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本文引用的文献

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A national profile of sandwich generation caregivers providing care to both older adults and children.为照顾老年人和儿童的“三明治一代”照顾者建立国家概况。
J Am Geriatr Soc. 2023 Mar;71(3):799-809. doi: 10.1111/jgs.18138. Epub 2022 Nov 25.
2
Impact of Sexual Harassment and Social Support on Burnout in Physician Mothers.论性骚扰和社会支持对医生母亲职业倦怠的影响。
J Womens Health (Larchmt). 2022 Jul;31(7):932-940. doi: 10.1089/jwh.2021.0487. Epub 2022 Jun 22.
3
The Intersection of Work and Home Challenges Faced by Physician Mothers During the Coronavirus Disease 2019 Pandemic: A Mixed-Methods Analysis.《COVID-19 大流行期间,医师母亲在工作与家庭挑战方面的交叉问题:混合方法分析》。
J Womens Health (Larchmt). 2021 Apr;30(4):514-524. doi: 10.1089/jwh.2020.8964. Epub 2021 Mar 23.
4
Behavioral Health and Burnout Among Physician Mothers Who Care for a Person With a Serious Health Problem, Long-term Illness, or Disability.患有严重健康问题、长期患病或残疾的人接受医生母亲的护理时的行为健康和倦怠问题。
JAMA Intern Med. 2019 Apr 1;179(4):571-574. doi: 10.1001/jamainternmed.2018.6411.
5
Physician mothers' experience of workplace discrimination: a qualitative analysis.医生母亲的工作场所歧视经历:一项定性分析。
BMJ. 2018 Dec 12;363:k4926. doi: 10.1136/bmj.k4926.
6
A National Profile of Family and Unpaid Caregivers Who Assist Older Adults With Health Care Activities.协助老年人进行医疗保健活动的家庭及无薪照料者的全国概况。
JAMA Intern Med. 2016 Mar;176(3):372-9. doi: 10.1001/jamainternmed.2015.7664.

“向那些对系统了如指掌的人学习”:身为非正式照料者的医生母亲们的经历

"Learning from those who know the system inside and out": Experiences of physician mothers who are informal caregivers.

作者信息

Semere Wagahta, Ponce Andrea N, Linos Eleni, Jagsi Reshma, Mangurian Christina, Halley Meghan C

机构信息

Department of Medicine, University of California San Francisco School of Medicine.

Department of Epidemiology, Johns Hopkins Bloomberg School of Public Health.

出版信息

Fam Syst Health. 2025 Jun;43(2):386-393. doi: 10.1037/fsh0000945. Epub 2024 Dec 12.

DOI:10.1037/fsh0000945
PMID:39666478
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12159254/
Abstract

BACKGROUND

For physicians, the added responsibility of being an informal caregiver (IC, providing regular care for seriously ill loved ones) can create challenges such as increased rates of burnout that have received little attention. In this study, we explored physician mothers' informal caregiving experiences and probed their perspectives on how health systems can better support their needs.

METHOD

From September 14, 2021, to October 31, 2021, we distributed an online survey to a national sample of physician mothers who self-identified as ICs; survey questions examined their caregiving responsibilities and perspectives on workplace changes needed to support them.

RESULTS

Of 23 respondents, 48% were caregivers for a child, and 74% coresided with their care recipient; 26% spent on average 40 hr per week caregiving and 44% were ICs for 5 years or more. Main caregiving responsibilities included communicating with health care providers (91%) and managing and/or attending medical appointments (70%). Three central themes emerged from open-ended questions: (a) "It's an exhausting and unrecognized burden"; (b) "Our health care system is difficult to navigate, even for physicians"; and (c) "Flexible work schedules, no penalties." Within these themes, respondents described feeling unrecognized and unsupported as ICs in their workplaces.

CONCLUSION

Physician mothers who are ICs fill critical, demanding roles as health care leaders and caregivers at home. Balancing these dual roles presents significant challenges that can have adverse effects, leaving physician-mother ICs vulnerable to burnout and attrition. Targeted support strategies including flexible staffing models, expanded telehealth, and paid informal caregiving leave may improve experiences for physician ICs more generally. (PsycInfo Database Record (c) 2025 APA, all rights reserved).

摘要

背景

对于医生而言,承担非正式照料者(IC,为重病亲人提供日常照料)的额外责任可能会带来一些挑战,比如职业倦怠率上升,而这一点很少受到关注。在本研究中,我们探讨了医生母亲的非正式照料经历,并探究了她们对于医疗系统如何能更好地满足其需求的看法。

方法

2021年9月14日至2021年10月31日,我们向全国范围内自认为是IC的医生母亲样本发放了一份在线调查问卷;调查问题涉及她们的照料责任以及对支持她们所需工作场所变化的看法。

结果

在23名受访者中,48%是孩子的照料者,74%与受照料者同住;26%平均每周花费40小时进行照料,44%作为IC已有5年或更长时间。主要照料责任包括与医疗服务提供者沟通(91%)以及安排和/或陪同就医(70%)。开放式问题产生了三个核心主题:(a)“这是一项令人疲惫且未得到认可的负担”;(b)“即使对医生来说,我们现有的医疗系统也很难应对”;(c)“灵活的工作时间表,无处罚措施”。在这些主题中,受访者表示在工作场所作为IC未得到认可和支持。

结论

身为IC的医生母亲在家中既是医疗保健领域的领导者,又是照料者,承担着至关重要且要求颇高的角色。平衡这双重角色带来了重大挑战,可能产生不利影响,使身为医生母亲的IC容易出现职业倦怠和人员流失。包括灵活人员配置模式、扩大远程医疗服务范围以及提供带薪非正式照料假在内的针对性支持策略,可能会普遍改善医生IC的体验。(《心理学文摘数据库记录》(c)2025美国心理学会,保留所有权利)