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Effects of dialogue groups on physicians' work environment.

David Bergman1, Bengt Arnetz, Rolf Wahlström

  • 1Medical Management Centre, Department of Learning, Informatics, Management and Ethics, Karolinska Institutet, Stockholm, Sweden. david.bergman@ki.se

Journal of Health Organization and Management
|April 26, 2007
PubMed
Summary

Physician dialogue groups may improve the psychosocial work environment. This study suggests these groups can positively impact organizational and staff wellbeing for healthcare professionals.

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Area of Science:

  • Medical and Health Sciences
  • Occupational Health
  • Psychology

Background:

  • Limited intervention studies exist on management programs for physician wellbeing.
  • This study is the first to examine dialogue groups in a healthcare setting.

Purpose of the Study:

  • To evaluate the effectiveness of dialogue groups in enhancing physicians' psychosocial work environment.
  • To assess the impact of these groups on organizational and staff wellbeing.

Main Methods:

  • A naturalistic study involving 60 physicians at a children's clinic.
  • Psychosocial work environment measures collected via a validated instrument in 1999, 2001, 2003, and post-intervention.

Main Results:

  • Physician-assessed organizational and staff wellbeing scores declined until 2003, then improved in 2004.
  • The observed trend shift coincided with the dialogue group intervention, with no other explanatory factors identified.

Conclusions:

  • Dialogue groups show potential as an intervention to improve the psychosocial work environment for physicians.
  • Further research, including controlled trials, is recommended to establish causal relationships and explore management programs for physician wellbeing.