Department of Gerontology, Public Health and Didactics, National Institute of Geriatrics, Rheumatology and Rehabilitation, Warsaw, Poland
Department of Gerontology, Public Health and Didactics, National Institute of Geriatrics, Rheumatology and Rehabilitation, Warsaw, Poland; Institute of Fundamental Technological Research, Polish Academy of Sciences, Warsaw, Poland.
Pol Arch Intern Med. 2021 Aug 30;131(7-8):626-632. doi: 10.20452/pamw.16033. Epub 2021 Jun 16.
In recent years, healthcare systems around the world have been subject to profound changes driven by advances in technology, new regulations as well as demographic and societal trends. This volatile and stressful environment has had its consequences for healthcare organizations and their employees. The resulting phenomena of burnout or lowered well‑being may affect key aspects of healthcare delivery on individual, organizational, and financial levels.
The objective of this paper was to investigate the level of burnout and well‑being in a group of Polish physicians, its impact on errors, and associations with other factors.
This was a cross‑sectional survey using a self‑administered questionnaire with 65 questions and validated tools such as the Maslach Burnout Inventory and the World Health Organization-5 Well‑being Index (WHO‑5). Correlations between variables were investigated using Spearman rank correlation analysis. Univariable and multivariable logistic regression models were used to evaluate predictors of burnout and errors. The study included residents and physicians of various specialties.
A total of 125 residents and physicians, mostly internists and cardiologists, participated in the study, out of which 84 (67%) were found to be burned out. The median WHO‑5 score was 40 points. Two‑thirds of all physicians admitted to making an error in the last 3 months, which was strongly associated with burnout.
The level of burnout among respondents was high and had numerous negative consequences that may affect the entire healthcare system. The results suggest there is an urgent need to address the problem of burnout among physicians.
近年来,全球医疗体系受到技术进步、新法规以及人口和社会趋势的影响,发生了深刻的变化。这种动荡和充满压力的环境对医疗保健组织及其员工产生了影响。由此产生的倦怠或幸福感降低等现象可能会影响个人、组织和财务层面的医疗服务提供的关键方面。
本文旨在研究一组波兰医生的倦怠和幸福感水平、其对错误的影响以及与其他因素的关联。
这是一项横断面调查,使用自我管理问卷和 65 个问题以及经过验证的工具,如 Maslach 倦怠量表和世界卫生组织-5 幸福感指数(WHO-5)。使用 Spearman 等级相关分析研究变量之间的相关性。使用单变量和多变量逻辑回归模型评估倦怠和错误的预测因素。该研究包括不同专业的住院医师和医生。
共有 125 名住院医师和医生参与了研究,其中大多数是内科医生和心脏病专家,其中 84 人(67%)被发现倦怠。WHO-5 中位数得分为 40 分。三分之二的医生承认在过去 3 个月内犯了错误,这与倦怠有很强的相关性。
受访者的倦怠水平很高,并且产生了许多可能影响整个医疗保健系统的负面影响。结果表明,迫切需要解决医生倦怠问题。