Factors associated with job satisfaction among public-sector physicians in Belo Horizonte, Brazil.

Evidence indicates an association between job satisfaction and illness among physicians. There are also negative consequences of physician dissatisfaction on the quality of medical services. With this in view, a cross-sectional study of a stratified random sample of physicians (n = 266) was conducted in the municipal public health care system in Belo Horizonte, Brazil. Participants answered a questionnaire about job satisfaction, sociodemographic and lifestyle characteristics, work and employment conditions, and health status. Of the 232 respondents, 150 (64.94%) declared themselves satisfied with the work, with no significant difference between male and female physicians (66.4% vs. 64.2%; p = 0.74). The number of physicians satisfied with their work was significantly higher among those who experienced a high level of social support at work (p < 0.01) and was significantly lower among those working under high-strain conditions (p = 0.01) and those who screened positive for the presence of common mental disorders (p < 0.01). These findings suggest that policies to promote social support and mental health in the workplace, as well as the implementation of strategies to increase physicians' control over their work activities, can have a positive effect on the job satisfaction of these professionals.

[Hepatitis B vaccination and occupation exposure in the healthcare sector in Belo Horizonte, Minas Gerais]. / Vacinação contra hepatite B e exposição ocupacional no setor saúde em Belo Horizonte, Minas Gerais.

OBJECTIVE: To identify factors associated with vaccination against hepatitis B among healthcare workers. METHODS: This was a cross-sectional study on 1,808 public-sector healthcare workers in Belo Horizonte, Southeastern Brazil, in 2009. A self-administered questionnaire was used and the vaccination situation was analyzed taking sociodemographic characteristics, lifestyle and working conditions and characteristics into consideration. Univariate (p < 0.20) and multiple (p < 0.05) statistical analyses were performed using Poisson regression to evaluate factors associated with vaccination. RESULTS: Of the workers, 85.6% declared that they had been vaccinated, although only 74.9% of the vaccinated professionals had received a complete immunization schedule. Not having been vaccinated was associated with not having a partner; having high school, technical or incomplete higher education level; work characteristics such as working in surveillance or the administrative/general services sector; and not using personal protection equipment. CONCLUSIONS: Groups with lower vaccination coverage were identified. Efforts are required to ensure access and adherence to vaccination among healthcare workers, such as awareness-raising mechanisms.

Bloqueio atrioventricular avançado: uma manifestação incomum da endomiocardiofibrose / Advanced atrioventricular block: an unusual manifestation od endomyocardial fibrosis

A endomiocardiofibrose é uma causa importante de cardiopatia restritiva na zona tropical, ocasionalmente verificada no Brasil. Caracteriza-se pelo espessamento fibroso do endocárdio e do miocárdio subjacente, com progressão tardia para insuficiência cardíaca grave e prognóstico reservado. Relata-se aqui uma apresentação infrequente da doença: a insuficiência cardíaca de baixo débito, secundária a bloqueio atrioventricular avançado. O paciente foi tratado com sucesso por meio de implante de marcapasso DDD/R e encontra-se em classe funcional I (NYHA) há dois anos.

Endomyocardial fibrosis is an important cause of restrictive cardiomyopathy observed in tropical areas and has been occasionally found in Brazil. It is characterized by fibrous thickening of the endocardium and underlying myocardium with late progression to severe heart failure and poor prognosis. We report an unusual presentation of the disease: low output heart failure secondary to advanced atrioventricular block. The patient was successfully treated by implanting a DDD/R pacemaker and has been in functional class I (NYHA) for 2 years.

Vacinação contra hepatite B e exposição ocupacional no setor saúde em Belo Horizonte, Minas Gerais / Hepatitis B vaccination and occupation exposure in the healthcare sector in Belo Horizonte, Minas Gerais

OBJETIVO: Identificar fatores associados à vacinação contra hepatite B em trabalhadores da saúde. MÉTODOS: Estudo transversal com 1.808 trabalhadores da saúde do setor público de Belo Horizonte, MG, em 2009. Questionário autoadministrado foi usado e a situação vacinal foi analisada considerando características sociodemográficas, estilo de vida, características e condições de trabalho. Análises estatísticas univariada (p < 0,20) e múltipla foram realizadas utilizando regressão de Poisson (p < 0,05) para avaliação de fatores associados à vacinação. RESULTADOS: Declararam ter sido vacinados 85,6% dos trabalhadores, 74,9% dos quais receberam esquema completo da vacina. Não ter sido vacinado associou-se a não ter companheiro, a escolaridade em nível médio/técnico ou superior incompleto e a características do trabalho, como atuar na vigilância ou setor administrativo/serviços gerais e não utilizar equipamentos de proteção individual. CONCLUSÕES: Foram identificados grupos com menor cobertura vacinal. São necessários esforços para garantir o acesso e a adesão à vacinação a todos os grupos ocupacionais.

OBJECTIVE: To identify factors associated with vaccination against hepatitis B among healthcare workers. METHODS: This was a cross-sectional study on 1,808 public-sector healthcare workers in Belo Horizonte, Southeastern Brazil, in 2009. A self-administered questionnaire was used and the vaccination situation was analyzed taking sociodemographic characteristics, lifestyle and working conditions and characteristics into consideration. Univariate (p < 0.20) and multiple (p < 0.05) statistical analyses were performed using Poisson regression to evaluate factors associated with vaccination. RESULTS: Of the workers, 85.6% declared that they had been vaccinated, although only 74.9% of the vaccinated professionals had received a complete imunization schedule. Not having been vaccinated was associated with not having a partner; having high school, technical or incomplete higher education level; work characteristics such as working in surveillance or the administrative/general services sector; and not using personal protection equipment. CONCLUSIONS: Groups with lower vaccination coverage were identified. Efforts are required to ensure access and adherence to vaccination among healthcare workers, such as awareness-raising mechanisms.

Satisfação dos médicos no Sistema Único de Saúde em Belo Horizonte, Brasil / Physicians' satisfaction in the unified health system in Belo Horizonte

A satisfação com o trabalho representa o julgamento que o indivíduo faz do seu trabalho real quando comparado a uma ocupação ideal, sendo este processo influenciado tanto por fatores ocupacionais, quanto por fatores individuais, sociais e de saúde. Evidências têm indicado associação entre baixos níveis de satisfação com o trabalho e o adoecimento na categoria dos médicos, bem como influências negativas sobre a qualidade dos serviços de saúde. Objetivos: Identificar se os fatores ocupacionais, do contexto social e de saúde associam-se à satisfação com o trabalho dos médicos na rede pública de saúde de Belo Horizonte. Métodos: Um estudo transversal de amostra aleatória e proporcional (n = 266) foi realizado na rede municipal de saúde. Os participantes responderam a um questionário sobre satisfação com o trabalho, características sociodemográficas e de estilo de vida, condições de trabalho e emprego, aspectos da satisfação não relacionados ao trabalho e o estado de saúde. As associações entre as variáveis foram investigadas utilizando-se a Regressão de Poisson.Uma precisão de 5% (p<0,05) e um intervalo de 95% de confiança foram considerados na análise multivariada. Resultados: Responderam à pesquisa 232 médicos (taxa de resposta de 87,2%); 150 profissionais (64,9%) declararam-se satisfeitos com o trabalho, não havendo diferença significativa entre médicos e médicas (66,4% vs 64,2%; p = 0,74). A maioria dos trabalhadores relatou estar satisfeita consigo mesma (74,6%), com as suas relações pessoais (76,3%) e com sua capacidade para o trabalho (66,9%)... (AU)

Job satisfaction represents the judgement an individual does of his real work while comparing it to an ideal occupation. Different work characteristics and aspects related to other dimensions of life are involved. Evidence indicates an association between job satisfaction and the illness in the medical category. Also, negative effects of doctors dissatisfaction on the quality of health services have been registered. Purpose: To identify whether occupational factors, social circumstances and health are associated with the job satisfaction of doctors in the public health system of Belo Horizonte. Methods: A crosssectional study based on random and proportional sampling (n = 266) was conducted in themunicipal public health system. The participants answered a questionnaire about job satisfaction, sociodemographic characteristics and lifestyle, working conditions and employment, aspects of non-work satisfaction and health status. The associations between variables were investigated using Poisson Regression. An accuracy of 5% (p <0.05) and a confidence interval of 95% were considered in multivariate analysis. Results: 232 professionals responded to the survey (response rate 87.2%); 150 physicians (64.94%) declared themselves satisfied with the work, with no significant difference between male and female doctors (66.4% vs 64.2% p = 0.74). Most practitioners reported being satisfied with itself (74.6%), with their personal relationships (76.3%) and their ability to work (66.9%)... (AU)