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本文引用的文献

1
Physician Burnout and Well-Being: A Systematic Review and Framework for Action.医生职业倦怠与幸福感:一项系统综述及行动框架
Dis Colon Rectum. 2017 Jun;60(6):567-576. doi: 10.1097/DCR.0000000000000844.
2
Pediatric Resident Burnout and Attitudes Toward Patients.儿科住院医师倦怠与对患者的态度。
Pediatrics. 2017 Mar;139(3). doi: 10.1542/peds.2016-2163.
3
Controlled Interventions to Reduce Burnout in Physicians: A Systematic Review and Meta-analysis.控制干预措施以减少医生的倦怠感:系统评价和荟萃分析。
JAMA Intern Med. 2017 Feb 1;177(2):195-205. doi: 10.1001/jamainternmed.2016.7674.
4
Burnout prevalence in New Zealand's public hospital senior medical workforce: a cross-sectional mixed methods study.新西兰公立医院高级医疗人员职业倦怠患病率:一项横断面混合方法研究。
BMJ Open. 2016 Nov 23;6(11):e013947. doi: 10.1136/bmjopen-2016-013947.
5
Interventions to prevent and reduce physician burnout: a systematic review and meta-analysis.干预措施预防和减少医生倦怠:系统评价和荟萃分析。
Lancet. 2016 Nov 5;388(10057):2272-2281. doi: 10.1016/S0140-6736(16)31279-X. Epub 2016 Sep 28.
6
Taking Care of Our Own: A Multispecialty Study of Resident and Program Director Perspectives on Contributors to Burnout and Potential Interventions.照顾好我们自己:一项关于住院医师和项目主任对职业倦怠成因及潜在干预措施看法的多专业研究。
Acad Psychiatry. 2017 Apr;41(2):159-166. doi: 10.1007/s40596-016-0590-3. Epub 2016 Jul 19.
7
Longitudinal Study Evaluating the Association Between Physician Burnout and Changes in Professional Work Effort.评估医生职业倦怠与专业工作投入变化之间关联的纵向研究
Mayo Clin Proc. 2016 Apr;91(4):422-31. doi: 10.1016/j.mayocp.2016.02.001.
8
Medical Graduates, Tertiary Hospitals, and Burnout: A Longitudinal Cohort Study.医学毕业生、三级医院与职业倦怠:一项纵向队列研究
Ochsner J. 2016 Spring;16(1):22-6.
9
Impact of Burnout on Self-Reported Patient Care Among Emergency Physicians.职业倦怠对急诊医生自我报告的患者护理工作的影响。
West J Emerg Med. 2015 Dec;16(7):996-1001. doi: 10.5811/westjem.2015.9.27945. Epub 2015 Dec 11.
10
Changes in Burnout and Satisfaction With Work-Life Balance in Physicians and the General US Working Population Between 2011 and 2014.2011 年至 2014 年期间,医生和美国普通劳动人口的倦怠和工作-生活平衡满意度变化。
Mayo Clin Proc. 2015 Dec;90(12):1600-13. doi: 10.1016/j.mayocp.2015.08.023.

台湾医师职业倦怠调查。

Surveys of Burnout Among Physicians in Taiwan.

作者信息

Tsai Yi-Lun, Tung Yu-Chi, Cheng Yawen

机构信息

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.

出版信息

J Acute Med. 2018 Sep 1;8(3):86-98. doi: 10.6705/j.jacme.201809_8(3).0002.

DOI:10.6705/j.jacme.201809_8(3).0002
PMID:32995210
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7517933/
Abstract

OBJECTIVES

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.

METHODS

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.

RESULTS

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.

CONCLUSION

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.

摘要

目的

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。

方法

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。

结果

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。

结论

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。