This paper is an exploratory paper that examines and suggests controls for patient flows in the Swedish medical system. A multi-study critical approach is used to first generate a better understanding of the relationship between the number of patients encountered by doctors and work related exhaustion. A number of theoretical concepts are developed from the interviews. Furthermore, as this area of research contains an abundance of flaws that have not truly been tested, we also tested such flaws by means of a small separate study (Study 2). This study focuses on if administration should absorb all the time of medical doctors. We expected a negative correlation, but found a positive one. Finally, we used constructs from Study 1 (i.e., interviews) to develop and test theoretical constructs. The proposed constructs reported a high validity. A final structural equation modeling approach confirmed that a greater work recognition is negatively correlated with patient performance, but that a high patient performance is also negatively associated with work-related exhaustion. Our results support a study found in another context suggesting that a lack of patient contact may create stress for both medical doctors and patients.
Alternative title: Why Swedish medical doctors meet few patients?