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欧盟医院医生工作满意度:基于系统评价的证据现状。

Satisfaction of physicians working in hospitals within the European Union: state of the evidence based on systematic review.

机构信息

Institute of Public Health, Department of Health Policy and Management, Faculty of Health Sciences, Jagiellonian University Medical College, Krakow, Poland.

Chair of Epidemiology and Preventive Medicine, Department of Hygiene and Dietetics, Faculty of Medicine, Jagiellonian University Medical College, Krakow, Poland.

出版信息

Eur J Public Health. 2019 Apr 1;29(2):232-241. doi: 10.1093/eurpub/cky117.

DOI:10.1093/eurpub/cky117
PMID:29992236
Abstract

BACKGROUND

Despite the wide range of studies concerning physician satisfaction in different European countries, there is a lack of literature reviews synthesizing and analyzing current evidence evaluating satisfaction of physicians working in European hospitals. The goal of our research was to provide a general overview of the studies in this area and their results.

METHODS

We searched MEDLINE, Embase, PsycINFO, CINAHL and the Cochrane Library from January 2000 to January 2017 including both MESH/Emtree terms and free text words related to the subject with no language restrictions. The eligibility criteria included: (i) target population: physicians working in European hospitals, (ii) quantitative research aimed at assessing physician satisfaction and (iii) validated tools. We performed a narrative synthesis and meta-analysis.

RESULTS

A total of 8585 abstracts and 368 full text articles were independently screened by 2 reviewers against inclusion/exclusion criteria. Finally 61 studies were eligible for qualitative analysis. Included studies enrolled a total of 50 001 physicians from 17 countries. Sample sizes varied between 54 and 7090 participants (median: 336). According to our review ∼59% of physicians working in European hospitals are overall satisfied, 3.54 was the mean satisfaction among studies reporting data on a scale from 1 to 5, 4.81 for studies with a scale from 1 to 7, 6.12 among studies reporting data on a scale from 1 to 10, and 59.65 among studies with a scale from 0 to 100.

CONCLUSIONS

The level of physician satisfaction in Europe is moderate. There is a large variety of tools and scales used to assess it.

摘要

背景

尽管有很多关于不同欧洲国家医生满意度的研究,但缺乏综合分析评估在欧洲医院工作的医生满意度的现有证据的文献综述。我们的研究目的是提供该领域研究的总体概述及其结果。

方法

我们检索了 MEDLINE、Embase、PsycINFO、CINAHL 和 Cochrane 图书馆,检索时间为 2000 年 1 月至 2017 年 1 月,包括与主题相关的 MESH/Emtree 术语和自由文本词,无语言限制。纳入标准包括:(i)目标人群:在欧洲医院工作的医生;(ii)旨在评估医生满意度的定量研究;(iii)使用经过验证的工具。我们进行了叙述性综合和荟萃分析。

结果

共有 8585 篇摘要和 368 篇全文文章由 2 名审查员根据纳入/排除标准独立筛选。最终,61 项研究符合定性分析标准。纳入的研究共纳入了来自 17 个国家的 50001 名医生。样本量在 54 至 7090 名参与者之间变化(中位数:336)。根据我们的综述,约 59%在欧洲医院工作的医生总体上感到满意,报告在 1 到 5 分制上的数据的研究中,平均满意度为 3.54;报告在 1 到 7 分制上的数据的研究中,平均满意度为 4.81;报告在 1 到 10 分制上的数据的研究中,平均满意度为 6.12;报告在 0 到 100 分制上的数据的研究中,平均满意度为 59.65。

结论

欧洲医生的满意度水平处于中等水平。评估满意度的工具和量表种类繁多。

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