与医生职业倦怠及其后果相关的因素:综述

Factors Related to Physician Burnout and Its Consequences: A Review.

作者信息

Patel Rikinkumar S, Bachu Ramya, Adikey Archana, Malik Meryem, Shah Mansi

机构信息

Department of Psychiatry, Griffin Memorial Hospital, 900 E Main St, Norman, OK 73071, USA.

Department of Medicine, Providence Hospital, Washington, DC 20017, USA.

出版信息

Behav Sci (Basel). 2018 Oct 25;8(11):98. doi: 10.3390/bs8110098.

Abstract

Physician burnout is a universal dilemma that is seen in healthcare professionals, particularly physicians, and is characterized by emotional exhaustion, depersonalization, and a feeling of low personal accomplishment. In this review, we discuss the contributing factors leading to physician burnout and its consequences for the physician's health, patient outcomes, and the healthcare system. Physicians face daily challenges in providing care to their patients, and burnout may be from increased stress levels in overworked physicians. Additionally, the healthcare system mandates physicians to keep a meticulous record of their physician-patient encounters along with clerical responsibilities. Physicians are not well-trained in managing clerical duties, and this might shift their focus from solely caring for their patients. This can be addressed by the systematic application of evidence-based interventions, including but not limited to group interventions, mindfulness training, assertiveness training, facilitated discussion groups, and promoting a healthy work environment.

摘要

医生职业倦怠是医疗保健专业人员,尤其是医生中普遍存在的难题,其特征是情绪耗竭、人格解体和个人成就感低落。在本综述中,我们讨论了导致医生职业倦怠的促成因素及其对医生健康、患者治疗结果和医疗保健系统的影响。医生在为患者提供护理时每天都面临挑战,职业倦怠可能源于过度劳累的医生压力水平增加。此外,医疗保健系统要求医生对医患接触进行细致记录并承担文书工作责任。医生在管理文书工作方面未得到充分培训,这可能会使他们的注意力从单纯照顾患者上转移。这可以通过系统应用循证干预措施来解决,包括但不限于团体干预、正念训练、自信训练、促进性讨论小组以及营造健康的工作环境。

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