Towards Implementing the Biopsychosocial Factor in National Health Care Systems: The Role of Postgraduate Training in Austria

Fazekas, Christian; Leitner, Anton

doi:10.1159/000341183

Cited by 7 publications

(7 citation statements)

References 10 publications

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“…Successful interventions to promote individual physician resilience most likely require a medium- to long-term perspective. Although the Austrian PSY-curricula do not explicitly target an increase of resilience, they include several components that may be helpful in doing so, such as supervision, self-reflection and self-regulation skills [ 24 , 43 ]. Taking into account the long duration of psychosomatic training and the slow rise in resilience mean scores over training levels (means from PSY-1 to PSY-4 are M = 4.02; M = 4.04; M = 4.13 and M = 4.23, respectively) we assume that it may indeed be difficult to foster resilience by short-term trainings as is often expected [ 44 , 45 ].…”

Section: Discussionmentioning

confidence: 99%

“…Regarding personal development, the training involves supervision, Balint group work and participation in self-awareness groups. It also promotes self-management, communication skills and psychotherapeutic techniques; the third training level is leading to full psychotherapeutic competence [ 24 ]. For the purposes of the present study, a fourth level termed PSY-4 was defined for participants who reported an additional certification in the psychosomatic and psychotherapeutic field beyond PSY-3.…”

Section: Methodsmentioning

confidence: 99%

“…We also aimed at (2) investigating the individual and combined contributions of resilience and training background to professional autonomy, sufficient time for patient care and job satisfaction as secondary dependent variables. Participants in the study were enrolled among medical doctors who had participated in a graded resilience-related training, which is an integral part of a consecutive three tier continuing medical education (CME) program in psychosomatic medicine in Austria [ 24 ]. The participants’ selection allowed us to look for (3) a possible association of the consecutive training levels with reported physician resilience.…”

Section: Introductionmentioning

confidence: 99%

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Physician resilience and perceived quality of care among medical doctors with training in psychosomatic medicine during the COVID-19 pandemic: a quantitative and qualitative analysis

Fazekas,

Zieser,

Hanfstingl

et al. 2024

BMC Health Serv Res

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Background At an individual level, physician resilience protects against burnout and against its known negative effects on individual physicians, patient safety, and quality of care. However, it remains uncertain whether physician resilience also correlates with maintaining a high level of healthcare quality during crises such as a pandemic. This study aimed to investigate whether higher resilience among physicians, who had received training in resilience-related competences in the past, would be associated with higher quality of care delivered during the COVID-19 pandemic. Methods This study enrolled physicians working in family medicine, psychiatry, internal medicine, and other medical specialties, who had obtained at least one of three consecutive diplomas in psychosomatic medicine in the past. Participants completed a quantitative and qualitative anonymous online survey. Resilience was measured using the Connor-Davidson Resilience Scale, and healthcare quality was assessed through single-item quality indicators, including perceived quality of care, professional autonomy, adequate time for patient care, and job satisfaction. Results The study included 229 physicians (70 males/159 females) with additional training in psychosomatic medicine, working in family medicine (42.5%), psychiatry (28.1%), internal medicine (7.0%), or other medical specialties (22.4%). Participants represented four intensity levels of training background (level 1 to level 4: 9.2%, 32.3%, 46.3%, and 12.2% of participants). Training background in psychosomatic medicine was positively associated with resilience (B = 0.08, SE = 0.04, p <.05). Resilience and training background independently predicted perceived quality of care, even after controlling for variables such as own health concerns, involvement in the treatment of COVID-19 patients, financial strain, percentage of working hours spent on patient care, age, and gender (resilience: B = 0.33, SE = 0.12, p <.01; training background: B = 0.17, SE = 0.07, p <.05). Both resilience and training background predicted job satisfaction (resilience: B = 0.42, SE = 0.12, p <.001; training background: B = 0.18, SE = 0.07, p <.05), while resilience alone predicted professional autonomy (B = 0.27, SE = 0.12, p <.05). In response to an open question about their resources, resilient physicians more frequently reported applying conscious resilient skills/emotion regulation (p <.05) and personal coping strategies (p <.01) compared to less resilient medical doctors. Conclusion Physician resilience appears to play a significant role in the perceived quality of patient care, professional autonomy, and job satisfaction during healthcare crises.

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Section: Discussionmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Physician resilience and perceived quality of care among medical doctors with training in psychosomatic medicine during the COVID-19 pandemic: a quantitative and qualitative analysis

Fazekas,

Zieser,

Hanfstingl

et al. 2024

BMC Health Serv Res

Self Cite

View full text Add to dashboard Cite

show abstract

“…We also aimed at 2) investigating the individual and combined contributions of resilience and training background to professional autonomy, su cient time for patient care and job satisfaction as secondary dependent variables. Participants in the study were enrolled among medical doctors who had participated in a graded resiliencerelated training, which is an integral part of a consecutive three tier continuing medical education (CME) program in psychosomatic medicine in Austria [22]. The participants' selection allowed us to look for 3) a possible association of the consecutive training levels with reported physician resilience.…”

Section: Introductionmentioning

confidence: 99%

Physician resilience and perceived quality of care among medical doctors with training in psychosomatic medicine during the COVID-19 pandemic: a quantitative and qualitative analysis

Fazekas,

Zieser,

Hanfstingl

et al. 2023

Preprint

Self Cite

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Background At an individual level, physician resilience protects against burnout and against its known negative effects on individual physicians, patient safety, and quality of care. However, it remains uncertain whether physician resilience also correlates with maintaining a high level of healthcare quality during crises such as a pandemic. This study aimed to investigate whether higher resilience among physicians, who had received training in resilience-related competences in the past, would be associated with higher quality of care delivered during the COVID-19 pandemic. Methods This study enrolled physicians working in family medicine, psychiatry, internal medicine, and other medical specialties, who had obtained at least one of three consecutive diplomas in psychosomatic medicine in the past. Participants completed a quantitative and qualitative anonymous online survey. Resilience was measured using the Connor-Davidson Resilience Scale, and healthcare quality was assessed through single-item quality indicators, including perceived quality of care, professional autonomy, adequate time for patient care, and job satisfaction. Results The study included 229 physicians (70 males/159 females) with additional training in psychosomatic medicine, working in family medicine (42.5%), psychiatry (28.1%), internal medicine (7.0%), or other medical specialties (22.4%). Participants represented four intensity levels of training background (level 1 to level 4: 9.2%, 32.3%, 46.3%, and 12.2% of participants). Training background in psychosomatic medicine was positively associated with resilience (B = 0.08, SE = 0.04, p < 0.05). Resilience and training background independently predicted perceived quality of care, even after controlling for variables such as own health concerns, involvement in the treatment of COVID-19 patients, financial strain, percentage of working hours spent on patient care, age, and gender (resilience: B = 0.33, SE = 0.12, p < 0.01; training background: B = 0.17, SE = 0.07, p < 0.05). Both resilience and training background predicted job satisfaction (resilience: B = 0.42, SE = 0.12, p < 0.001; training background: B = 0.18, SE = 0.07, p < 0.05), while resilience alone predicted professional autonomy (B = 0.27, SE = 0.12, p < 0.05). In response to an open question about their resources, resilient physicians more frequently reported applying conscious resilient skills/emotion regulation (p < 0.05) and personal coping strategies (p < 0.01) compared to less resilient medical doctors. Conclusion Physician resilience appears to play a significant role in the perceived quality of patient care, professional autonomy, and job satisfaction during healthcare crises.

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“…System (Fazekas, et al, 2012). Numerous studies have shown successful implementation of the biopsychosocial model in the Austrian healthcare system (Fazekas, et al, 2009;Langewitz, et al, 2010).…”

Section: Relationship-oriented Systems Of Carementioning

confidence: 99%

Quality of primary care from the patient perspective in Saudi Arabia : a multi-level study.

Alahmary

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Towards Implementing the Biopsychosocial Factor in National Health Care Systems: The Role of Postgraduate Training in Austria

Cited by 7 publications

References 10 publications

Physician resilience and perceived quality of care among medical doctors with training in psychosomatic medicine during the COVID-19 pandemic: a quantitative and qualitative analysis

Physician resilience and perceived quality of care among medical doctors with training in psychosomatic medicine during the COVID-19 pandemic: a quantitative and qualitative analysis

Physician resilience and perceived quality of care among medical doctors with training in psychosomatic medicine during the COVID-19 pandemic: a quantitative and qualitative analysis

Quality of primary care from the patient perspective in Saudi Arabia : a multi-level study.

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