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香港年轻医生的职业倦怠与幸福感:一项全港横断面调查。

Burnout and well-being in young doctors in Hong Kong: a territory-wide cross-sectional survey.

作者信息

Kwan K Y H, Chan L W Y, Cheng P W, Leung G K K, Lau C S

机构信息

Department of Orthopaedics and Traumatology, The University of Hong Kong, Hong Kong.

Family Medicine, Private Practice.

出版信息

Hong Kong Med J. 2021 Oct;27(5):330-337. doi: 10.12809/hkmj219610. Epub 2021 Oct 5.

DOI:10.12809/hkmj219610
PMID:34607972
Abstract

INTRODUCTION

This territory-wide study evaluated the level of burnout and health status among young doctors in Hong Kong.

METHODS

All young doctors in Hong Kong, defined as residents-in-training or doctors within 10 years of their specialist registration, were invited to participate in an online cross-sectional survey. This survey used standardised questionnaires including the Copenhagen Burnout Inventory (CBI) for burnout, Patient Health Questionnaire-9 for depression, and general health questionnaires.

RESULTS

In total, 514 doctors completed the survey; 284 were doctors within 10 years of their specialist registration, while 230 were residents-in-training. There were 277 women (54%); among all respondents, the mean age was 33.7 ± 6.1 years. Using a CBI subscale cut-off score of ≥50 (moderate and higher), 72.6% (n=373) of respondents reported personal burnout; 70.6% (n=363) of respondents reported work-related burnout; and 55.4% (n=285) of respondents reported client-related burnout. Furthermore, 24% (n=125) of respondents were "somewhat dissatisfied" with their present job position; 4% (n=19) of respondents were "very dissatisfied" with their present job position. The prevalence of depression among respondents was 21% (n=110).

CONCLUSIONS

In this territory-wide cross-sectional survey of young doctors in Hong Kong, a high prevalence of burnout was identified among young doctors; respondents exhibited a considerable level of depression and substantial dissatisfaction with their current positions. Strategies to address these problems must be formulated to ensure the future well-being of the medical and dental workforce in Hong Kong.

摘要

引言

这项全港性研究评估了香港年轻医生的职业倦怠水平和健康状况。

方法

邀请香港所有年轻医生(定义为正在接受培训的住院医生或专科注册后10年内的医生)参与一项在线横断面调查。该调查使用标准化问卷,包括用于评估职业倦怠的哥本哈根职业倦怠量表(CBI)、用于评估抑郁的患者健康问卷-9以及一般健康问卷。

结果

共有514名医生完成了调查;其中284名是专科注册后10年内的医生,230名是正在接受培训的住院医生。有277名女性(54%);在所有受访者中,平均年龄为33.7±6.1岁。使用CBI分量表临界值≥50(中度及以上),72.6%(n = 373)的受访者报告有个人职业倦怠;70.6%(n = 363)的受访者报告有工作相关职业倦怠;55.4%(n = 285)的受访者报告有客户相关职业倦怠。此外,24%(n = 125)的受访者对其目前的工作职位“有些不满”;4%(n = 19)的受访者对其目前的工作职位“非常不满”。受访者中抑郁症的患病率为21%(n = 110)。

结论

在这项针对香港年轻医生的全港性横断面调查中,发现年轻医生中职业倦怠的患病率很高;受访者表现出相当程度的抑郁以及对其当前职位的极大不满。必须制定解决这些问题的策略,以确保香港医护人员队伍未来的福祉。

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