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职业倦怠的患病率及工作量对医生健康的影响:加拿大不列颠哥伦比亚省住院医师的横断面调查。

Prevalence of burnout and impact of workload on physician wellness: A cross-sectional survey of hospitalists in British Columbia, Canada.

作者信息

Yousefi Vandad

机构信息

Vancouver General Hospital, Vancouver, British Columbia, Canada.

出版信息

J Hosp Med. 2025 Jul;20(7):688-700. doi: 10.1002/jhm.13577. Epub 2025 Jan 1.

DOI:10.1002/jhm.13577
PMID:39741466
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12217418/
Abstract

BACKGROUND

Hospitalists in British Columbia care for a large percentage of hospitalized patients across 21 acute care facilities.

OBJECTIVE

We aimed to characterize the demographic and work attributes of the workforce and to understand levels of burnout and the relationship between workload and job satisfaction.

METHODS

We conducted a cross-sectional survey of individuals participating in hospitalist programs in BC.

RESULTS

Almost all individuals (96%) were involved in the care of patients with COVID-19 in 2021, the height of the pandemic. High rates of burnout were demonstrated among hospitalists, with a large number of providers planning to significantly reduce or stop their involvement in acute care. Regression analysis identified workload as an important factor associated with burnout. Older physicians, those who had been practising for longer, and those with moderate to high number of shifts were more likely to consider reducing their involvement with their programs.

CONCLUSIONS

High levels of burnout are associated with a desire to reduce work involvement among BC hospitalists. Health system leaders need to consider factors contributing to burnout as a key aspect of broader health human resource planning efforts.

摘要

背景

不列颠哥伦比亚省的住院医师负责照顾21家急性护理机构中很大比例的住院患者。

目的

我们旨在描述该劳动力群体的人口统计学和工作属性,并了解职业倦怠程度以及工作量与工作满意度之间的关系。

方法

我们对参与不列颠哥伦比亚省住院医师项目的人员进行了一项横断面调查。

结果

在2021年疫情高峰期,几乎所有人员(96%)都参与了新冠患者的护理工作。住院医师中职业倦怠率很高,大量医护人员计划大幅减少或停止参与急性护理工作。回归分析确定工作量是与职业倦怠相关的一个重要因素。年龄较大的医生、从业时间较长的医生以及轮班次数中等至较多的医生更有可能考虑减少参与项目的程度。

结论

高度的职业倦怠与不列颠哥伦比亚省住院医师减少工作参与度的愿望相关。卫生系统领导者需要将导致职业倦怠的因素作为更广泛的卫生人力资源规划工作的一个关键方面加以考虑。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7132/12217418/7e8e37fa162d/JHM-20-688-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7132/12217418/5798659ee71d/JHM-20-688-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7132/12217418/78cfcd8e3b2e/JHM-20-688-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7132/12217418/5537615a1217/JHM-20-688-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7132/12217418/7e8e37fa162d/JHM-20-688-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7132/12217418/5798659ee71d/JHM-20-688-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7132/12217418/78cfcd8e3b2e/JHM-20-688-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7132/12217418/5537615a1217/JHM-20-688-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7132/12217418/7e8e37fa162d/JHM-20-688-g004.jpg

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Emergency departments are in crisis now and for the foreseeable future.急诊部门目前处于危机之中,并且在可预见的未来也将如此。
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