Würtenberger Annika, Groneberg David A, Mache Stefanie
Institute for Occupational and Maritime Medicine (ZfAM), University Medical Center Hamburg-Eppendorf (UKE), Hamburg, 20459, Germany.
Institute of Occupational Medicine, Social Medicine and Environmental Medicine, Goethe University Frankfurt, Frankfurt, 60590, Germany.
BMC Health Serv Res. 2025 Apr 11;25(1):535. doi: 10.1186/s12913-025-12653-5.
Digital technologies are increasingly being integrated into healthcare settings, including the ambulatory sector of general practitioners, with potential improvement in everyday work life. Although the changes sound very promising, the adoption of new technologies can also introduce additional stressors for medical staff, potentially resulting in negative impacts on work performance and health. This study seeks to identify the stressors and resources associated with digitization among general practitioners in Germany, explore their effects on work and health variables, and uncover potential preventive measures to mitigate these stressors.
This mixed methods study combined quantitative and qualitative approaches. An online questionnaire was used to examine the relationships between technostress creators, inhibitors, and the perception of technostress, as well as the measures of burnout, job satisfaction, and general health among 114 general practitioners in Germany's ambulatory care setting. The study was carried out between March and June 2024. Several validated instruments were employed, including the Technostress Model and selected items from the Copenhagen Psychosocial Questionnaire (COPSOQ III). Exploratory assumptions were evaluated using descriptive statistics and multiple regression analyses.
The study found medium levels of technostress perception among the participating general practitioners (n = 114) along with a substantial level of technostress inhibitors. The general practitioners surveyed in this study reported experiencing burnout symptoms occasionally, expressed a moderate level of job satisfaction, and generally described their health status as good. The relationships between stressors and work- and health-related outcomes were analyzed.
This study offers a preliminary overview of the persistence of techno-stressors, technostress inhibitors, and technostress levels and their impact on health- and work-related outcomes among general practitioners in Germany. The findings indicate that using information and communication technologies can lead to heightened stress, increased burnout symptoms, and reduced job satisfaction. As the workload for general practitioners is expected to grow in the upcoming years, the study highlights the critical need for additional preventive strategies to mitigate stress and improve well-being among general practitioners.
数字技术正越来越多地融入医疗保健环境，包括全科医生的门诊部门，这有望改善日常工作生活。尽管这些变化听起来很有前景，但新技术的采用也可能给医务人员带来额外的压力源，从而可能对工作表现和健康产生负面影响。本研究旨在确定德国全科医生中与数字化相关的压力源和资源，探讨它们对工作和健康变量的影响，并找出减轻这些压力源的潜在预防措施。
这项混合方法研究结合了定量和定性方法。使用在线问卷来研究技术压力产生因素、抑制因素与技术压力感知之间的关系，以及德国门诊护理环境中114名全科医生的倦怠、工作满意度和总体健康状况指标。该研究于2024年3月至6月进行。使用了几种经过验证的工具，包括技术压力模型和哥本哈根心理社会问卷（COPSOQ III）中的选定项目。使用描述性统计和多元回归分析对探索性假设进行评估。
研究发现，参与研究的全科医生（n = 114）的技术压力感知处于中等水平，同时技术压力抑制因素水平较高。本研究中接受调查的全科医生报告偶尔出现倦怠症状，工作满意度处于中等水平，总体上表示他们的健康状况良好。分析了压力源与工作和健康相关结果之间的关系。
本研究初步概述了德国全科医生中技术压力源、技术压力抑制因素和技术压力水平的持续存在情况及其对健康和工作相关结果的影响。研究结果表明，使用信息通信技术可能导致压力增加、倦怠症状加剧和工作满意度降低。由于预计未来几年全科医生的工作量将会增加，该研究凸显了迫切需要额外的预防策略来减轻压力并改善全科医生的幸福感。
