Herpe Guillaume, Van den Boom Marion, Najji Rime, Tasu Jean Pierre, Beregi Jean-Paul, Boyer Louis, Guillevin Rémy
University Hospital Centre Poitiers, Radiology, Poitiers, Vienne, FR Laboratoire de Mathematiques et Applications Universite de Poitiers, DACTIM MIS TEAM, Chasseneuil, Nouvelle-Aquitaine, France.
University Hospital Centre Poitiers, Radiology, Poitiers, Vienne, France.
Eur Radiol. 2025 Jan;35(1):496-505. doi: 10.1007/s00330-024-10945-8. Epub 2024 Jul 16.
The last decade has seen a surge in the demand for imaging exams in emergency radiology (ER), necessitating an evolution in organizational systems for departments offering round-the-clock care, while safeguarding patient care quality and physician well-being to prevent burnout.
To develop a nationwide overview of ER organizations in France and identify structures that promote job satisfaction.
Two surveys were sent to 709 radiological centers across France from March to June 2022, inquiring about organizational aspects and quality of life (QOL), incorporating four validated QOL questionnaires. The organization of each center was mapped, and correlations between respondent characteristics and mental health were analyzed using Pearson's and Wilcoxon tests.
A total of 284 centers answered the organizational survey, with a response rate of about 41.6%. Among them, there were 32 university hospitals, 208 general hospitals, 2 teaching army hospitals, and 42 private facilities. Of these, night-time operations showed 14% on-site coverage, 12% on-call from home, 69% utilized external teleradiology, and 4% used in-house teleradiology. These trends persisted over weekends and holidays. Regarding the quality of working life, academic, general, and private radiologists are more satisfied with their practice compared to trainees. Depersonalization, part of the three dimensions of burnout, was high in every class, at 60% (n = 210/350).
Outside of university hospitals, most radiology centers in France no longer have on-site radiologists during off hours. Residents are prone to lower job satisfaction and quality of life than more experienced radiologists.
The survey illustrates how French ER is structured, pointing out the escalating significance of teleradiology and noting that radiologists generally experience high job satisfaction while also confronting typical organizational challenges.
The need for continuous radiology coverage comes with unique logistical challenges, especially in ER. Night shifts show a significant reliance on teleradiology services, especially by external companies. Pay, shift patterns, and seniority affect the well-being of emergency radiologists, particularly the residents.
过去十年，急诊放射学（ER）中影像检查的需求激增，这使得提供全天候护理的科室的组织系统必须进行变革，同时要保障患者护理质量和医生的健康，以防止职业倦怠。
对法国的急诊放射学组织进行全国性概述，并确定能提高工作满意度的结构。
2022年3月至6月，向法国各地的709个放射中心发送了两份调查问卷，询问组织方面的情况和生活质量（QOL），其中纳入了四份经过验证的生活质量问卷。绘制了每个中心的组织结构图，并使用Pearson检验和Wilcoxon检验分析了受访者特征与心理健康之间的相关性。
共有284个中心回复了组织调查问卷，回复率约为41.6%。其中，有32家大学医院、208家综合医院、2家军队教学医院和42家私立机构。在这些机构中，夜间值班情况显示，现场值班覆盖率为14%，在家待命为12%，69%使用外部远程放射学服务，4%使用内部远程放射学服务。这些趋势在周末和节假日持续存在。关于工作生活质量，与实习生相比，学术型、综合型和私立放射科医生对自己的工作更满意。职业倦怠三个维度之一的去个性化在每个类别中都很高，达到60%（n = 210/350）。
在大学医院之外，法国大多数放射中心在非工作时间不再配备现场放射科医生。与经验更丰富的放射科医生相比，住院医生的工作满意度和生活质量较低。
该调查说明了法国急诊放射学的结构，指出了远程放射学日益重要的意义，并指出放射科医生总体上工作满意度较高，但也面临典型的组织挑战。
持续的放射学覆盖需求带来了独特的后勤挑战，尤其是在急诊放射学中。夜班对远程放射学服务有很大依赖，尤其是外部公司提供的服务。薪酬、轮班模式和资历会影响急诊放射科医生的健康，尤其是住院医生。
