ABSTRACT BACKGROUND: Workplaces can be sources of mental distress. In healthcare services, this can also affect patients. OBJECTIVE: To assess the prevalence of and factors associated with depressive symptoms, burnout, job satisfaction and patient safety culture and the relationships between these constructs, among healthcare workers. DESIGN AND SETTING: Cross-sectional study in a university hospital in Manaus, Brazil. METHODS: Randomly selected workers were interviewed based on Brazilian-validated tools. We calculated the prevalence ratio (PR) and 95% confidence interval (CI) of depressive symptoms and burnout using Poisson regression with robust variance; and the β-coefficient of safety culture and job satisfaction using linear regression. Outcome relationships were assessed using partial least-squares structural equation modeling. RESULTS: 300 professionals were included; 67.3% were women. The prevalence of depressive symptom was 19.0% (95% CI: 14.5; 23.5%) and burnout, 8.7% (95% CI: 5.2; 12.3%). Lack of work stability increased depression (PR = 1.88; 95% CI: 1.17; 3.01) and burnout (PR = 2.17; 95% CI: 1.03; 4.57); and reduced job satisfaction (β = -11.93; 95% CI: -18.79; -5.07). Depressive symptoms and burnout were positively correlated, as also were job satisfaction and safety culture (P < 0.001); job satisfaction was negatively correlated with burnout (P < 0.001) and depression (P = 0.035). CONCLUSION: Impermanent employment contracts increased depression and burnout and reduced job satisfaction. Job satisfaction reduced poor mental health outcomes and increased safety culture. Job satisfaction and safety culture were directly proportional (one construct increased the other and vice versa), as also were depression and burnout. Better working conditions can provide a virtuous cycle of patient safety and occupational health.

Objective. To analyze the waiting time and the duration of medical consultations in Manaus metropolitan region, Brazil. Methods. Cross-sectional study conducted with adults living in the region in 2015. The waiting time for consultation and the duration of the consultation in minutes were self-reported by the participants. The analysis was performed by Tobit regression and weighted by the complex design. Results. 4,001 individuals were interviewed. The average waiting time was 125.4 minutes (95%CI 120.2;130.5), while consultation lasted an average of 52.5 minutes (95%CI 48.0;57.0). Women, poor people, low-educated people, indigenous individuals, countryside residents, people without health insurance, and individuals consulted by gynecologists waited longer for the consultation (p &lt;0.05). Consultation time was shorter with non-white people, with poor health status and with health insurance (p &lt;0.05). Conclusion. The length of the medical consultation was on average half the waiting time. Social inequalities were observed in these times.

Objetivo. Analisar o tempo de espera e a duração de consulta médica na região metropolitana de Manaus, Brasil. Métodos. Estudo transversal, realizado com adultos residentes na região em 2015. O tempo de espera para consulta e a duração da consulta, em minutos, foram referidos pelos participantes. A análise foi realizada por regressão de Tobit e ponderada pelo desenho amostral. Resultados. Foram entrevistados 4.001 indivíduos. O tempo médio de espera foi de 125,4 minutos (IC95%120,2;130,5), enquanto a consulta durou, em média, 52,5 minutos (IC95%48,0;57,0). Mulheres, pessoas pobres, pessoas com baixa escolaridade, indígenas, residentes em municípios do interior, sem seguro de saúde e atendidos por ginecologistas esperaram mais pela consulta (p&lt;0,05). O tempo de consulta foi menor em pessoas não brancas, com estado de saúde ruim e com plano de saúde (p&lt;0,05). Conclusão. A consulta médica durou, em média, metade do tempo de espera. Observaram-se iniquidades sociais nesses períodos de tempo.