McKee Kathleen E, Tull Andrea, Del Carmen Marcela G, Edgman-Levitan Susan
Massachusetts General Physicians Organization, Boston, MA, USA.
Department of Neurology, Massachusetts General Hospital, Harvard Medical School, Boston, MA, USA.
J Patient Exp. 2020 Dec;7(6):931-936. doi: 10.1177/2374373520902006. Epub 2020 Jan 30.
Initiatives to mitigate physician burnout and improve patient experience occur largely in isolation. At the level of the department/division, we found lower physician burnout was associated with a more positive patient experience. Physician Maslach Burnout Inventory data and patient Consumer Assessment of Healthcare Providers and Systems Clinician and Group experience scores were significantly correlated with 5 of 12 patient experience questions: "Got Routine Care Appointment" (-0.632, .001), "Recommend Provider" (-0.561, = .005), "Provider Knew Medical History" (-0.532, = .009), "Got Urgent Care Appointment" (-0.518, = .014), and "Overall Rating" (-0.419, = .047). These correlations suggest burnout and experience might be better addressed in tandem. Principles to guide an integrated approach are suggested.
缓解医生职业倦怠和改善患者体验的举措大多是孤立开展的。在科室/部门层面，我们发现较低的医生职业倦怠与更积极的患者体验相关。医生的马氏职业倦怠量表数据与患者的医疗服务提供者及系统临床医生和团队体验评分，与12个患者体验问题中的5个显著相关：“获得常规护理预约”（-0.632，P = 0.001）、“推荐医疗服务提供者”（-0.561，P = 0.005）、“医疗服务提供者了解病史”（-0.532，P = 0.009）、“获得紧急护理预约”（-0.518，P = 0.014）以及“总体评分”（-0.419，P = 0.047）。这些相关性表明，职业倦怠和患者体验或许可以同时得到更好的解决。本文提出了指导综合方法的原则。
