Ožvačić Adžić Zlata, Katić Milica, Kern Josipa, Soler Jean Karl, Cerovečki Venija, Polašek Ozren
Department of Family Medicine, University of Zagreb, School of Medicine, Zagreb, Croatia.
Arh Hig Rada Toksikol. 2013 Jun;64(2):69-78. doi: 10.2478/10004-1254-64-2013-2307.
The impact of physician burnout on the quality of patient care is unclear. This cross-sectional study aimed to investigate the prevalence of burnout in family physicians in Croatia and its association with physician and practice characteristics, and patient enablement as a consultation outcome measure. Hundred and twenty-five out of 350 family physicians responded to our invitation to participate in the study. They were asked to collect data from 50 consecutive consultations with their adult patients who had to provide information on patient enablement (Patient Enablement Instrument). Physicians themselves provided their demographic and professional data, including workload, job satisfaction, consultation length, and burnout [Maslach Burnout Inventory-Human Services Survey (MBI-HSS)]. MBI-HSS scores were analysed in three dimensions: emotional exhaustion (EE), depersonalisation (DP), and personal accomplishment (PA). Of the responding physicians, 42.4% scored high for EE burnout, 16.0% for DP, and 15.2% for PA. Multiple regression analysis showed that low job satisfaction and more patients per day predicted high EE scores. Low job satisfaction, working more years at a current workplace, and younger age predicted high DP scores. Lack of engagement in education and academic work, shorter consultations, and working more years at current workplace predicted low PA scores, respectively (P<0.05 for each). Burnout is common among family physicians in Croatia yet burnout in our physicians was not associated with patient enablement, suggesting that it did not affect the quality of interpersonal care. Job satisfaction, participation in educational or academic activities and sufficient consultation time seem to reduce the likelihood of burnout.
医生职业倦怠对患者护理质量的影响尚不清楚。这项横断面研究旨在调查克罗地亚家庭医生职业倦怠的患病率及其与医生和执业特征的关联,并将患者赋能作为一种咨询结果指标进行研究。350名家庭医生中有125名回应了我们参与研究的邀请。他们被要求从与成年患者的50次连续咨询中收集数据,这些患者必须提供有关患者赋能的信息(患者赋能工具)。医生本人提供了他们的人口统计学和专业数据,包括工作量、工作满意度、咨询时长和职业倦怠情况[马氏职业倦怠量表-人类服务调查(MBI-HSS)]。MBI-HSS得分从三个维度进行分析:情感耗竭(EE)、去个性化(DP)和个人成就感(PA)。在回应的医生中,42.4%的医生情感耗竭职业倦怠得分较高,16.0%的医生去个性化得分较高,15.2%的医生个人成就感得分较高。多元回归分析表明,低工作满意度和每天更多的患者数量预示着较高的情感耗竭得分。低工作满意度、在当前工作场所工作年限更长以及年龄较小预示着较高的去个性化得分。分别缺乏参与教育和学术工作、咨询时间较短以及在当前工作场所工作年限更长预示着较低的个人成就感得分(每项P<0.05)。职业倦怠在克罗地亚家庭医生中很常见,但我们的医生的职业倦怠与患者赋能无关,这表明它没有影响人际护理质量。工作满意度、参与教育或学术活动以及充足的咨询时间似乎会降低职业倦怠的可能性。