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医生职业倦怠:我们是在治疗症状而非病因吗?

Physician Burnout: Are We Treating the Symptoms Instead of the Disease?

作者信息

Squiers John J, Lobdell Kevin W, Fann James I, DiMaio J Michael

机构信息

Baylor Scott & White Research Institute, The Heart Hospital Baylor Plano, Plano, Texas; Department of Surgery, Baylor University Medical Center, Dallas, Texas.

Sanger Heart and Vascular Institute, Carolinas HealthCare System, Charlotte, North Carolina.

出版信息

Ann Thorac Surg. 2017 Oct;104(4):1117-1122. doi: 10.1016/j.athoracsur.2017.08.009.

Abstract

Despite increasing recognition of physician burnout, its incidence has only increased in recent years, with nearly half of physicians suffering from symptoms of burnout in the most recent surveys. Unfortunately, most burnout research has focused on its profound prevalence rather than seeking to identify the root cause of the burnout epidemic. Health care organizations throughout the United States are implementing committees and support groups in an attempt to reduce burnout among their physicians, but these efforts are typically focused on increasing resilience and wellness among participants rather than combating problematic changes in how medicine is practiced by physicians in the current era. This report provides a brief review of the current literature on the syndrome of burnout, a summary of several institutional approaches to combating burnout, and a call for a shift in the focus of these efforts toward one proposed root cause of burnout.

摘要

尽管对医生职业倦怠的认识日益提高,但近年来其发生率却有所上升,在最近的调查中,近一半的医生出现职业倦怠症状。不幸的是,大多数职业倦怠研究都集中在其极高的患病率上,而不是试图找出职业倦怠流行的根本原因。美国各地的医疗保健机构正在设立委员会并组建支持小组,试图减少医生的职业倦怠,但这些努力通常侧重于提高参与者的恢复力和健康水平,而不是应对当前时代医生行医方式中存在问题的变化。本报告简要回顾了当前关于职业倦怠综合征的文献,总结了几种应对职业倦怠的机构性方法,并呼吁将这些努力的重点转向职业倦怠的一个可能根本原因。

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