Department of Medicine, Stanford University, Palo Alto, CA.
Department of Medicine, Mayo Clinic, Rochester, MN.
Mayo Clin Proc. 2022 Mar;97(3):491-506. doi: 10.1016/j.mayocp.2021.11.021.
To evaluate the prevalence of burnout and satisfaction with work-life integration (WLI) among physicians and US workers in 2020 relative to 2011, 2014, and 2017.
Between November 20, 2020, and March 23, 2021, we surveyed US physicians and a probability-based sample of the US working population using methods similar to our prior studies. Burnout and WLI were measured using standard tools. Information about specific work-related COVID-19 experiences was collected.
There were 7510 physicians who participated in the survey. Nonresponder analysis suggested that participants were representative of US physicians. Mean emotional exhaustion and depersonalization scores were lower in 2020 than in 2017, 2014, and 2011 (all P<.001). However, emotional exhaustion and depersonalization scores did not improve in specialties most heavily affected by COVID-19. Overall, 38.2% of physicians reported 1 or more symptoms of burnout in 2020 compared with 43.9% in 2017, 54.4% in 2014, and 45.5% in 2011 (all P<.001). Providing care without adequate personal protective equipment (odds ratio [OR], 1.53; 95% CI, 1.35 to 1.72) and having suffered disruptive economic consequences due to COVID-19 (OR, 1.49; 95% CI, 1.32 to 1.69) were independently associated with risk of burnout. On multivariable analysis, physicians were at increased risk for burnout (OR, 1.41; 95% CI, 1.25 to 1.58) and were less likely to be satisfied with WLI (OR, 0.71; 95% CI, 0.64 to 0.79) than other working US adults.
Burnout and satisfaction with WLI among US physicians improved between 2017 and 2020. The impact of the COVID-19 pandemic on physicians varies on the basis of professional characteristics and experiences. Physicians remain at increased risk for burnout relative to workers in other fields.
评估 2020 年与 2011 年、2014 年和 2017 年相比，美国医生和劳动者的倦怠和工作-生活融合（WLI）满意度的流行率。
2020 年 11 月 20 日至 2021 年 3 月 23 日，我们采用与既往研究类似的方法，对美国医生和基于概率的美国劳动人口样本进行调查。使用标准工具测量倦怠和 WLI。收集了与特定工作相关的 COVID-19 经历的信息。
共有 7510 名医生参与了调查。非应答者分析表明，参与者代表了美国医生。2020 年情绪耗竭和去人格化评分均低于 2017 年、2014 年和 2011 年（均 P<.001）。然而，在受 COVID-19 影响最大的专业中，情绪耗竭和去人格化评分并未改善。总体而言，2020 年有 38.2%的医生报告出现 1 项或多项倦怠症状，而 2017 年为 43.9%、2014 年为 54.4%、2011 年为 45.5%（均 P<.001）。缺乏足够的个人防护设备提供护理（比值比[OR]，1.53；95%置信区间[CI]，1.35 至 1.72）和因 COVID-19 遭受破坏性经济后果（OR，1.49；95% CI，1.32 至 1.69）与倦怠风险独立相关。多变量分析显示，与其他美国劳动者相比，医生倦怠风险增加（OR，1.41；95% CI，1.25 至 1.58），对 WLI 的满意度降低（OR，0.71；95% CI，0.64 至 0.79）。
2017 年至 2020 年间，美国医生的倦怠和 WLI 满意度有所提高。COVID-19 大流行对医生的影响因专业特征和经历而异。与其他领域的劳动者相比，医生的倦怠风险仍然较高。
