P-468 PSYCHOSOCIAL RISKS AMONG PHYSICIANS WORKING IN OCCUPATIONAL MEDICINE GROUPS IN TUNISIA

Abstract

Abstract Introduction Work-related stress is a significant risk factor contributing to burnout, especially in professions characterized by elevated mental demands such as front-line occupational physicians. The aim of our study was to assess the extent of psychosocial risk (PSR) factors among occupational physicians. Methods A descriptive cross-sectional survey was conducted among physicians working in occupational medicine groups in Tunisia in November 2022. The Karasek questionnaire and Siegrist’s effort/reward imbalance model were utilized to assess PSR factors among the participants. Results The participation rate was 46%. The mean age was 41± 6 years. The sex ratio was 0.2. A high psychological demand and a low level of social support were found in 79% and 75% of the cases respectively. The prevalence of job strain was 60% and iso strain 75%. Effort/reward imbalance was noted in 30% of cases. High psychological demand and low social support were significantly associated with the number of patients per day and per year. Low decision latitude was significantly associated with the number of patients per year, the scarcity of participation in medical training and the presence of third-party constraints whose purpose is to interfere with the medical decision. The main source of work-related stress was poor administrative management for 38% of cases. Discussion These findings highlight the prevalence of PSR among occupational physicians. We recommend considering a legislative reform to improve the overall well-being of these healthcare professionals. Conclusion One out of two occupational physicians is experiencing job strain. A specific preventive strategy is suggested, as well as a legislative reform.