Divisions of Allergy, Immunology and Rheumatology and Pediatric Allergy and Immunoloy, University of Rochester, Rochester, New York.
Division of Allergy/Immunology, Department of Pediatrics, University of California San Diego, San Diego, California.
Ann Allergy Asthma Immunol. 2021 Mar;126(3):219-227. doi: 10.1016/j.anai.2020.12.006. Epub 2020 Dec 14.
There are 3 domains of physician wellness: (1) the culture of wellness, (2) efficiency of practice, and (3) physician resilience. The culture of wellness encompasses an organization's values, environment, and behaviors that foster compassion and growth in its physicians.
Studies have reported that burnout affects a physician's professionalism, altruism, and a sense of calling. Furthermore, burnout increases the risk of cardiovascular disease, alcohol abuse, divorce, depression, and even suicide among physicians. Physician burnout is associated with decreased efficiency at work, which can affect patient care, patient satisfaction, and even patient safety. As such, it is imperative that we develop a culture of wellness.
A culture of wellness reflects shared values and a sense of community within an organization. When a culture of wellness is present, leaders prioritize the personal and professional growth of its team members.
This article instructs readers on methods that can be used to develop a culture of wellness.
We need to address burnout at every level in health care, namely at health care organization and system levels, individual teams and offices, and at an individual level. In doing so, it becomes obvious that a lack of wellness (burnout) is a systems problem and not an individual's fault. We are all responsible for taking steps to change the culture to one of wellness. Working within our practices, organization, and allergy societies, we can change the culture to one of wellness.
医生健康有三个领域:(1)健康文化,(2)实践效率,和(3)医生韧性。健康文化包括一个组织的价值观、环境和行为,这些价值观、环境和行为促进其医生的同情心和成长。
研究报告称,倦怠会影响医生的专业精神、利他主义和使命感。此外,倦怠会增加医生患心血管疾病、酗酒、离婚、抑郁甚至自杀的风险。医生倦怠与工作效率下降有关,这可能会影响患者护理、患者满意度,甚至患者安全。因此,我们必须培养健康文化。
健康文化反映了组织内部的共同价值观和社区意识。当存在健康文化时,领导者会优先考虑其团队成员的个人和职业发展。
本文指导读者如何培养健康文化。
我们需要在医疗保健的各个层面解决倦怠问题,即医疗保健组织和系统层面、各个团队和办公室层面以及个人层面。这样做,就会明显看出,缺乏健康(倦怠)是一个系统问题,而不是个人的错。我们都有责任采取措施改变健康文化。在我们的实践、组织和过敏学会中,我们可以改变健康文化。