Regions, hospitals and health outcomes over time: A multi-level analysis of repeat prevalence among a cohort of health-care workers.
Health Place
; 15(4): 1046-57, 2009 Dec.
Article
en En
| MEDLINE
| ID: mdl-19493692
ABSTRACT
BACKGROUND:
The relative importance of region, workplace, and individual determinants of health burden is debated.OBJECTIVE:
To model the contribution of hospital characteristics to employee mental and musculoskeletal disorders.METHODS:
We linked employment records of nurses and support services' staff with health records, neighbourhood census, and hospital administrative data. We conducted multi-level logistic regression analyses with three levels year (I), employee characteristics (II), and hospital characteristics (III).RESULTS:
Northern region hospitals experienced lower disorder prevalences (odds ratios (OR) 0.58, 95% confidence intervals (0.40, 0.82) for mental and 0.56 (0.44, 0.73) for musculoskeletal disorders). Hospitals with yearly workloads of the highest versus lowest quintiles of inpatient days/1000 employee hours (>86.0 vs. <42.6) and surgical cases/1000 employee hours (>10.5 vs. <3.9) had greater odds of mental (1.29 (1.05, 1.57); 1.22 (1.05, 1.42)) and musculoskeletal (1.38 (1.21, 1.58); 1.21 (1.09, 1.34)) disorders.CONCLUSION:
Opportunities exist for reduction in burden with hospital workload reduction. Further exploration of regional effects is needed.
Texto completo:
1
Colección:
01-internacional
Banco de datos:
MEDLINE
Asunto principal:
Personal de Hospital
/
Enfermedades Musculoesqueléticas
/
Trastornos Mentales
/
Enfermedades Profesionales
Tipo de estudio:
Diagnostic_studies
/
Etiology_studies
/
Prevalence_studies
/
Prognostic_studies
/
Risk_factors_studies
Límite:
Adult
/
Female
/
Humans
/
Male
/
Middle aged
País/Región como asunto:
America do norte
Idioma:
En
Revista:
Health Place
Asunto de la revista:
EPIDEMIOLOGIA
/
SAUDE PUBLICA
Año:
2009
Tipo del documento:
Article