Pedersen Anette Fischer, Andersen Christina Maar, Olesen Frede, Vedsted Peter
Research Unit for General Practice and Research Centre for Cancer Diagnosis in Primary Care (CaP), Health, Aarhus University, Bartholins Allé 2, 8000 Aarhus C, Denmark.
Int J Family Med. 2013;2013:603713. doi: 10.1155/2013/603713. Epub 2013 Dec 7.
Background. We assessed risk of burnout in GPs during a 7-year followup and examined whether (1) thoughts about changing medical specialty increased the risk of burnout and (2) burned out GPs had higher job turnover rates than burnout-free GPs. Methods. In 2004 and 2012, all GPs in the county of Aarhus, Denmark, were invited to participate in a survey. Retirement status of physicians who participated in 2004 was obtained through the Registry of Health Providers in 2012. Results. 216 GPs completed both surveys. The risk of developing burnout during the 7-year followup was 13.2% (8.2-19.6%). GPs who in 2004 were burnout-free and reported that they would not select general practice as medical specialty again had a statistically significant increased risk of burnout in 2012 (OR = 4.5; 95% CI = 1.2-16.5; P = 0.023). Among GPs with burnout in 2004, 25.0% had withdrawn from general practice during followup compared to 28.8% of burnout-free GPs in 2004 (adj. OR = 0.99; 95% CI = 0.48-2.02; P = 0.975). Conclusion. The 7-year incidence of burnout was 13%. Thoughts about changing medical specialty were an important predictor of burnout. Burned out GPs had not higher job turnover rates than burnout-free GPs.
背景。我们评估了全科医生在7年随访期间的职业倦怠风险，并研究了以下两点：（1）考虑更换医学专业是否会增加职业倦怠风险；（2）与未出现职业倦怠的全科医生相比，出现职业倦怠的全科医生是否有更高的工作周转率。方法。2004年和2012年，丹麦奥胡斯郡的所有全科医生受邀参加一项调查。通过2012年医疗服务提供者登记处获取了2004年参与调查的医生的退休状态。结果。216名全科医生完成了两项调查。7年随访期间出现职业倦怠的风险为13.2%（8.2 - 19.6%）。2004年未出现职业倦怠且表示不会再次选择全科医学作为医学专业的全科医生，在2012年出现职业倦怠的风险有统计学显著增加（OR = 4.5；95% CI = 1.2 - 16.5；P = 0.023）。在2004年出现职业倦怠的全科医生中，25.0%在随访期间退出了全科医疗，而2004年未出现职业倦怠的全科医生这一比例为28.8%（调整后OR = 0.99；95% CI = 0.48 - 2.02；P = 0.975）。结论。职业倦怠的7年发病率为13%。考虑更换医学专业是职业倦怠的一个重要预测因素。出现职业倦怠的全科医生的工作周转率并不高于未出现职业倦怠的全科医生。
