Reijmerink Iris, van der Laan Maarten J, Dongelmans Dave, Cnossen Fokie, Leistikow Ian
Department of Surgery, University Medical Centre Groningen, Groningen, The Netherlands
Department of Surgery, University Medical Centre Groningen, Groningen, The Netherlands.
BMJ Lead. 2025 Jun 25;9(2):194-197. doi: 10.1136/leader-2023-000828.
Physician wellness remains a growing concern, not only affecting the physicians' quality of life but also the quality of care delivered. One of the core tasks of medical regulatory authorities (MRAs) is to supervise the quality and safety of care. This brief report aimed to evaluate the practices of MRAs regarding physician wellness and their views on residents as a high-risk group for decreased physician wellness.
A questionnaire was sent to MRAs worldwide, related to four topics: the identification of physician wellness as a risk factor for quality of care, data collection, interventions and the identification of residents as high risk for poor physician wellness. 26 responses were included.
23 MRAs consider poor physician wellness a risk factor for quality of care, 10 collect data and 13 have instruments to improve physician wellness. Nine MRAs identify residents as a high-risk group for poor physician wellness. Seven MRAs feel no responsibility for physician wellness.
Although almost all MRAs see poor physician wellness as a risk factor, actively countering this risk does not yet appear to be common practice. Given their unique position within the healthcare regulatory framework, MRAs could help improve physician wellness.
医生的职业健康问题日益受到关注，这不仅影响医生的生活质量，还影响医疗服务的质量。医疗监管机构（MRA）的核心任务之一是监督医疗服务的质量和安全。本简要报告旨在评估医疗监管机构在医生职业健康方面的做法，以及他们对住院医师作为医生职业健康下降高风险群体的看法。
向全球的医疗监管机构发送了一份问卷，涉及四个主题：将医生职业健康确定为医疗质量的风险因素、数据收集、干预措施以及将住院医师确定为医生职业健康不佳的高风险群体。共收到26份回复。
23个医疗监管机构认为医生职业健康不佳是医疗质量的风险因素，10个收集数据，13个有改善医生职业健康的措施。9个医疗监管机构将住院医师确定为医生职业健康不佳的高风险群体。7个医疗监管机构认为自己对医生职业健康没有责任。
尽管几乎所有医疗监管机构都将医生职业健康不佳视为风险因素，但积极应对这一风险似乎尚未成为普遍做法。鉴于其在医疗监管框架中的独特地位，医疗监管机构可以帮助改善医生的职业健康状况。
