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他们没有引发火灾:审查和解决医生压力和倦怠问题。

They did not start the fire: reviewing and resolving the issue of physician stress and burnout.

机构信息

Independent Researcher, California, USA.

出版信息

J Health Organ Manag. 2017 Jun 19;31(4):410-417. doi: 10.1108/JHOM-11-2016-0212.

DOI:10.1108/JHOM-11-2016-0212
PMID:28877620
Abstract

Purpose Physician stress and burnout is a serious and common concern in healthcare, with over half of physicians in the USA meeting at least one criterion for burnout. The paper aims to discuss these issues. Design/methodology/approach A review on current state of physician stress and burnout research, from 2008 to 2016, was undertaken. A subsequent perspective paper was shaped around these reviews. Findings Findings reveal research strength in prevalence and incidence with opportunities for stronger intervention studies. While descriptive studies on causes and consequences of physician burnout are available, studies on interventions and prevention of physician burnout are lacking. Future research on physician stress and burnout should incorporate intervention studies and take care to avoid limitations found in current research. Accountability and prevention of physician burnout is the responsibility of the healthcare industry as a whole, and organizational strategies must be emphasized in future research. Originality/value The value of this research comes in the original comprehensive review, international inclusion and succinct summary of physician burnout research and strategies.

摘要

目的

医生压力和倦怠是医疗保健中一个严重且普遍存在的问题,超过一半的美国医生至少符合倦怠的一个标准。本文旨在讨论这些问题。

设计/方法/途径

对 2008 年至 2016 年期间医生压力和倦怠研究的现状进行了回顾。随后围绕这些综述撰写了一篇观点文章。

发现

研究结果揭示了在流行率和发病率方面的研究优势,为更强有力的干预研究提供了机会。虽然有关于医生倦怠的原因和后果的描述性研究,但缺乏关于医生倦怠干预和预防的研究。未来关于医生压力和倦怠的研究应纳入干预研究,并注意避免当前研究中的局限性。医生倦怠的问责制和预防是整个医疗保健行业的责任,未来的研究必须强调组织策略。

原创性/价值

这项研究的价值在于对医生倦怠研究和策略进行了全面、具有国际视野的综述,简洁明了。

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