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医生的工作动力和退休态度。

Motivation to work and attitudes towards retirement among physicians.

机构信息

Institute of Social Medicine, Occupational Health and Public Health, Medical Faculty, University of Leipzig, Ph.-Rosenthal-Str. 55, 04103, Leipzig, Germany.

General Practice, Dresdner Straße 34a, 04808, Wurzen, Germany.

出版信息

BMC Health Serv Res. 2024 Jul 25;24(1):846. doi: 10.1186/s12913-024-11296-2.

DOI:10.1186/s12913-024-11296-2
PMID:39061066
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11282656/
Abstract

BACKGROUND

The healthcare system is currently in a state of tension due to a shortage of physicians, the early retirement of health care professionals and an increasing need for care within an (aging) society. Therefore, the aim of the present study was to examine physicians' attitudes towards retirement and possible influencing factors on their motivation to work.

METHOD

Data were collected as part of a baseline survey of a long-term study. The sample includes a variety of physicians (n = 625), working in outpatient or inpatient care, who have not yet reached the retirement age of 67. The primary outcome was to survey attitudes towards retirement using the Motivation to Work scale. Work-related characteristics (e.g., with regard to contract or working hour) as well as job satisfaction, overall health, and burnout were also included in the analyses (correlations and linear regression models).

RESULTS

According to the results, sociodemographic characteristics are not significantly related to motivation to work, whereas the other parameters (satisfaction, health, and burnout) influence attitudes towards retirement significantly.

CONCLUSIONS

The results underline the need to improve the occupational conditions of physicians across different medical settings. More research is needed to understand physicians' decision-making with regard to retirement, especially in terms of work-related characteristics and differences.

摘要

背景

由于医生短缺、医护人员提前退休以及(老龄化)社会对护理的需求不断增加,医疗体系目前处于紧张状态。因此,本研究旨在探讨医生对退休的态度以及影响其工作动机的可能因素。

方法

数据是作为一项长期研究的基线调查的一部分收集的。该样本包括各种医生(n=625),他们在门诊或住院护理中工作,尚未达到 67 岁的退休年龄。主要结果是使用工作动机量表调查对退休的态度。工作相关特征(例如,关于合同或工作时间)以及工作满意度、整体健康状况和倦怠也包括在分析中(相关性和线性回归模型)。

结果

根据结果,社会人口统计学特征与工作动机没有显著关系,而其他参数(满意度、健康状况和倦怠)对退休态度有显著影响。

结论

结果强调了需要改善不同医疗环境中医生的职业条件。需要更多的研究来了解医生退休的决策,特别是在与工作相关的特征和差异方面。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a816/11282656/169923a49edc/12913_2024_11296_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a816/11282656/169923a49edc/12913_2024_11296_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a816/11282656/169923a49edc/12913_2024_11296_Fig1_HTML.jpg

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本文引用的文献

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[Views on Retirement by General Practitioners].[全科医生对退休的看法]
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Interventions to reduce burnout of physicians and nurses: An overview of systematic reviews and meta-analyses.减少医生和护士职业倦怠的干预措施:系统评价与荟萃分析综述
Medicine (Baltimore). 2020 Jun 26;99(26):e20992. doi: 10.1097/MD.0000000000020992.
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Household income and retirement perspective among older workers in Germany-Findings from the lidA Cohort Study.
德国老年工人的家庭收入和退休展望—— lidA 队列研究的结果。
J Occup Health. 2020 Jan;62(1):e12130. doi: 10.1002/1348-9585.12130.
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Burnout Among Family Physicians by Gender and Age.家庭医生的性别和年龄与倦怠之间的关系。
J Am Board Fam Med. 2020 May-Jun;33(3):355-356. doi: 10.3122/jabfm.2020.03.190319.
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[COVID-19 Pandemic: Stress Experience of Healthcare Workers - A Short Current Review].[新冠疫情:医护人员的压力体验——近期简要综述]
Psychiatr Prax. 2020 May;47(4):190-197. doi: 10.1055/a-1159-5551. Epub 2020 Apr 27.
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'Should I stay or should I go now?': A qualitative study of why UK doctors retire.“我该留下还是现在就走?”:关于英国医生退休原因的定性研究
Med Educ. 2020 Sep;54(9):821-831. doi: 10.1111/medu.14157. Epub 2020 Jun 2.
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The Impact of Burnout on the Obstetrics and Gynecology Workforce.职业倦怠对妇产科医护人员的影响。
Clin Obstet Gynecol. 2019 Sep;62(3):444-454. doi: 10.1097/GRF.0000000000000452.
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US Physicians' Work Motivation and Their Occupational Health: A National Survey of Practicing Physicians.美国医师工作动机与职业健康:一项对执业医师的全国性调查。
Med Care. 2019 May;57(5):334-340. doi: 10.1097/MLR.0000000000001101.
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[Vertical and horizontal social inequality and motivation for early retirement].[纵向和横向社会不平等与提前退休的动机]
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