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Tue, Nov 4, 2025
Volume 23, Issue 4 (December 2025)
Iranian Rehabilitation Journal 2025, 23(4): 419-430 |
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Guerrero-Jaramillo D, Guerrero P, Benavides-Cordoba V. The Influence of Job Relation Types on Quality of Life and Job Precariousness in Rehabilitation Professionals. Iranian Rehabilitation Journal 2025; 23 (4) :419-430
URL: http://irj.uswr.ac.ir/article-1-2515-en.html
URL: http://irj.uswr.ac.ir/article-1-2515-en.html
1- Department of Occupational Health, District Secretariat of Public Health, Cali, Colombia.
2- Department of Planning, District Secretariat of Public Health, Cali, Colombia.
3- Department of Physiological Sciences, School of Basic Sciences, University of Valle, Cali, Colombia.
2- Department of Planning, District Secretariat of Public Health, Cali, Colombia.
3- Department of Physiological Sciences, School of Basic Sciences, University of Valle, Cali, Colombia.
Abstract: (493 Views)
Objectives: Globalization and new contractual modalities could lead to changes that generate job insecurity, potentially affecting the quality of life (QoL) of workers, especially in the health sector, where work stress impacts mental and physical health. This study aimed to identify whether working conditions associated with different types of contracts significantly impact work-related QoL.
Methods: A cross-sectional observational study was conducted with 172 professionals in physiotherapy, occupational therapy, and speech therapy in Colombia. Participants were classified according to their contractual modality: Employment contract (with legal labor benefits and stability), independent contract (service provision without employment rights), and emerging contract (professionals hired under service contracts but performing duties typical of formal employment, without the associated rights). The GOHISALO questionnaire was used to evaluate the quality of working life (QWL) across seven dimensions: Institutional support at work, job security, workplace integration, job satisfaction (JS), well-being achieved through work (ABW), personal development, and free time management (FTM).
Results: Among the participants, 58% who were initially classified as having independent contracts met the legal criteria for an emerging contract. This group exhibited significantly lower QWL across all GOHISALO dimensions. Specifically, the emerging contract group had a mean total GOHISALO score of 186.4±33.9, markedly lower than the employment contract group (231.3±24.1) and the independent contract group (244.7±8.5), with differences being statistically significant (P<0.001). Regarding specific dimensions, the emerging contract group scored lowest in personal development (19.7±5), ABW (34.5±5.5), and FTM (11±3.9), with P<0.001 across all comparisons.
Discussion: Emerging contracts were associated with lower QWL among rehabilitation professionals, particularly in personal development, well-being, and FTM. Although no cause-and-effect relationship could be established due to the cross-sectional design, the consistent associations observed highlighted the need to improve employment conditions in the health sector to support professional well-being.
Methods: A cross-sectional observational study was conducted with 172 professionals in physiotherapy, occupational therapy, and speech therapy in Colombia. Participants were classified according to their contractual modality: Employment contract (with legal labor benefits and stability), independent contract (service provision without employment rights), and emerging contract (professionals hired under service contracts but performing duties typical of formal employment, without the associated rights). The GOHISALO questionnaire was used to evaluate the quality of working life (QWL) across seven dimensions: Institutional support at work, job security, workplace integration, job satisfaction (JS), well-being achieved through work (ABW), personal development, and free time management (FTM).
Results: Among the participants, 58% who were initially classified as having independent contracts met the legal criteria for an emerging contract. This group exhibited significantly lower QWL across all GOHISALO dimensions. Specifically, the emerging contract group had a mean total GOHISALO score of 186.4±33.9, markedly lower than the employment contract group (231.3±24.1) and the independent contract group (244.7±8.5), with differences being statistically significant (P<0.001). Regarding specific dimensions, the emerging contract group scored lowest in personal development (19.7±5), ABW (34.5±5.5), and FTM (11±3.9), with P<0.001 across all comparisons.
Discussion: Emerging contracts were associated with lower QWL among rehabilitation professionals, particularly in personal development, well-being, and FTM. Although no cause-and-effect relationship could be established due to the cross-sectional design, the consistent associations observed highlighted the need to improve employment conditions in the health sector to support professional well-being.
Article type: Original Research Articles |
Subject:
Rehabilitation Management
Received: 2025/04/28 | Accepted: 2025/09/3 | Published: 2025/12/1
Received: 2025/04/28 | Accepted: 2025/09/3 | Published: 2025/12/1
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