University of Southern California, Department of Anesthesiology, Los Angeles, CA.
University of California, Irvine, Department of Anesthesiology, Orange, CA.
Pain Physician. 2020 Aug;23(4S):S271-S282.
Burnout has been a commonly discussed issue for the past ten years among physicians and other health care workers. A survey of interventional pain physicians published in 2016 reported high levels of emotional exhaustion, often considered the most taxing aspect of burnout. Job dissatisfaction appeared to be the leading agent in the development of burnout in pain medicine physicians in the United States. The COVID-19 pandemic has drastically affected the entire health care workforce and interventional pain management, with other surgical specialties, has been affected significantly. The COVID-19 pandemic has placed several physical and emotional stressors on interventional pain management physicians and this may lead to increased physician burnout.
To assess the presence of burnout specific to COVID-19 pandemic among practicing interventional pain physicians.
American Society of Interventional Pain Physicians (ASIPP) administered a 32 question survey to their members by contacting them via commercially available online marketing company platform. The survey was completed on www.constantcontact.com.
Of 179 surveys sent, 100 responses were obtained. The data from the survey demonstrated that 98% of physician practices were affected by COVID and 91% of physicians felt it had a significant financial impact. Sixty seven percent of the physicians responded that in-house billing was responsible for their increased level of burnout, whereas 73% responded that electronic medical records (EMRs) were one of the causes. Overall, 78% were very concerned. Almost all respondents have been affected with a reduction in interventional procedures. 60% had a negative opinion about the future of their practice, whereas 66% were negative about the entire health care industry.
The survey included only a small number of member physicians. Consequently, it may not be generalized for other specialties or even pain medicine. However, it does represent the sentiment and present status of interventional pain management.
The COVID-19 pandemic has put interventional pain practices throughout the United States under considerable financial and psychological stress. It is essential to quantify the extent of economic loss, offer strategies to actively manage provider practice/wellbeing, and minimize risk to personnel to keep patients safe.
过去十年，医生和其他医护人员经常讨论倦怠问题。2016 年发表的一项针对介入性疼痛医师的调查显示，他们的情绪耗竭程度很高，而情绪耗竭通常被认为是倦怠的最具压力的方面。工作不满似乎是导致美国疼痛医学医师倦怠的主要因素。COVID-19 大流行极大地影响了整个医疗保健劳动力，介入性疼痛管理以及其他外科专业也受到了重大影响。COVID-19 大流行给介入性疼痛管理医师带来了一些身体和情绪压力，这可能导致医生倦怠加剧。
评估 COVID-19 大流行期间从事介入性疼痛医师的倦怠情况。
美国介入性疼痛医师协会（ASIPP）通过商业可用的在线营销公司平台联系其成员，向他们发送了 32 个问题的调查。调查在 www.constantcontact.com 上完成。
在发送的 179 份调查中，收到了 100 份回复。调查数据表明，98%的医师实践受到 COVID 的影响，91%的医师认为 COVID 对他们的财务产生了重大影响。67%的医生表示，内部计费是导致他们倦怠程度增加的原因，而 73%的医生表示电子病历（EMR）是其中一个原因。总体而言，78%的医生非常关注。几乎所有的受访者都受到介入性手术减少的影响。60%的人对自己的执业前景持负面看法，而 66%的人对整个医疗保健行业持负面看法。
该调查仅包括少数会员医生。因此，它可能不适用于其他专业甚至疼痛医学。然而，它确实代表了介入性疼痛管理的情绪和现状。
COVID-19 大流行使美国各地的介入性疼痛实践面临相当大的财务和心理压力。量化经济损失的程度、提供积极管理提供者实践/福利的策略以及最大限度地降低人员风险以确保患者安全至关重要。
