Burnout y prescripción de incapacidad temporal

Abstract

[ES] La incapacidad temporal se define como aquella situación en la que se halla untrabajador como consecuencia de una alteración de su estado de salud que precisa asistencia sanitaria y que le imposibilita temporalmente para trabajar. Estos trabajadores tendrán derecho a percibir un subsidio económico con el fin de paliar la ausencia de salarios derivada de la imposibilidad de trabajar. La gestión de la incapacidad temporal por contingencias comunes se produce en el ámbito de los servicios públicos de salud interviniendo en su gestión médica también los servicios médicos de la inspecciónsanitaria, de la inspección del INSS y de las propias mutuas; además no en el 100% de los casos si la contingencia de origen es profesional, su gestión corresponde a las mutuas. Dicha gestión, ocasiona una serie de gastos económicos que deben ser controlados para el beneficio del país por ello decidimos que el objeto de este estudio sea la prevalenciadel burnout en una muestra de médicos asistenciales de una M.A.T.E.P.S.S. su relación con una serie de variables sociodemográficas y laborales y si éstas y/o el burnout influyensobre la prescripción de bajas laborales.[EN] Objetive: Find the level of work satisfaction in a sample of doctors inside a mutual society of industrial accidents and occupational diseases (MATEPSS). In this report, the relation between work satisfaction, sociodemographics and industrial factors, and its influence on temporary sick leave is shown. Teaching aid and method: A transverse study has been carried out on a final sample of 156 doctors (whole sample: 250 doctors) belonging to MATEPSS. The doctors are distributed in all Spanish geography. “The Maslach burnout inventory” was given to them. This questionnaire measures the burnout in its three sections: emotional tiredness, depersonalization and personal accomplishment. Another questionnaire was given also to them. This one, elaborated by the author, measures socio-demographics variables. On 131 doctors of the previous sample, it was made a study about the influence of burnout and socio-demographics variables on sick-leave prescriptions. Statistics-packet SPSS was used. Two different statistics methods were carried out in order to compare our results. First method (method 1 from now on) consists of the calculation of a “Ψ2 ” between all the variables had and, from this point, the calculation of a logistic binary regression between the variables that have emerged significant. Second statistic method (method 2 from now on) consists of the calculation of a logistic regression step by step conditioned to the significance coefficient. Results: Method 1 showed that the possibility of suffer high level of emotional tiredness is connected with feeling of lack of resources and time with statistical significance (p<0,05). Unhappiness with the job, wishes of a professional change, and the felling that personal life is affected by working problems are also connected with it in the same proportion. The high level of depersonalization resulted connected with the feeling of lack of resources, unhappiness with the work carried out and the feeling of a frequent interference in the work by a superior. On the other hand, protective-factors against depersonalization are being woman and working exclusively inside of mutual society. The absence of personal accomplishment resulted linked with statistical significance to the feeling of non-fulfillment with professional aspirations and the thought that workers do not develop correctly their duties due to a lack of training. Wishes of company change and the frequent interference in the work by a superior are also linked to it in the same ratio. In relation to factors connected with hyper-prescription of sick-leaves with method 1 it can be concluded they are connected with statistical significance to the lack of time and human resources. With method 2, the results are different. In this case, hyper-prescription appears also linked to variable “interference in the work by a superior” and the variable “lack of human-resource feeling” disappears.