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[基层医疗中职业倦怠与医疗质量的关联]

[Association between burnout and quality of care in primary care].

作者信息

Griñan Ferre Kilian, Torras Borrell Joan, Aparicio Freixa Jordi

机构信息

Servei d'Urgències, Hospital Universitari de Terrassa. Consorci Sanitari de Terrassa, Terrassa, Barcelona, España.

EAP Sant Llàtzer, Consorci Sanitari de Terrassa, Terrassa, Barcelona, España; Unitat Docent Multiprofessional d'Atención Familiar i Comunitaria (AFiC), Conscorci Sanitari de Terrassa (CST), Terrassa, Barcelona, España.

出版信息

Aten Primaria. 2025 Jan 11;57(7):103207. doi: 10.1016/j.aprim.2024.103207.

DOI:10.1016/j.aprim.2024.103207
PMID:39799635
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11772939/
Abstract

OBJECTIVES

To assess the influence of burnout in family physicians on their score on the EQA index.

DESIGN

Observational study. SITE: Study conducted in the primary care centers of the Terrassa Health Consortium, in Vallès Occidental, Catalonia.

PARTICIPANTS

Primary care physicians with a basic care unit were included. Of the 107 family doctors working in the 8 primary care centers of the Terrassa Health Consortium, 73 professionals participated.

INTERVENTIONS

A self-administered survey was carried out with demographic and occupational elements such as age, gender, length of service at the work center, the MBI and the last self-reported EQA value belonging to the year 2023.

MAIN MEASURES

Sociodemographic variables were analysed; years of experience and clinical variables such as the EQA, the Maslach test and its dimensions emotional exhaustion, depersonalisation and personal fulfilment. The Maslach Burnout Inventory test was administered. The level of statistical significance considered was 5%.

RESULTS

Seventy-threefamily doctors took the Maslach test, 54 (74%) had burnout, of which 21.9% (16) were severe. A statistically significant relationship was found between burnout and EQA (P=.023) and between emotional exhaustion and EQA (P=.013) in the mild and severe categories (P=.003).

CONCLUSIONS

Family physicians with burnout have a lower EQA value, which is not associated with age, sex or years of experience, but with the emotional exhaustion suffered.

摘要

目的

评估家庭医生职业倦怠对其在EQA指数上得分的影响。

设计

观察性研究。

地点

在加泰罗尼亚西部瓦列斯的泰拉萨健康联盟的初级保健中心进行的研究。

参与者

纳入设有基本护理单元的初级保健医生。在泰拉萨健康联盟8个初级保健中心工作的107名家庭医生中,73名专业人员参与了研究。

干预措施

开展了一项自我管理的调查,涉及年龄、性别、在工作中心的服务年限、MBI以及属于2023年的最后一次自我报告的EQA值等人口统计学和职业因素。

主要测量指标

分析社会人口统计学变量;经验年限和临床变量,如EQA、马氏倦怠量表测试及其维度情绪耗竭、去个性化和个人成就感。进行了马氏倦怠量表测试。所考虑的统计学显著性水平为5%。

结果

73名家庭医生进行了马氏倦怠量表测试,54名(74%)存在职业倦怠,其中21.9%(16名)为严重职业倦怠。在轻度和重度类别中,发现职业倦怠与EQA之间存在统计学显著关系(P = 0.023),情绪耗竭与EQA之间也存在统计学显著关系(P = 0.013)(P = 0.003)。

结论

存在职业倦怠的家庭医生EQA值较低,这与年龄、性别或经验年限无关,而是与所遭受的情绪耗竭有关。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/93c8/11772939/69bb24c8bd41/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/93c8/11772939/5a12d9bffa6f/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/93c8/11772939/79a670e26882/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/93c8/11772939/69bb24c8bd41/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/93c8/11772939/5a12d9bffa6f/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/93c8/11772939/79a670e26882/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/93c8/11772939/69bb24c8bd41/gr3.jpg

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本文引用的文献

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A systematic review and meta analysis on burnout in physicians during the COVID-19 pandemic: A hidden healthcare crisis.关于新冠疫情期间医生职业倦怠的系统评价与荟萃分析:一场隐匿的医疗危机。
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Impact of the COVID-19 Pandemic on Burnout in Primary Care Physicians in Catalonia.
COVID-19 大流行对加泰罗尼亚初级保健医生倦怠的影响。
Int J Environ Res Public Health. 2021 Aug 27;18(17):9031. doi: 10.3390/ijerph18179031.
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Primary Care Clinician Burnout and Engagement Association With Clinical Quality and Patient Experience.基层医疗临床医生职业倦怠与投入度与临床质量和患者体验的关联
J Am Board Fam Med. 2021 May-Jun;34(3):542-552. doi: 10.3122/jabfm.2021.03.200515.
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