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Exploring public sector physicians’ resilience, reactions and coping strategies in times of economic crisis; findings from a survey in Portugal’s capital city area

Overview of attention for article published in BMC Health Services Research, March 2017
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Title
Exploring public sector physicians’ resilience, reactions and coping strategies in times of economic crisis; findings from a survey in Portugal’s capital city area
Published in
BMC Health Services Research, March 2017
DOI 10.1186/s12913-017-2151-1
Pubmed ID
Authors

Giuliano Russo, Carlos André Pires, Julian Perelman, Luzia Gonçalves, Pedro Pita Barros

Abstract

Evidence is accumulating on the impact of the recent economic crisis on health and health systems across Europe. However, little is known about the effect this is having on physicians - a crucial resource for the delivery of healthcare services. This paper explores the adaptation to the crisis of public sector physicians and their ability to keep performing their functions, with the objective of gaining a better understanding of health workers' resilience under deteriorating conditions. We conducted a survey among 484 public primary care and hospital physicians in Portugal's capital city area and explored their perceptions of the crisis, adaptation and coping strategies. We used ordinal and logistic regression models to link changes in hours worked and intentions to migrate with physicians' characteristics and specific answers. We found little evidence of physicians changing their overall allocation of working time before and after the crisis, with their age, types of specialisation, valuation of job flexibility and independence significantly associated with changes in public sector hours between 2010 and 2015. Being divorced, not Portuguese, of younger age, and working a high number of hours per week, were found to increase the probability of physicians considering migration, the same as having a poor opinion of recent government health policies. On the other hand, enjoying their current working environment, not wanting to disrupt provision of service, and leisure time were found to protect against scaling down public sector hours or considering migration. Our work on Portuguese physicians contributes to the debate on health workers' resilience, showing the value of understanding the influence of personal characteristics and opinions on their adaptation to changing circumstances, before designing policies to improve their working conditions and retention.

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Mendeley readers

Mendeley readers

The data shown below were compiled from readership statistics for 116 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
Portugal 1 <1%
Unknown 115 99%

Demographic breakdown

Readers by professional status Count As %
Student > Master 17 15%
Student > Bachelor 11 9%
Student > Doctoral Student 9 8%
Researcher 8 7%
Other 8 7%
Other 28 24%
Unknown 35 30%
Readers by discipline Count As %
Medicine and Dentistry 17 15%
Nursing and Health Professions 13 11%
Social Sciences 11 9%
Business, Management and Accounting 6 5%
Psychology 6 5%
Other 20 17%
Unknown 43 37%
Attention Score in Context

Attention Score in Context

This research output has an Altmetric Attention Score of 1. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 16 March 2017.
All research outputs
#21,264,673
of 23,881,329 outputs
Outputs from BMC Health Services Research
#7,442
of 7,949 outputs
Outputs of similar age
#272,477
of 310,018 outputs
Outputs of similar age from BMC Health Services Research
#138
of 147 outputs
Altmetric has tracked 23,881,329 research outputs across all sources so far. This one is in the 1st percentile – i.e., 1% of other outputs scored the same or lower than it.
So far Altmetric has tracked 7,949 research outputs from this source. They typically receive more attention than average, with a mean Attention Score of 8.0. This one is in the 1st percentile – i.e., 1% of its peers scored the same or lower than it.
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We're also able to compare this research output to 147 others from the same source and published within six weeks on either side of this one. This one is in the 1st percentile – i.e., 1% of its contemporaries scored the same or lower than it.