plant and a ...
journal_title:International journal of occupational medicine and environmental health
pub_type: 杂志文章
doi:10.13075/ijomeh.1896.01361
更新日期:2019-06-14 00:00:00