Institute of Psychiatry, Kings College London, London, UK.
British Medical Association, London, UK.
Int Rev Psychiatry. 2019 Nov-Dec;31(7-8):563-568. doi: 10.1080/09540261.2019.1648621. Epub 2019 Aug 28.
Doctors and medical students are working in a system which is affecting their mental wellbeing and their ability to provide the best possible care for patients. The British Medical Association conducted an online survey of doctors and medical students in October 2018. In total, 4347 responses were received and analysed. Doctors working the longest hours appear to be most vulnerable to psychological and emotional disturbance. Older and more senior doctors are most likely to report that their working environment has impacted on their condition. Medical students and junior doctors report the highest rate of having a formally diagnosed mental health condition in the last 12 months. This may be because they are in the vulnerable age group when psychiatric disorders start. Junior doctors were least likely to be aware of how to access help or support. Older doctors, those working as SAS (Staff, Associate Specialists and Specialty) doctors and overseas qualified doctors are most likely to say they have asked for support in managing a problem from their employer but that no support was provided. It is important to recognize that doctors, in spite of stress and poor wellbeing, continue to work hard, which has both advantages and disadvantages. These findings highlight that the environment in which doctors work, train, and study affects their mental health, and for this reason careful consideration needs to be given to the type and level of support provision available to them, as well as the ease of access and awareness of such support.
医生和医学生在一个影响他们的心理健康和为患者提供最佳护理能力的系统中工作。英国医学协会在 2018 年 10 月对医生和医学生进行了在线调查。共收到并分析了 4347 份回复。工作时间最长的医生似乎最容易受到心理和情绪困扰。年龄较大和级别较高的医生最有可能报告说，他们的工作环境对他们的状况产生了影响。在过去 12 个月中，医学生和初级医生报告自己患有正式诊断的心理健康问题的比例最高。这可能是因为他们处于精神障碍开始出现的脆弱年龄段。初级医生最不可能知道如何获得帮助或支持。年龄较大的医生、作为 SAS（员工、副专家和专科医生）的医生和外国资格的医生最有可能表示，他们曾向雇主寻求过管理问题的支持，但没有得到支持。重要的是要认识到，尽管医生面临压力和健康状况不佳，但他们仍继续努力工作，这既有优点也有缺点。这些发现强调了医生工作、培训和学习的环境会影响他们的心理健康，因此需要仔细考虑为他们提供的支持的类型和水平，以及获得这种支持的便利性和对这种支持的认识。
