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哪些积极因素决定了全科医生在临床实践中的满意度?一项系统的文献综述。

Which positive factors determine the GP satisfaction in clinical practice? A systematic literature review.

作者信息

Le Floch B, Bastiaens H, Le Reste J Y, Lingner H, Hoffman R D, Czachowski S, Assenova R, Koskela T H, Klemenc-Ketis Z, Nabbe P, Sowinska A, Montier T, Peremans L

机构信息

ERCR SPURBO, Department of General Practice, Université de Bretagne Occidentale, Faculté de Médecine et des Sciences de la Santé, 22, avenue Camille Desmoulins CS 93837 29238, Brest, CEDEX 3, France.

Department of Primary and Interdisciplinary Care, Faculty of Medicine and Health Sciences, University of Antwerp, Antwerp, Belgium.

出版信息

BMC Fam Pract. 2016 Sep 13;17(1):133. doi: 10.1186/s12875-016-0524-x.

DOI:10.1186/s12875-016-0524-x
PMID:27619913
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5020554/
Abstract

BACKGROUND

Looking at what makes General Practitioners (GPs) happy in their profession, may be important in increasing the GP workforce in the future. The European General Practice Research Network (EGPRN) created a research team (eight national groups) in order to clarify the factors involved in GP job satisfaction throughout Europe. The first step of this study was a literature review to explore how the satisfaction of GPs had been studied before. The research question was "Which factors are related to GP satisfaction in Clinical Practice?"

METHODS

Systematic literature review according to the PRISMA statement. The databases searched were Pubmed, Embase and Cochrane. All articles were identified, screened and included by two separate research teams, according to inclusion or exclusion criteria. Then, a qualitative appraisal was undertaken. Next, a thematic analysis process was undertaken to capture any issue relevant to the research question.

RESULTS

The number of records screened was 458. One hundred four were eligible. Finally, 17 articles were included. The data revealed 13 subthemes, which were grouped into three major themes for GP satisfaction. First there were general profession-related themes, applicable to many professions. A second group of issues related specifically to a GP setting. Finally, a third group was related to professional life and personal issues.

CONCLUSIONS

A number of factors leading to GP job satisfaction, exist in literature They should be used by policy makers within Europe to increase the GP workforce. The research team needs to undertake qualitative studies to confirm or enhance those results.

摘要

背景

探究全科医生对其职业感到满意的原因,对于未来增加全科医生劳动力数量可能具有重要意义。欧洲全科医学研究网络(EGPRN)组建了一个研究团队(由八个国家小组组成),以厘清全欧洲范围内与全科医生工作满意度相关的因素。本研究的第一步是进行文献综述,以探索此前对全科医生满意度的研究方式。研究问题为“临床实践中哪些因素与全科医生的满意度相关?”

方法

按照PRISMA声明进行系统的文献综述。所检索的数据库包括PubMed、Embase和Cochrane。所有文章均由两个独立的研究团队依据纳入或排除标准进行识别、筛选和纳入。然后,进行定性评估。接下来,开展主题分析过程,以捕捉与研究问题相关的任何问题。

结果

筛选的记录数量为458条。其中104条符合条件。最终,纳入了17篇文章。数据揭示了13个次主题,这些次主题被归纳为与全科医生满意度相关的三个主要主题。首先是与许多职业相关的一般职业主题。第二组问题专门与全科医生的工作环境相关。最后,第三组与职业生活和个人问题相关。

结论

文献中存在一些导致全科医生工作满意度的因素。欧洲的政策制定者应利用这些因素来增加全科医生劳动力数量。研究团队需要开展定性研究以证实或强化这些结果。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3e5c/5020554/d95f662e0df6/12875_2016_524_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3e5c/5020554/d95f662e0df6/12875_2016_524_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3e5c/5020554/d95f662e0df6/12875_2016_524_Fig1_HTML.jpg

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