Eastern Michigan University, Ypsilanti, MI, USA.
Oregon Health Sciences University, Portland, OR, USA.
J Prim Care Community Health. 2023 Jan-Dec;14:21501319231194148. doi: 10.1177/21501319231194148.
During the surge of the COVID-19 pandemic, burnout among physicians increased significantly. In the spring of 2023, the COVID national emergency was terminated in the U.S. To investigate whether provider burnout rates have returned to pre-pandemic levels, the current study compared dimensions of burnout among pediatricians pre- and post-pandemic.
As part of 2 separate behavioral health trainings held at a Midwest academic health center in 2019 and virtually in 2023, data on burnout was collected from 52 pediatricians pre-pandemic and 38 pediatricians post-pandemic. Participants completed an online survey during the trainings and responded to items reflecting 3 dimensions of burnout: emotional exhaustion, depersonalization, and personal accomplishment.
There were no statistically significant differences in pre- and post-pandemic burnout amongst pediatricians in terms of total scores, number of pediatricians who met the clinical cutoff for each dimension, number of cutoffs met, or number of providers reporting elevated burnout on at least 1 dimension ( > .05 for all comparisons). Participants were 1.77 times more likely to meet the cutoff for emotional exhaustion post-pandemic than pre-pandemic. Over half of providers met this cutoff post-pandemic, compared to only 35% pre-pandemic.
While post-pandemic rates of burnout among pediatricians appear to be statistically similar to pre-pandemic levels, there appear to be clinically significant differences in emotional exhaustion between groups. With 63% of the post-pandemic group meeting the cutoff score for at least 1 dimension, it is imperative for the healthcare system to consider ways to mitigate burnout.
在 COVID-19 大流行期间,医生的倦怠感显著增加。2023 年春季,美国终止了 COVID-19 全国紧急状态。为了调查医务人员的倦怠率是否已恢复到大流行前的水平,本研究比较了大流行前后儿科医生倦怠的各个维度。
作为在中西部学术医疗中心于 2019 年和 2023 年虚拟举行的 2 次独立行为健康培训的一部分,从 52 名大流行前的儿科医生和 38 名大流行后的儿科医生中收集了倦怠数据。参与者在培训期间完成了在线调查,并回答了反映倦怠的 3 个维度的项目:情绪耗竭、去人性化和个人成就感。
在总得分、达到每个维度临床临界值的儿科医生人数、达到的临界值数量或报告至少 1 个维度( > .05 所有比较)的倦怠度升高的提供者数量方面,大流行前后的儿科医生倦怠程度没有统计学差异。与大流行前相比,大流行后参与者出现情绪耗竭临界值的可能性高 1.77 倍。超过一半的提供者在大流行后达到了这一临界值,而大流行前只有 35%。
尽管大流行后儿科医生的倦怠率似乎在统计学上与大流行前水平相似,但两组之间在情绪耗竭方面似乎存在临床显著差异。在大流行后组中,有 63%的人至少有 1 个维度的得分达到临界值,因此医疗保健系统必须考虑采取措施来减轻倦怠。