Eckleberry-Hunt Jodie, Kirkpatrick Heather, Taku Kanako, Hunt Ronald
From Beaumont Health, Royal Oak, the Michigan State University College of Human Medicine, Flint, the Department of Psychology, Oakland University, Rochester, and the Beaumont Family Medicine Residency Program, Sterling Heights, Michigan.
South Med J. 2017 Apr;110(4):244-248. doi: 10.14423/SMJ.0000000000000629.
The goal of this self-report study was to examine the relation of work variables, self-rated health and mental health status, and perceived social support to physician wellness, physician burnout, and quality of patient care.
We administered a demographics questionnaire, the Physician Wellness Inventory, the Maslach Burnout Inventory, and the Patient Care Scale to a random sample of full physician members of the American Academy of Family Physicians. We performed regression analyses on self-reported health status, work variables, and social support data as predictor variables and the subscales from the Physician Wellness Inventory, Maslach Burnout Inventory, and Patient Care Scale as the outcome variables.
The response rate was 22%. Self-reported mental health status significantly predicted all of the wellness scales, the burnout scales, and the quality of patient care. The ability to manage the workload was the second strongest predictor of multiple scales.
More work should be done to explore the factors related to physicians' self-ratings of mental health status and what that means to them. Also, it is important to study whether self-rated mental health status is related to objective patient care quality measures.
本自我报告研究的目的是探讨工作变量、自评健康与心理健康状况以及感知到的社会支持与医生健康、职业倦怠和患者护理质量之间的关系。
我们向美国家庭医生学会的全职医生成员随机样本发放了一份人口统计学调查问卷、医生健康状况量表、马氏职业倦怠量表和患者护理量表。我们以自我报告的健康状况、工作变量和社会支持数据作为预测变量，以医生健康状况量表、马氏职业倦怠量表和患者护理量表的子量表作为结果变量进行回归分析。
回复率为22%。自我报告的心理健康状况显著预测了所有的健康量表、职业倦怠量表和患者护理质量。管理工作量的能力是多个量表的第二强预测因素。
应开展更多工作来探索与医生心理健康状况自评相关的因素以及这对他们意味着什么。此外，研究自评心理健康状况是否与客观的患者护理质量指标相关也很重要。
