Tsai Yi-Lun, Tung Yu-Chi, Cheng Yawen
Tungs' Taichung MetroHarbor Hospital Department of Emergency Medicine Taichung Taiwan.
National Taiwan University Institute of Health Policy and Management, College of Public Health Taipei Taiwan.
J Acute Med. 2018 Sep 1;8(3):86-98. doi: 10.6705/j.jacme.201809_8(3).0002.
To examine severity and prevalence of burnout among physicians in Taiwan, we conducted a review of epidiomiological studies on burnout problems in physicians of Taiwan.
We performed a systemic research in National Digital Library of Theses and Dissertions, Airiti Library, Google Scholar, PubMed, Scopus, and Web of Science for surveys measuring the levels of burnout among physicians in Taiwan. We appraised each survey ascertaining the instrument, and compared the content, results and characteristics of these surveys.
We found 15 surveys measuring burnout of physicians during 2008 to 2014. All of them were cross-sectional studies using either Chinese version of Maslach Burnout Inventory (MBI) or Chinese version of Copenhagen Burnout Inventory (CBI) as a measuring tool. For those used MBI, the scores of burnout could not be interpreted and compared, given pending overall score compilation. For those used CBI, the levels of burnout were rather high. Age, gender, specialty, working hours, and work loads were notable factors associated with burnout of physicians in Taiwan.
The selection of an instrument for further research should be with caution for future crossnational comparison. Longitudinal, multicenter and intervention studies need to be conducted at a national level to assess burnout levels among susceptible age groups and subspecialties.
为了研究台湾医生职业倦怠的严重程度和患病率,我们对台湾医生职业倦怠问题的流行病学研究进行了综述。
我们在国立台湾大学图书馆、华艺数位艺术图书馆、谷歌学术、PubMed、Scopus和科学网进行了系统研究,以查找测量台湾医生职业倦怠水平的调查。我们评估了每项调查的测量工具,并比较了这些调查的内容、结果和特点。
我们发现了15项在2008年至2014年期间测量医生职业倦怠的调查。所有这些都是横断面研究,使用中文版的马氏职业倦怠量表(MBI)或中文版的哥本哈根倦怠量表(CBI)作为测量工具。对于使用MBI的调查,由于总体得分尚未汇总,职业倦怠得分无法进行解释和比较。对于使用CBI的调查,职业倦怠水平相当高。年龄、性别、专业、工作时间和工作量是与台湾医生职业倦怠相关的显著因素。
为了未来的跨国比较,在进一步研究中选择测量工具时应谨慎。需要在国家层面进行纵向、多中心和干预研究,以评估易感年龄组和亚专业的职业倦怠水平。