Coleman Michele, Dexter Donn, Nankivil Nancy
WMJ. 2015 Aug;114(4):135-42.
Physicians' dissatisfaction in their work is increasing, which is affecting the stability of health care in America. The Wisconsin Medical Society (Society) surveyed 1016 Wisconsin physicians to determine the source of their dissatisfaction. The survey results indicate Wisconsin physicians are satisfied when it comes to practice environment, work-life balance, and income. In addition, they are extremely satisfied when it comes to rating their ability to provide high quality care, and they have identified some benefits related to the adoption of electronic health records. However, they are feeling burned out, very unsatisfied with the amount of time spent in direct patient care compared to indirect patient care, and that they are spending too much time on administrative and data entry tasks. In terms of future workforce, many physicians are either unsure or would not recommend the profession to a prospective medical student. Electronic health records serve as both a satisfier and dissatisfier and as a potential driver for future physician satisfaction interventions. Changes at the institutional, organizational, and individual levels potentially could address the identified dissatisfiers and build upon the satisfiers. The Society identifies 12 strategies to improve upon the physician experience.
医生对其工作的不满情绪正在增加,这正在影响美国医疗保健的稳定性。威斯康星州医学协会(协会)对1016名威斯康星州医生进行了调查,以确定他们不满的根源。调查结果表明,威斯康星州的医生在执业环境、工作与生活平衡以及收入方面感到满意。此外,在评价他们提供高质量医疗服务的能力时,他们极其满意,并且他们已经确定了采用电子健康记录带来的一些好处。然而,他们感到疲惫不堪,与间接患者护理相比,他们对直接患者护理所花费的时间非常不满意,并且他们在行政和数据录入任务上花费了太多时间。在未来劳动力方面,许多医生要么不确定,要么不会向未来的医学生推荐这个职业。电子健康记录既是一种满足因素,也是一种不满因素,并且是未来医生满意度干预措施的潜在驱动因素。机构、组织和个人层面的变革可能会解决已确定的不满因素,并在满足因素的基础上加以改进。该协会确定了12项改善医生体验的策略。