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Increasing size of health centres may not prevent occupational isolation
P Mäntyselkä1, M Aira, A Vehviläinen
1Unit of Primary Health Care, School of Medicine, University of Eastern Finland, Asemakatu 44 A 4, 70110 Kuopio, Finland.
Background:
A Finnish national survey in 2002 revealed that Finnish physicians often feel that working in a primary heath care centre is isolated work.
Aims:
To determine the factors related to perceived isolation in health centre work among general practitioners (GP) working in health centres.
Methods:
A postal questionnaire study of physicians (N = 1829) working in primary health care centres.
Results:
The majority of GPs (67%) agreed that 'working in a health centre is too often isolated work'. Physicians felt isolated most often when working in the largest health centres (>20 posts), whereas physicians working in health centres with 3-10 posts perceived isolation least often. Difficulty in collaboration with partners or the managerial team was associated with this feeling.
Conclusions:
Feelings of isolation are common among Finnish health centre physicians, but increasing the size of primary health care units may not prevent these feelings.
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