1 Department of Otolaryngology-Head and Neck Surgery, University of Texas Medical Branch, Galveston, TX, USA.
Otolaryngol Head Neck Surg. 2018 Jun;158(6):970-971. doi: 10.1177/0194599818773296. Epub 2018 May 8.
Attention to physician well-being has traditionally focused on substance abuse, usually with disciplinary implications. But, in recent years, greater notice has been granted toward physician burnout and overall wellness. Burnout and its sequelae not only affect physicians and physicians-in-training as individuals, but the impact then multiplies as it affects these physicians' patients, colleagues, and hospital systems. In addition, the American Medical Association Code of Medical Ethics charges physicians with a responsibility to maintain their own health and wellness as well as promote that of their colleagues. Therefore, the question of physician wellness has both public health and ethical implications. The causes of burnout are multifactorial, and the solutions to sustainable change are multitiered.
关注医生的健康状况历来集中在药物滥用上，通常具有纪律处分的含义。但是，近年来，人们越来越关注医生倦怠和整体健康。倦怠及其后果不仅影响作为个体的医生和医学生，而且还会因影响这些医生的患者、同事和医院系统而产生倍增效应。此外，美国医学协会的《医学伦理法典》要求医生有责任保持自己的健康和幸福，并促进同事的健康和幸福。因此，医生的健康问题既有公共卫生方面的影响，也有伦理方面的影响。倦怠的原因是多方面的，可持续变革的解决方案也是多层次的。
