چکیده: (16 مشاهده)
Objectives
Globalization and new contractual modalities could lead to changes that generate job insecurity, potentially affecting the quality of life of workers, especially in the health sector, where work stress impacts mental and physical health. The objective of this study is to identify whether the working conditions associated with different types of contracts significantly impact work related quality of life.
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 applied to evaluate the quality of working life across seven dimensions: institutional support at work, job security, workplace integration, job satisfaction, well-being achieved through work, personal development, and free time management.
Results
Among the participants, 58% who were initially classified as having independent contracts actually met the legal criteria for an emerging contract. This group exhibited significantly lower quality of working life 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 ± 5.0), well-being achieved through work (34.5 ± 5.5), and free time management (11.0 ± 3.9), also with p-values < 0.001 across all comparisons.
Discussion
Emerging contracts were associated with lower quality of working life among rehabilitation professionals, particularly in personal development, well-being, and free time management. 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.
Globalization and new contractual modalities could lead to changes that generate job insecurity, potentially affecting the quality of life of workers, especially in the health sector, where work stress impacts mental and physical health. The objective of this study is to identify whether the working conditions associated with different types of contracts significantly impact work related quality of life.
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 applied to evaluate the quality of working life across seven dimensions: institutional support at work, job security, workplace integration, job satisfaction, well-being achieved through work, personal development, and free time management.
Results
Among the participants, 58% who were initially classified as having independent contracts actually met the legal criteria for an emerging contract. This group exhibited significantly lower quality of working life 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 ± 5.0), well-being achieved through work (34.5 ± 5.5), and free time management (11.0 ± 3.9), also with p-values < 0.001 across all comparisons.
Discussion
Emerging contracts were associated with lower quality of working life among rehabilitation professionals, particularly in personal development, well-being, and free time management. 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.