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Table 6 Analysis of work-related factors influencing distress risk in GPs (n = 479)

From: General practitioners’ well-being in Belgium: results from the cross-sectional PRICOV-19 study

Work-related Factors

Risk of distress (eWBI \(\ge\)2.00)

Estimated coefficient

P-value

OR

Practice characteristics

 Location

Urban

-0,580

0,400

0,560

Suburban

-1,233

0,176

0,291

Urban–rural mix

-0,379

0,560

0,685

Rural

/

/

/

 Region

WL

0,871

0,340

2,390

BR

4,380

0,016*

79,822

FL

/

/

/

 Multidisciplinary

No

-0,546

0,251

0,580

Yes

/

/

/

 Main payment system

Fee-for-service

2,049

0,013*

7,762

Capitation

/

/

/

 Since COVID-19, there is enough protected time to review guidelines and scientific literature

a

-0,189

0,208

0,828

Adjustments in practice

 Does the practice perform telephone triage?

No

0,001

0,998

1,001

Yes

/

/

/

 Has the practice introduced structural changes to the reception area?

No

-0,127

0,754

0,881

Yes

/

/

/

 Does the practice perform video consultations?

No

-0,008

0,989

0,992

Yes

/

/

/

Practice population profile

 GP’s perception of treating patients with chronic conditions compared to the average PC practice is:

 < Average

 = Average

 > Average

0,476

-0,069

/

0,551

0,874

/

1,609

0,934

/

 GP’s perception of treating patients with financial problems compared to the average PC practice is:

 < Average

 = Average

 > Average

-1,720

-1,462

/

0,011*

0,010*

/

0,179

0,232

/

Patients follow-up

 The practice actively reaches out to psychologically vulnerable patients

No

-0,559

0,236

0,572

Yes

/

/

/

 The practice actively reaches out to patients with previous problems of domestic violence or with a problematic child-rearing situation

No

-0,918

0,162

0,399

Yes

/

/

/

 The practice actively reaches out patients that might postpone healthcare

No

-0,331

0,102

0,718

Yes

/

/

/

Workload management

 If staff members are absent because of COVID-19, this practice can count on the help of other staff members in the practice

a

-0,109

0,67

0,897

 If staff members are absent because of COVID-19, this practice can count on cooperation with other PC practices in the neighborhood

a

-0,136

0,453

0,873

Regulatory environment

 Government guidelines is a threat to good practice organization

a

0,314

0,111

1,369

 The government provides adequate support for the proper functioning of the practice

a

0,034

0,853

1,034

Healthcare role

 Since COVID-19, my responsibilities in the practice have increased

a

0,395

0,054

1,485

 I need further training for amended responsibilities

a

0,256

0,182

1,291

 The work I do is meaningfulness to me

b

-0,278

0,047**

0,757

Personal and professional balance

 My work schedule leaves me enough time for my family/personal life

a

-0,963

 < 0,001**

0,382

  1. eWBI Mayo Clinic expanded 9-item Well-being Index, OR Odds ratio
  2. a From “I strongly disagree” to “I strongly agree” on a Likert scale of 5, b From “I strongly disagree” to “I strongly agree” on a Likert scale of 7, * The variable is a significant predicting factor of risk of distress, ** The variable is a significant protector against the risk of distress