城市小型独立初级保健实践中的倦怠相关因素。
Correlates of Burnout in Small Independent Primary Care Practices in an Urban Setting.
机构信息
From Bloomberg School of Public Health, Johns Hopkins University, Baltimore, MD (BB); School of Medicine, New York University, New York, NY (NJ, CB, OO, DS); and Meyers College of Nursing, New York University, New York (CC).
出版信息
J Am Board Fam Med. 2018 Jul-Aug;31(4):529-536. doi: 10.3122/jabfm.2018.04.170360.
BACKGROUND
Little is known about the prevalence and correlates of burnout among providers who work in small independent primary care practices (<5 providers).
METHODS
We conducted a cross-sectional analysis by using data collected from 235 providers practicing in 174 small independent primary care practices in New York City.
RESULTS
The rate of provider-reported burnout was 13.5%. Using bivariate logistic regression, we found higher adaptive reserve scores were associated with lower odds of burnout (odds ratio, 0.12; 95% CI, 0.02-0.85; = .034).
CONCLUSION
The burnout rate was relatively low among our sample of providers compared with previous surveys that focused primarily on larger practices. The independence and autonomy providers have in these small practices may provide some protection against symptoms of burnout. In addition, the relationship between adaptive reserve and lower rates of burnout point toward potential interventions for reducing burnout that include strengthening primary care practices' learning and development capacity.
背景
在为少于 5 名员工的小型独立初级保健诊所工作的医疗服务提供者中，关于 burnout 的流行率和相关因素知之甚少。
方法
我们使用在纽约市的 174 个小型独立初级保健诊所中 235 名从业者收集的数据进行了横断面分析。
结果
报告的医疗服务提供者 burnout 率为 13.5%。使用双变量逻辑回归，我们发现更高的适应性储备评分与较低的 burnout 几率相关（比值比，0.12；95%置信区间，0.02-0.85； =.034）。
结论
与主要关注较大实践的先前调查相比，我们的从业者样本中 burnout 的发生率相对较低。在这些小型实践中，从业者的独立性和自主性可能为 burnout 症状提供了一些保护。此外，适应性储备与较低的 burnout 率之间的关系表明，减少 burnout 的潜在干预措施包括加强初级保健实践的学习和发展能力。
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