Health care organizations have been subject to tremendous pressure from downsizing, redesigning, re-engineering, restructuring and cost-cutting. Studies investigating factors related to the personnel response to downsizing of facilities in the health care system have produced contradictory results. While one study has reported higher stress in among older, more educated workers with longer company tenure, another has found not with personal demographics but with downsizing and restructuring. While one study has found job insecurity to be more prevalent among employees with lower education attainment, in blue-collar and construction workers, those employed in smaller companies, and in older women, another has found little evidence of a relationship between the social factors of gender, education, household income, age, marital status, or social support at work and health in people facing job insecurity. In addition, few studies have taken into consideration the job category of health care workers when investigating employee responses to organizational downsizing. Younger employees, males, those with lower educational levels, worse total GHQ scores and those who were laid off were more likely to have lower physical QOL. Physical domain of WHOQOL might be the most significant job related health predictor to downsizing organization. Age and GHQ could predict four domains QOL. The hypnotic use history, life event and nurse category were positive associated with GHQ. Therefore, younger employees with psychological morbidity may be in need of attention to their quality of life in downsizing military hospitals in Taiwan.
Last date updated on January, 2021