Dyrbye Liselotte N, Sotile Wayne, Boone Sonja, West Colin P, Tan Litjen, Satele Daniel, Sloan Jeff, Oreskovich Mick, Shanafelt Tait
Mayo Clinic, 200 First Street SW, Rochester, MN, 55905, USA,
J Gen Intern Med. 2014 Jan;29(1):155-61. doi: 10.1007/s11606-013-2581-3. Epub 2013 Sep 17.
Work-home conflicts (WHC) threaten work-life balance among physicians, especially those in dual career relationships. In this study, we analyzed factors associated with WHC for physicians and their employed partners.
We surveyed 89,831 physicians from all specialty disciplines listed in the Physician Masterfile. Of the 7,288 (27.7 %) physicians who completed the survey, 1,644 provided the e-mail contact information of their partner. We surveyed these partners and 891 (54 %) responded. Burnout, quality of life (QOL), and depression were measured using validated instruments in both surveys. Satisfaction with career, work-life balance, and personal relationships, as well as experience of WHC were also evaluated.
WHC within the previous 3 weeks were commonly experienced by physicians and their employed partners (44.3 % and 55.7 %, respectively). On multivariate analysis, greater work hours for physicians and their employed partners were independently associated with WHC (OR 1.31 and 1.23 for each additional 10 h, respectively, both p < 0.0001). Physicians and partners who had experienced a recent WHC were more likely to have symptoms of burnout (47.1 % vs. 26.6 % for physicians with and without WHC; 42.4 % vs. 23.8 % for partners with and without WHC, both p < 0.0001).
WHC are commonly experienced by physicians and their employed partners. These conflicts may be a major contributor to personal distress for physicians and their partners.
工作-家庭冲突（WHC）威胁着医生的工作-生活平衡，尤其是那些处于双职业关系中的医生。在本研究中，我们分析了与医生及其在职伴侣的工作-家庭冲突相关的因素。
我们对医师主文件中列出的所有专业学科的89,831名医生进行了调查。在完成调查的7288名（27.7%）医生中，1644名提供了其伴侣的电子邮件联系方式。我们对这些伴侣进行了调查，891名（54%）给予了回应。在两项调查中均使用经过验证的工具测量倦怠、生活质量（QOL）和抑郁。还评估了对职业、工作-生活平衡和人际关系的满意度以及工作-家庭冲突的经历。
医生及其在职伴侣在前3周内普遍经历工作-家庭冲突（分别为44.3%和55.7%）。多因素分析显示，医生及其在职伴侣工作时间越长，与工作-家庭冲突独立相关（每增加10小时，OR分别为1.31和1.23，均p<0.0001）。近期经历过工作-家庭冲突的医生和伴侣更有可能出现倦怠症状（有工作-家庭冲突的医生为47.1%，无工作-家庭冲突的医生为26.6%；有工作-家庭冲突的伴侣为42.4%，无工作-家庭冲突的伴侣为23.8%，均p<0.0001）。
医生及其在职伴侣普遍经历工作-家庭冲突。这些冲突可能是导致医生及其伴侣个人困扰的主要因素。
