Department of Health Management to Medical College, Hangzhou Normal University, Hangzhou, China.
Department of Health Management, College of Public Health of Harbin Medical University, Harbin, China.
Front Public Health. 2021 May 7;9:600179. doi: 10.3389/fpubh.2021.600179. eCollection 2021.
China is launching an unprecedented health care system reform. However, the long-term interests of doctors seem to have been ignored during this process especially considering that the work environment and work-life balance for doctors have severely deteriorated over the past decade.Their well-being and health are facing substantial threats due to heavy workloads and inadequate recovery opportunities. This study aimed to investigate the extent of need for recovery (NFR) among Chinese doctors and to examine their work-related fatigue. The study also examines the relationship of NFR with workplace satisfaction and health outcomes among Chinese doctors. A total of 2,617 doctors from 30 administrative regions in China participated in this study to assess the need for recovery and its relationship with work characteristics and health. A cross-sectional survey was conducted using the Chinese version of the Need for Recovery Scale (NFRS). Participants were invited to complete an anonymous online survey during May 2016. Data were analyzed using descriptive statistics, one-way ANOVA, reliability analysis, Pearson correlations, and hierarchical multiple regression analysis. Significant differences in NFR scores were found across demographic characteristics such as age, service years, hospital levels, educational attainment, professional positions, work shifts, and working time. Regardless of any illnesses they might be experiencing, about 70.0% of participants remained at their job even though many doctors (22.1%) must continue working under the policies of the organization, which led to more pronounced NFR ( < 0.001). Further, a higher NFR was negatively related to workplace well-being and self-reported health outcomes of participants. Work-induced fatigue is a growing threat to doctors in China and their recovery opportunities are extremely limited in the workplace. High NFR exerts a considerable effect on their workplace well-being and health. China's hospital managers should pay close attention to the fact that doctors have little chance of recovery, and should offer doctors' positive encouragement and support to enhance well-being. To improve doctors' working conditions, targeted prevention policies must be introduced by policymakers to control this spreading crisis.
中国正在进行一场前所未有的医疗体系改革。然而，在这个过程中，医生的长期利益似乎被忽视了，尤其是考虑到过去十年间医生的工作环境和工作生活平衡已经严重恶化。由于工作量大且恢复机会不足，他们的健康和福祉受到了严重威胁。本研究旨在调查中国医生的恢复需求（NFR）程度，并研究他们的工作相关疲劳情况。本研究还考察了 NFR 与中国医生的工作场所满意度和健康结果之间的关系。
共有来自中国 30 个行政区域的 2617 名医生参与了这项研究，以评估恢复需求及其与工作特征和健康之间的关系。使用中文版恢复需求量表（NFRS）进行了横断面调查。邀请参与者在 2016 年 5 月期间完成在线匿名调查。使用描述性统计、单因素方差分析、可靠性分析、皮尔逊相关和分层多元回归分析来分析数据。
NFR 评分在人口统计学特征（如年龄、服务年限、医院级别、教育程度、专业职位、轮班和工作时间）方面存在显著差异。尽管许多医生（22.1%）必须根据组织政策继续工作，但无论他们是否患有任何疾病，约 70.0%的参与者仍坚守工作岗位，这导致了更明显的 NFR（<0.001）。此外，较高的 NFR 与参与者的工作场所幸福感和自我报告的健康结果呈负相关。
工作引起的疲劳是中国医生面临的日益严重的威胁，他们在工作场所的恢复机会极其有限。高 NFR 对他们的工作场所幸福感和健康产生了相当大的影响。中国的医院管理者应密切关注医生几乎没有恢复机会的事实，并为医生提供积极的鼓励和支持，以增强幸福感。为改善医生的工作条件，政策制定者必须引入有针对性的预防政策来控制这一蔓延的危机。
