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医生的福祉:医生职业倦怠。

Physician Well-Being: Physician Burnout.

作者信息

Martin Matt

机构信息

Arizona State University College of Health Solutions, 500 N 3rd St, Phoenix, AZ 85004.

出版信息

FP Essent. 2018 Aug;471:11-15.

Abstract

Physician burnout affects patients and physicians. Recent studies estimate that more than half of all physicians in the United States currently are experiencing burnout. Burnout can include symptoms of emotional exhaustion, depersonalization, cognitive weariness, physical fatigue, and disengagement. It can lead to physical and psychological conditions in physicians and decrease patient safety, quality of care, and satisfaction. The health care work environment appears to be the main contributing factor in the current high rates of physician burnout. Although individual- and organizational-level interventions appear to be effective in reducing burnout, there is no conclusive evidence regarding which intervention or combination of interventions alleviates symptoms. Physicians can reduce burnout with use of mindfulness and stress management techniques. Beyond the level of the individual physician, employers and payers should recognize the benefits of supporting physician well-being and making medical practice a rewarding and healthy experience.

摘要

医生职业倦怠会影响患者和医生。最近的研究估计,目前美国超过一半的医生正经历职业倦怠。职业倦怠可能包括情绪耗竭、去个性化、认知疲劳、身体疲劳和工作投入度降低等症状。它会导致医生出现身体和心理问题,并降低患者安全、医疗质量和满意度。医疗工作环境似乎是当前医生职业倦怠率居高不下的主要因素。尽管个人层面和组织层面的干预措施似乎能有效减少职业倦怠,但尚无确凿证据表明哪种干预措施或干预措施组合能缓解症状。医生可以通过运用正念和压力管理技巧来减少职业倦怠。除了个体医生层面,雇主和支付方应认识到支持医生福祉并让医疗实践成为有意义且健康体验的益处。

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