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通过生活方式医学恢复医生的健康。

Restoring Well-Being for Physicians Through Lifestyle Medicine.

作者信息

Lee Hannah, Going Michelle, Tivnan Valeria, Tollefson Michelle, Comander Amy, Frates Elizabeth

机构信息

Massachusetts General Hospital Cancer Center, Boston, MA, USA (HL, AC).

Metropolitan State University of Denver, Denver, CO, USA (MG, MT).

出版信息

Am J Lifestyle Med. 2023 Aug 4;18(2):260-268. doi: 10.1177/15598276231194290. eCollection 2024 Mar-Apr.

Abstract

In the wake of the COVID-19 pandemic, physician burnout is a more relevant concern than ever. Pre-existing stressors in health care, such as poor work-life balance, perfectionism, and inadequate social support, have been exacerbated by uncertainty, increased risk exposure, and general anxiety. Burnout places not only physicians, but also patients, systems, and communities at risk. The promotion of physician well-being is critical to sustaining the health care system. Actions to reduce burnout and increase well-being can and should occur on multiple levels. Organizations and leaders must take steps to create a culture of support and respect for health care providers. Such steps may include improved time-off policies, destigmatizing the use of mental health services, and reducing administrative burden. Physician well-being may benefit from action on an individual level as well. The pillars of Lifestyle Medicine provide a framework for engaging in behaviors compatible with overall well-being, such as physical activity, social connection, and sleep. Lifestyle Medicine plays a key role in mitigating the impact of physician burnout, and will be essential to the success of the health care system moving forward.

摘要

在新冠疫情之后,医生职业倦怠成为比以往任何时候都更值得关注的问题。医疗保健领域先前存在的压力源,如工作与生活失衡、完美主义以及社会支持不足等,因不确定性、风险暴露增加和普遍焦虑而加剧。职业倦怠不仅使医生面临风险,也让患者、医疗系统和社区陷入危险境地。促进医生的身心健康对于维持医疗保健系统至关重要。减少职业倦怠和增进幸福感的行动可以而且应该在多个层面展开。组织和领导者必须采取措施营造一种支持和尊重医疗保健提供者的文化氛围。这些措施可能包括改进休假政策、消除对使用心理健康服务的污名化以及减轻行政负担。医生的身心健康也可能受益于个人层面的行动。生活方式医学的支柱为人们参与与整体幸福感相符的行为提供了一个框架,比如体育活动、社交联系和睡眠。生活方式医学在减轻医生职业倦怠的影响方面发挥着关键作用,对于未来医疗保健系统的成功至关重要。

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