Workload, Work Engagement and Job Size – How Physicians’ Decision to Work Less Is Influenced by the Work-Related State of Mind.
Abstract Background: According to new estimates, the health care sector will suffer a shortage of physicians in primary and specialty care. In this context, work engagement and burnout are two constructs that have gained attention recently. The aim of this study was to investigate how these constructs are related to job size preference.Method: The present study is based on the baseline survey of the long-term study of physicians with different specialties, in which 1,001 physicians took part (response rate: 33.4%). Workload was measured using the Copenhagen Burnout Inventory adapted for health care professionals; work engagement was assessed using the Utrecht Work Engagement scale. Data analyses includes regression and mediation models.Results: Overall, 297 out of 725 physicians plan to reduce their job size. Several reasons - such as workload - are discussed. Multiple regression analyses show that job size reduction is significantly linked to all three dimensions of workload (p<0.001) as well as work engagement (p=0.001). In addition, work engagement significantly mediates the relationship between workload on job size reduction (patient-related: b= −0.135, p<0.001; work-related: b= −0.190, p<0.001; personal: b= −0.133, p<0.001 ).Discussion: Physicians that tend to reduce working hours exhibit different levels of work engagement as well as workload (personal, patient- and work-related). Moreover, work engagement is acting as a mediator, influencing the relationship between workload and job size reduction. Therefore, interventions that increase work engagement may buffer negative effects of workload on job size changes.