This article analyses the effect of working conditions on the health of hospital employees across Europe.
Hospital employees often have demanding jobs that increase their stress levels and, consequently, their
risk of health problems. Work control e typified by employee autonomy and working time flexibility e
helps them cope with high levels of work stress. Researchers have traditionally studied the relationship
between working conditions, coping strategies and occupational health from an individual perspective.
We argue that the individual workehealth relationship is closely connected with the social and institutional
context. This study explores how work stress and work control influence the health of hospital
employees and aims to understand cross-country differences in this respect. Using data on over 1500
hospital employees who participated in the study ‘Quality of work and life in a changing Europe’ (2007)
in eight European countries, we used ordinal regression analyses to test a range of hypotheses. The
results show that work stress has a negative effect on the health of hospital employees, while work
control is not found to have any effect on their health. Comparative analyses reveal that the effects of
working conditions on health vary across European countries. While working overtime is more closely
related to poorer health in Eastern European countries, we found evidence of a positive relationship
between job autonomy and health in Western Europe only, indicating that circumstances in the working
environment have differing effects on employee health in Eastern and Western Europe
This article analyses the effect of working conditions on the health of hospital employees across Europe.Hospital employees often have demanding jobs that increase their stress levels and, consequently, theirrisk of health problems. Work control e typified by employee autonomy and working time flexibility ehelps them cope with high levels of work stress. Researchers have traditionally studied the relationshipbetween working conditions, coping strategies and occupational health from an individual perspective.We argue that the individual workehealth relationship is closely connected with the social and institutionalcontext. This study explores how work stress and work control influence the health of hospitalemployees and aims to understand cross-country differences in this respect. Using data on over 1500hospital employees who participated in the study ‘Quality of work and life in a changing Europe’ (2007)in eight European countries, we used ordinal regression analyses to test a range of hypotheses. Theresults show that work stress has a negative effect on the health of hospital employees, while workcontrol is not found to have any effect on their health. Comparative analyses reveal that the effects ofworking conditions on health vary across European countries. While working overtime is more closelyrelated to poorer health in Eastern European countries, we found evidence of a positive relationshipbetween job autonomy and health in Western Europe only, indicating that circumstances in the workingenvironment have differing effects on employee health in Eastern and Western Europe
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