Factores associados à insatisfação dos médicos dos hospitais de nível terciário em Luanda, Angola / Factors Related to the Dissatisfaction of Physicians of Tertiary-level Hospital in Luanda, Angola

Introdução:Na área de saúde, o grau de satisfação dos profissionais determina a qualidade de serviço e a satisfação dos pacientes. Objectivo:Avaliaros factores associados à insatisfação em médicos que trabalham em unidades hospitalares de nível terciário, em Luanda, Angola. Material e Métodos: Estudo transversal, com uma amostra de médicos das principais unidades hospitalares de nível terciário do sector público em Angola. Utilizamos um questionário adaptado de outros instrumentos validados. Usamos o teste Qui-quadrado para analisar a relação entre a insatisfação profissional e as variáveis demográficas e da vida profissional. Resultados: De um total de 164 participantes, a maior parte (83.5%) relatou a insatisfação profissional, principalmente em relação à remuneração (92.7%), horas de trabalho (89.6%), carência de meios de adequados (80.5%) e segurança pessoal (62.8%).Verificou-se uma associação entre a insatisfação e as variáveis local de trabalho, horas de trabalho, diferenciação profissional e área de especialidade (P <0.05).Conclusão:Os resultados indicam uma elevada taxa de insatisfação profissional entre os médicos dos hospitais de nível terciário em Angola, com particular realce para os aspectos da vida profissional e segurança pessoal, o que sugere a necessidade de atenção para as componentes social e profissional com vista à melhoria da qualidade de serviço prestado pelos médicos.Palavras-chave: Insatisfação no trabalho; Médicos;Hospitais, Angola

ABSTRACT Introduction: In the health area, the degree of satisfaction of professionals determines the quality of service and patient satisfaction. Aim: To evaluate the factors associated with dissatisfaction among physicians working in tertiary-level hospitals, in Luanda, Angola. Methods: Cross-sectional study with a sample of physicians from main publics tertiary-level hospitals in Luanda, Angola. A questionnaire adapted from other validated instruments was used. The Chi-square test was used to determine the association between job dissatisfaction and demographic variables and the professional's characteristics. Results: From a total of 164 participants, most (83.5%) stated dissatisfaction, mainly about remuneration (92.7%), working hours (89.8%), correct diagnoses resources (80.5%) and personal security (62.8%). There was association of dissatisfaction with professional characteristics, such as workplace, working hours, professional differentiation and specialty area (P <0.05).Conclusion: The results indicate a high rate of professional dissatisfaction among physicians of tertiary-level hospitals in Angola, suggesting the need to achieve the social and professional satisfaction for improvement of the quality of the services provided.

Feasibility and effect of community health worker support and home monitoring for blood pressure control in Nigeria: a randomised pilot trial

In a three-arm, randomised, controlled trial among 60 Nigerian adults with hypertension, community health worker support and home blood pressure monitoring led to greater reductions in systolic blood pressure at four weeks compared to the usual care

Occupational Hazard Perception and Utilization of Protective Measures by Welders in Kano City; Northern Nigeria

Background: Little is documented on welders' awareness of health hazards associated with welding in developing countries including Nigeria. This study assessed the perceived occupational hazards and adherence to safety measures among welders in Kano; northwestern Nigeria. Methods: A structured interview questionnaire was administered on a cross-section of 194 welders in Kano metropolis; and the data was analysed using SPSS 12.0 statistical software. Results: Overall; 58.8of the welders were aware of one or more workplace hazards. This was positively influenced by educational attainment; age and work experience. Of the 194 respondents; 86.1had experienced one or more work-related accidents in the preceding year. Only 34.5of welders used one or more types of protective device. Conclusions: The level of awareness of occupational hazards was high with low utilization of protective measures against the hazards. There is therefore need for safety education and legislation for the use of protective measures to safeguard workers health and increase productivity