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美国私人执业兽医拥有实践所有权的好处延伸到了专业生活质量。

Benefits of practice ownership among US private practice veterinarians extend to professional quality of life.

机构信息

1Veterinary Economics Division, AVMA, Schaumburg, IL.

2Marketing & Communications Division, AVMA, Schaumburg, IL.

出版信息

J Am Vet Med Assoc. 2022 Aug 3;260(15):1971-1978. doi: 10.2460/javma.22.05.0218.

Abstract

OBJECTIVE

To estimate the effects of practice ownership on wellbeing of US private practice veterinarians.

SAMPLE

1,217 practice owners and 1,414 associate veterinarians (ie, nonowners) who participated in the 2021 AVMA Census of Veterinarians and Practice Owners Survey.

PROCEDURES

A professional quality of life instrument was used to measure compassion satisfaction (CS; a positive attribute), burnout (BO), and secondary traumatic stress (STS) in practice owners and nonowners both as scores and as score categories (low, moderate, and high CS, BO, and STS). For hypothesis tests, propensity score matching was used, with owners (n = 595) matched to nonowners (595) on several demographic and employment factors.

RESULTS

Owners had significantly (P < .001) higher CS scores (mean ± SE, 34.1 ± 0.3) and lower BO scores (26.1 ± 0.3) than nonowners (32.8 ± 0.3 and 26.9 ± 0.3, respectively), but STS scores were comparable between groups (27.4 ± 0.3 and 27.5 ± 0.3; P = .55). The prevalence of low CS scores and high BO scores was significantly (P < .001) higher for nonowners versus owners (53.8% vs 42.7% and 51.6% vs 46.4%, respectively). Both owners and nonowners had a high prevalence of high STS scores (81.8% and 83.2%, respectively; P = .53).

CLINICAL RELEVANCE

Results suggested that practice ownership confers a benefit to private practice veterinarians in terms of CS and BO, but not STS. The prevalence of poor CS, BO, and STS scores was higher than reported previously for 2016 to 2018, suggesting an impact of the COVID-19 pandemic. The high prevalence of high STS scores in both groups warrants attention and action to protect the welfare of the veterinary workforce and support optimal patient care.

摘要

目的

评估执业所有权对美国私人执业兽医幸福感的影响。

样本

参与 2021 年美国兽医协会兽医和执业所有者普查的 1217 名执业所有者和 1414 名合伙人兽医(即非所有者)。

程序

使用专业生活质量工具来衡量执业所有者和非所有者的同情心满足感(CS;一个积极的属性)、倦怠(BO)和二次创伤应激(STS),同时以分数和分数类别(CS、BO 和 STS 的低、中、高)进行衡量。对于假设检验,使用倾向评分匹配,将所有者(n=595)与非所有者(595)在几个人口统计学和就业因素上进行匹配。

结果

所有者的 CS 分数(平均值±SE,34.1±0.3)明显高于非所有者(32.8±0.3)(P<.001),BO 分数(26.1±0.3)也明显低于非所有者(26.9±0.3),但两组之间的 STS 分数相当(27.4±0.3 和 27.5±0.3;P=.55)。非所有者中低 CS 分数和高 BO 分数的患病率明显高于所有者(53.8%比 42.7%和 51.6%比 46.4%,分别)(P<.001)。所有者和非所有者中高 STS 分数的患病率均较高(分别为 81.8%和 83.2%;P=.53)。

临床相关性

结果表明,执业所有权对私人执业兽医在 CS 和 BO 方面带来了益处,但对 STS 没有益处。CS、BO 和 STS 评分较差的患病率高于 2016 年至 2018 年的报告,表明 COVID-19 大流行产生了影响。两组中高 STS 分数的高患病率值得关注和采取行动,以保护兽医劳动力的福利并支持最佳的患者护理。

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