Clark G H, Vaccaro J V
Hosp Community Psychiatry. 1987 Aug;38(8):843-7. doi: 10.1176/ps.38.8.843.
Comments gathered in a national survey of community mental health center (CMHC) psychiatrists indicate that many suffer from burnout. Of the 96 respondents who provided comments, 46 expressed dissatisfaction with their work in CMHCs, 14 expressed satisfaction, and seven had mixed feelings. Factors contributing to the respondents' dissatisfaction included a lack of administrative support and validation, low pay, responsibility without authority, and pressure to sign documents related to patients unknown to them. Factors contributing to their satisfaction were having a variety of tasks, being valued for having uniquely comprehensive experience, being supported in the clinical oversight role, being in charge of CMHC operations, and working in a CMHC affiliated with an academic center or the medical community. The authors believe that CMHCs must redress the issues contributing to burnout among CMHC psychiatrists if they are to retain psychiatrists and provide quality patient care.
一项针对社区心理健康中心（CMHC）精神科医生的全国性调查收集的意见表明，许多人都存在职业倦怠问题。在提供意见的96名受访者中，46人对他们在社区心理健康中心的工作表示不满，14人表示满意，7人则有复杂的感受。导致受访者不满的因素包括缺乏行政支持和认可、薪资低、有责无权，以及签署与不认识的患者相关文件的压力。导致他们满意的因素包括有各种各样的任务、因拥有独特的全面经验而受到重视、在临床监督角色中得到支持、负责社区心理健康中心的运营，以及在附属于学术中心或医疗社区的社区心理健康中心工作。作者认为，如果社区心理健康中心想要留住精神科医生并提供高质量的患者护理，就必须解决导致社区心理健康中心精神科医生职业倦怠的问题。
