D'Amore-McKim School of Business and School of Public Policy and Urban Affairs, Northeastern University, Boston, MA.
Green-Templeton College, Oxford University, Oxford, UK.
Med Care. 2021 Aug 1;59(8):711-720. doi: 10.1097/MLR.0000000000001584.
Burnout (BO) is a serious phenomenon affecting US physicians. Female physicians, now accounting for a larger share of the workforce, are thought to experience higher levels of BO in some situations compared with their male counterparts. The current review aimed to systematically examine extant literature on physician BO as it relates especially to the female physician.
Preferred Reporting Items for Systematic Reviews and Meta-Analyses guided search of 4 databases yielding empirical studies with relevant findings regarding female physician BO, published during the time period 2010-2019.
A total of 43 studies were included in the current review. Both male and female doctors have higher percentages of burned out doctors, with a third or more of each group indicating BO in each of the studies examined. These higher levels of BO remained regardless of where physicians worked, their clinical specialty, workloads, or age. However, the review supports the notion that for women doctors, there is generally a higher likelihood of experiencing BO compared with male doctors, particular with respect to the emotional exhaustion dimension of BO.
BO is important for both female and male physicians; although women doctors may experience it to a greater degree. Women doctors will benefit from talent management approaches by health care organizations that recognize their greater tendency to BO compared with men. These approaches should be aimed at ameliorating the factors that give rise to feelings of emotional exhaustion in particular. Additional research is needed to better understand the full extent to which physician gender plays a role in BO.
burnout(BO)是一种严重的现象,影响着美国的医生。女性医生,现在占劳动力的比例更大,在某些情况下,与男性医生相比,她们被认为更容易经历更高水平的 burnout。本次综述的目的是系统地检查现有的关于医生 burnout 的文献,特别是与女性医生有关的文献。
按照系统评价和荟萃分析的首选报告项目,在 4 个数据库中进行搜索,得出了 2010 年至 2019 年期间发表的与女性医生 burnout 相关的具有相关发现的实证研究。
共有 43 项研究纳入本综述。男性和女性医生的倦怠医生比例都更高,每个研究组中都有三分之一或更多的医生表示存在 burnout。无论医生在哪里工作、临床专业、工作量或年龄如何,这些更高水平的 burnout 仍然存在。然而,该综述支持这样一种观点,即对于女性医生来说,与男性医生相比,她们普遍更有可能经历 burnout,特别是在 burnout 的情绪耗竭维度上。
burnout 对男性和女性医生都很重要;尽管女性医生可能经历的程度更大。与男性相比,医疗保健组织采取的人才管理方法将使女性医生受益,这些方法旨在改善导致情绪疲惫感的因素。需要进一步的研究来更好地了解医生性别在 burnout 中扮演的角色的全部程度。