Department of Medicine, Stanford University, Palo Alto, CA.
Department of Medicine, Mayo Clinic, Rochester, MN.
Mayo Clin Proc. 2019 Sep;94(9):1681-1694. doi: 10.1016/j.mayocp.2018.10.023. Epub 2019 Feb 22.
To evaluate the prevalence of burnout and satisfaction with work-life integration among physicians and other US workers in 2017 compared with 2011 and 2014.
Between October 12, 2017, and March 15, 2018, we surveyed US physicians and a probability-based sample of the US working population using methods similar to our 2011 and 2014 studies. A secondary survey with intensive follow-up was conducted in a sample of nonresponders to evaluate response bias. Burnout and work-life integration were measured using standard tools.
Of 30,456 physicians who received an invitation to participate, 5197 (17.1%) completed surveys. Among the 476 physicians in the secondary survey of nonresponders, 248 (52.1%) responded. A comparison of responders in the 2 surveys revealed no significant differences in burnout scores (P=.66), suggesting that participants were representative of US physicians. When assessed using the Maslach Burnout Inventory, 43.9% (2147 of 4893) of the physicians who completed the MBI reported at least one symptom of burnout in 2017 compared with 54.4% (3680 of 6767) in 2014 (P<.001) and 45.5% (3310 of 7227) in 2011 (P=.04). Satisfaction with work-life integration was more favorable in 2017 (42.7% [2056 of 4809]) than in 2014 (40.9% [2718 of 6651]; P<.001) but less favorable than in 2011 (48.5% [3512 of 7244]; P<.001). On multivariate analysis adjusting for age, sex, relationship status, and hours worked per week, physicians were at increased risk for burnout (odds ratio, 1.39; 95% CI, 1.26-1.54; P<.001) and were less likely to be satisfied with work-life integration (odds ratio, 0.77; 95% CI, 0.70-0.85; P<.001) than other working US adults.
Burnout and satisfaction with work-life integration among US physicians improved between 2014 and 2017, with burnout currently near 2011 levels. Physicians remain at increased risk for burnout relative to workers in other fields.
与 2011 年和 2014 年相比，评估 2017 年美国医生和其他工作人员的倦怠和工作-生活融合满意度的流行率。
在 2017 年 10 月 12 日至 2018 年 3 月 15 日期间，我们使用与我们的 2011 年和 2014 年研究类似的方法，对美国医生和具有代表性的美国工作人群进行了调查。对未回复者进行了一项二次调查，采用强化随访的方式来评估回复偏倚。使用标准工具衡量倦怠和工作-生活融合度。
在收到参与邀请的 30456 名医生中，有 5197 名（17.1%）完成了调查。在对非应答者进行的二次调查的 476 名医生中，有 248 名（52.1%）做出了回应。对这两项调查的应答者进行比较，倦怠评分无显著差异（P=.66），这表明参与者具有代表性。当使用 Maslach 倦怠量表进行评估时，与 2014 年（54.4%[3680/6767]）和 2011 年（45.5%[3310/7227]）相比，2017 年完成 MBI 的 4893 名医生中有 43.9%（2147/4893）报告至少有一种倦怠症状（P<.001）。2017 年，工作-生活融合满意度（42.7%[2056/4809]）较 2014 年（40.9%[2718/6651]）更有利（P<.001），但较 2011 年（48.5%[3512/7244]）不利（P<.001）。经调整年龄、性别、婚姻状况和每周工作时间后进行多变量分析，医生倦怠的风险增加（优势比，1.39；95%置信区间，1.26-1.54；P<.001），工作-生活融合满意度降低（优势比，0.77；95%置信区间，0.70-0.85；P<.001），低于其他美国在职成年人。
2014 年至 2017 年期间，美国医生的倦怠和工作-生活融合满意度有所改善，目前倦怠率接近 2011 年的水平。与其他领域的工作人员相比，医生倦怠的风险仍然较高。
