病假开具行为与医生职业倦怠及同理心之间的关联
Association between Sick Leave Prescribing Practices and Physician Burnout and Empathy.
作者信息
Yuguero Torres Oriol, Esquerda Aresté Montserrat, Marsal Mora Josep Ramon, Soler-González Jorge
机构信息
Primary Care Service, Lleida Health Region, Hospital Arnau de Vilanova, Lleida, Spain.
Borja Bioethics Institute, Esplugues, Barcelona, Spain; School of Medicine University of Lleida, Lleida, Spain.
出版信息
PLoS One. 2015 Jul 21;10(7):e0133379. doi: 10.1371/journal.pone.0133379. eCollection 2015.
OBJECTIVES
To investigate the association between sick leave prescription and physician burnout and empathy in a primary care health district in Lleida, Spain.
METHODS
This descriptive study included 108 primary care doctors from 22 primary care centers in Lleida in 2014 (183,600 patients). Burnout was measured with the Maslach Burnout Inventory and empathy with the Jefferson Scale of Physician Empathy. The reliability of the instruments was measured by calculating Cronbach's alpha and normal distribution was analyzed using the Kolmogorov-Smirnov-Lilliefors and χ2 tests. Burnout and empathy scores were analyzed by age, sex, and place of work (urban vs rural). Sick leave data were obtained from the Catalan Health Institute.
RESULTS
High empathy was significantly associated with low burnout. Neither empathy nor burnout were significantly associated with sick leave prescription.
CONCLUSION
Sick leave prescription by physicians is not associated with physicians' empathy or burnout and may mostly depend on prescribing guidelines.
目的
在西班牙莱里达的一个初级保健健康区，调查病假开具与医生职业倦怠及同理心之间的关联。
方法
这项描述性研究纳入了2014年来自莱里达22个初级保健中心的108名初级保健医生（183,600名患者）。使用马氏职业倦怠量表测量职业倦怠，使用杰斐逊医生同理心量表测量同理心。通过计算克朗巴哈系数来测量工具的信度，并使用柯尔莫哥洛夫-斯米尔诺夫-利列福斯检验和χ²检验分析正态分布。按年龄、性别和工作地点（城市与农村）分析职业倦怠和同理心得分。病假数据来自加泰罗尼亚卫生研究所。
结果
高同理心与低职业倦怠显著相关。同理心和职业倦怠与病假开具均无显著关联。
结论
医生开具病假与医生的同理心或职业倦怠无关，可能主要取决于开具指南。
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