NYU Grossman School of Medicine, New York, NY.
Department of Obstetrics and Gynecology, NYU Langone Health, New York, NY.
AJR Am J Roentgenol. 2024 Oct;223(4):e2431111. doi: 10.2214/AJR.24.31111. Epub 2024 Jul 17.
Burnout among radiologists is increasingly prevalent, with the potential for having a substantial negative impact on physician well-being, delivery of care, and health outcomes. To evaluate this phenomenon using reliable and accurate means, validated quantitative instruments are essential. Variation in measurement can contribute to wide-ranging findings. This article evaluates radiologist burnout rates globally and dimensions of burnout as reported using different validated instruments; it also provides guidance on best practices to characterize burnout. Fifty-seven studies published between 1990 and 2023 were included in a systematic review, and 43 studies were included in a meta-analysis of burnout prevalence using random-effects models. The reported burnout prevalence ranged from 5% to 85%. With the Maslach Burnout Inventory (MBI), burnout prevalence varied significantly depending on the instrument version used. Among MBI subcategories, the pooled prevalence of emotional exhaustion was 54% (95% CI, 45-63%), depersonalization was 52% (95% CI, 41-63%), and low personal accomplishment was 36% (95% CI, 27-47%). Other validated burnout instruments showed less heterogeneous results; studies using the Stanford Professional Fulfillment Index yielded a burnout prevalence of 39% (95% CI, 34-45%), whereas the validated single-item instrument yielded a burnout prevalence of 34% (95% CI, 29-39%). Standardized instruments for assessing prevalence alongside multidimensional profiles capturing experiences may better characterize radiologist burnout, including change occurring over time.
放射科医生的倦怠现象日益普遍，可能对医生的健康、医疗服务的提供和健康结果产生重大负面影响。为了使用可靠和准确的方法评估这种现象，需要使用经过验证的定量工具。测量的变化可能会导致发现范围广泛。本文评估了全球放射科医生的倦怠率以及使用不同经过验证的工具报告的倦怠维度；它还提供了关于特征描述倦怠的最佳实践的指导。在系统评价中，纳入了 1990 年至 2023 年期间发表的 57 项研究，在使用随机效应模型的倦怠流行率的荟萃分析中，纳入了 43 项研究。报告的倦怠流行率从 5%到 85%不等。使用 Maslach 倦怠量表（MBI），倦怠流行率因使用的工具版本而异。在 MBI 亚类中，情绪衰竭的总患病率为 54%（95%CI，45%-63%），去人格化的患病率为 52%（95%CI，41%-63%），个人成就感低的患病率为 36%（95%CI，27%-47%）。其他经过验证的倦怠工具显示出不那么异质的结果；使用斯坦福职业满意度指数的研究得出的倦怠流行率为 39%（95%CI，34%-45%），而经过验证的单项工具得出的倦怠流行率为 34%（95%CI，29%-39%）。用于评估流行率的标准化工具以及捕捉经验的多维概况可能更好地描述放射科医生的倦怠，包括随着时间的推移发生的变化。
