Introduction: In italy, the effectiveness of public health services must be assessed trhoug the assessment of efficency of employees. Objective. To acquire from this activity useful infomrmation to assess and promote the well being at work. Methods: During the assessment activities, a questionnaire was administered to assess the efficency of the management in manage perceived critical organizational aspects. Results: The 44-58% consider not sufficient the management efficency in manage perceived critical organizational aspects, expecially for quality of services, communication, vocational training and risks for worker's health and safety. Conclusions: The study provide useful suggestions to better assess and manage the risk of work-related stress and exploit the key consultant role of occupational physician in the organizational context.