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Table 3 Effort-reward imbalance, job strain and self-rated quality of care (CQS/PARa; lower tertile) controlling for gender, occupational position, job experience: Odds ratiosb (OR) and 95% confidence intervals (CI)

From: Psychosocial stress at work and perceived quality of care among clinicians in surgery

  Psychosocial care Diagnosis/therapy Quality assurance
  OR (95% CI) OR (95% CI) OR (95% CI)
Effort-reward imbalance model    
   ERI ≤ 1 1 1 1
   ERI > 1 1.38 (1.03-1.86) 1.12 (0.82-1.54) 1.15 (0.85-1.56)
   Overcommitment (lower two tertiles) 1 1 1
   Overcommitment (upper tertile) 0.78 (0.59-1.03) 1.28 (0.96-1.72) 0.96 (0.73-1.28)
Control variables    
Male 1 1 1
Female 0,75 (0.58-0,98) 1.74 (1.33-2.28) 0.96 (0.73-1.25)
Chief/senior physicians 1 1 1
Residents 1.18 (0.81-1.72) 4.10 (2.58-6.51) 1.60 (1.08-2.36)
Job experience > 9 years 1 1 1
Job experience ≤ 9 years 1.71 (1.23-2.37) 2.60 (1.87-3.62) 2.16 (1.55-3.00)
   Cox and Snell Pseudo-R2 0.029 0.178 0.059
   Nagelkerke's Pseudo-R2 0.040 0.246 0.082
   Significance level (Chi2) 0.000 0.000 0.000
Demand-control model    
   No strain (low demands/high control) 1 1 1
   Active job (high demands/high control) 1.88 (1.29-2.74) 1.39 (0.90-2.15) 1.06 (0.72-1.57)
   Passive job (low demands/low control) 2.01 (1.40-2.87) 3.28 (2.24-4.81) 1.43 (1.01-2.03)
   Job strain (high demands/low control) 2.58 (1.77-3.75) 2.09 (1.40-3.13) 1.64 (1.13-2.37)
Control variables    
Male 1 1 1
Female 0.71 (0.55-0.92) 1.63 (1.25-2.12) 0.92 (0.71-1.19)
Chief/senior physicians 1 1 1
Residents 1.11 (0.76-1.61) 3.13 (1.98-4.96) 1.46 (0.99-2.16)
Job experience > 9 years 1 1 1
Job experience ≤ 9 years 1.55 (1.13-2.13) 2.85 (2.06-3.93) 2.15 (1.56-2.96)
   Cox and Snell Pseudo-R2 0.046 0.214 0.068
   Nagelkerke's Pseudo-R2 0.064 0.296 0.095
   Significance level (Chi2) 0.000 0.000 0.000
  1. aChirurgisches Qualitätssiegel/Physician Achievement Review
  2. bSignificant odds ratios are bold