1. School of Public Health, Taipei Medical University, Taiwan; ; 2. Graduate Institute of Injury Prevention and Control, Taipei Medical University, Taiwan; ; 3. Department of Health, Taiwan;
Int J Med Sci. 2013 Aug 28;10(11):1471-8. doi: 10.7150/ijms.6743. eCollection 2013.
Our objective was to estimate the incidence of recent burnout in a large sample of Taiwanese physicians and analyze associations with job related satisfaction and medical malpractice experience.
We performed a cross-sectional survey. Physicians were asked to fill out a questionnaire that included demographic information, practice characteristics, burnout, medical malpractice experience, job satisfaction, and medical error experience. There are about 2% of total physicians. Physicians who were members of the Taiwan Society of Emergency Medicine, Taiwan Surgical Association, Taiwan Association of Obstetrics and Gynecology, The Taiwan Pediatric Association, and Taiwan Stroke Association, and physicians of two medical centers, three metropolitan hospitals, and two local community hospitals were recruited.
There is high incidence of burnout among Taiwan physicians. In our research, Visiting staff (VS) and residents were more likely to have higher level of burnout of the emotional exhaustion (EE) and depersonalization (DP), and personal accomplishment (PA). There was no difference in burnout types in gender. Married had higher-level burnout in EE. Physicians who were 2030 years old had higher burnout levels in EE, those 3140 years old had higher burnout levels in DP, and PA. Physicians who worked in medical centers had a higher rate in EE, DP, and who worked in metropolitan had higher burnout in PA. With specialty-in-training, physicians had higher-level burnout in EE and DP, but lower burnout in PA. Physicians who worked 13-17hr continuously had higher-level burnout in EE. Those with ≥41 times/week of being on call had higher-level burnout in EE and DP. Physicians who had medical malpractice experience had higher-level burnout in EE, DP, and PA. Physicians who were not satisfied with physician-patient relationships had higher-level burnout than those who were satisfied.
Physicians in Taiwan face both burnout and a high risk in medical malpractice. There is high incidence of burnout among Taiwan physicians. This can cause shortages in medical care human resources and affect patient safety. We believe that high burnout in physicians was due to long working hours and several other factors, like mental depression, the evaluation assessment system, hospital culture, patient-physician relationships, and the environment. This is a very important issue on public health that Taiwanese authorities need to deal with.
本研究旨在估计台湾地区大量医师近期倦怠的发生率，并分析其与工作相关满意度和医疗事故经历的关系。
我们进行了一项横断面调查。医师被要求填写一份问卷，其中包括人口统计学信息、执业特征、倦怠、医疗事故经历、工作满意度和医疗差错经历。研究对象为台湾医学会、台湾外科学会、台湾妇产科医学会、台湾小儿科医学会和台湾中风学会的会员，以及两家医学中心、三家大都市医院和两家地方社区医院的医师。
台湾地区医师的倦怠发生率较高。在我们的研究中，访问医师（VS）和住院医师更容易出现更高水平的情绪耗竭（EE）和去人性化（DP）以及个人成就感（PA）倦怠。性别对倦怠类型没有影响。已婚医师的 EE 倦怠程度较高。年龄在 20-30 岁的医师 EE 倦怠水平较高，年龄在 31-40 岁的医师 DP 倦怠水平较高，PA 倦怠水平较低。在医学中心工作的医师 EE、DP 倦怠率较高，在大都市工作的医师 PA 倦怠率较高。接受专科培训的医师 EE 和 DP 倦怠程度较高，但 PA 倦怠程度较低。连续工作 13-17 小时的医师 EE 倦怠程度较高。每周被呼叫≥41 次的医师 EE 和 DP 倦怠程度较高。有医疗事故经历的医师 EE、DP 和 PA 倦怠程度较高。对医患关系不满意的医师比满意的医师倦怠程度更高。
台湾地区的医师面临倦怠和医疗事故高风险。台湾地区医师倦怠发生率较高。这可能导致医疗保健人力资源短缺，并影响患者安全。我们认为，医师的高倦怠率是由于工作时间长和其他一些因素，如精神抑郁、评估评估体系、医院文化、医患关系和环境。这是一个非常重要的公共卫生问题，台湾当局需要加以应对。
