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sahr2001 - Health Systems Trust

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• Voices of <strong>Health</strong> Policy Makers and Public <strong>Health</strong> Managers: An Introduction<br />

However, although only about one third of hospital, district and senior<br />

managers have a low sense of personal accomplishment, more than half of<br />

facility managers and parliamentarians experience low personal achievement.<br />

A separate questionnaire was used to assess the demands of work upon those<br />

interviewed. The three areas that it attempts to measure are:<br />

◆ The demands of the job<br />

◆ The control that an individual has in relation to the responsibilities of<br />

their job<br />

◆ Social support at work.<br />

Jobs that impose a great strain combine high demands with, low control,<br />

and low social support. Jobs associated with less job strain combine high<br />

control and high social support with moderate demands.<br />

Figure 2:<br />

Job strain at work as measured by levels of job demand, control and social support<br />

Facility Managers<br />

56<br />

78<br />

89<br />

44<br />

22<br />

11<br />

Hospital Managers<br />

80<br />

53<br />

100<br />

20<br />

47<br />

District Managers<br />

75<br />

75<br />

100<br />

25<br />

25<br />

Senior Managers<br />

81<br />

81<br />

69<br />

19<br />

19<br />

31<br />

Parliamentarians<br />

75<br />

92<br />

100<br />

25<br />

8<br />

0 20 40 60 80 100<br />

Percentage<br />

High demand<br />

Low demand<br />

High Control<br />

Low Control<br />

High Social Support<br />

Low Social Support<br />

205

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