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比较内科专科医生的职业倦怠与工作生活平衡:住院部与门诊部工作场所的作用。

Comparing burnout and work-life balance among specialists in internal medicine: the role of inpatient vs. outpatient workplace.

作者信息

Hussenoeder Felix S, Bodendieck Erik, Jung Franziska, Conrad Ines, Riedel-Heller Steffi G

机构信息

Institute of Social Medicine, Occupational Health and Public Health, University of Leipzig, Ph.-Rosenthal-Str. 55, 04103, Leipzig, Germany.

General Practice, Dresdener Str. 34 a, 04808, Wurzen, Germany.

出版信息

J Occup Med Toxicol. 2021 Feb 9;16(1):5. doi: 10.1186/s12995-021-00294-3.

DOI:10.1186/s12995-021-00294-3
PMID:33563299
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7871630/
Abstract

BACKGROUND

Compared to the general population, physicians are more likely to experience increased burnout and lowered work-life balance. In our article, we want to analyze whether the workplace of a physician is associated with these outcomes.

METHODS

In September 2019, physicians from various specialties answered a comprehensive questionnaire. We analyzed a subsample of 183 internists that were working full time, 51.4% were female.

RESULTS

Multivariate analysis showed that internists working in an outpatient setting exhibit significantly higher WLB and more favorable scores on all three burnout dimensions. In the regression analysis, hospital-based physicians exhibited higher exhaustion, cynicism and total burnout score as well as lower WLB.

CONCLUSIONS

Physician working at hospitals exhibit less favorable outcomes compared to their colleagues in outpatient settings. This could be a consequence of workplace-specific factors that could be targeted by interventions to improve physician mental health and subsequent patient care.

摘要

背景

与普通人群相比,医生更容易出现职业倦怠加剧和工作与生活平衡度降低的情况。在我们的文章中,我们想要分析医生的工作场所是否与这些结果相关。

方法

2019年9月,来自各个专业的医生回答了一份综合问卷。我们分析了183名全职内科医生的子样本,其中51.4%为女性。

结果

多变量分析表明,在门诊环境中工作的内科医生表现出显著更高的工作与生活平衡度,并且在所有三个职业倦怠维度上得分更优。在回归分析中,医院医生表现出更高的疲惫感、玩世不恭态度和总职业倦怠得分,以及更低的工作与生活平衡度。

结论

与门诊环境中的同事相比,在医院工作的医生表现出更不理想的结果。这可能是特定工作场所因素导致的结果,这些因素可以通过干预措施来解决,以改善医生的心理健康并进而提升患者护理水平。

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Ann Intern Med. 2019 Jun 4;170(11):784-790. doi: 10.7326/M18-1422. Epub 2019 May 28.
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BMJ Qual Saf. 2019 Feb;28(2):142-150. doi: 10.1136/bmjqs-2018-007933. Epub 2018 Oct 11.
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Association Between Physician Burnout and Patient Safety, Professionalism, and Patient Satisfaction: A Systematic Review and Meta-analysis.医生职业倦怠与患者安全、专业精神和患者满意度之间的关联:系统评价和荟萃分析。
JAMA Intern Med. 2018 Oct 1;178(10):1317-1331. doi: 10.1001/jamainternmed.2018.3713.
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Physician Burnout, Well-being, and Work Unit Safety Grades in Relationship to Reported Medical Errors.医生倦怠、幸福感与工作单位安全评分与报告医疗差错的关系。
Mayo Clin Proc. 2018 Nov;93(11):1571-1580. doi: 10.1016/j.mayocp.2018.05.014. Epub 2018 Jul 9.
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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.
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Mayo Clin Proc. 2015 Dec;90(12):1600-13. doi: 10.1016/j.mayocp.2015.08.023.
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