改善医生健康状况的健康促进计划干预措施的有效性：一项系统评价。
Effectiveness of wellness program interventions to improve physician wellness: a systematic review.
作者信息
Kolobaric Nikola, Milone Benjamin, Salman Maria, Buh Amos, Biyani Nandini, Wafy Gamal, Fung Stephen G, Scott Mekaylah, Kiska Rohan, Kang Rachel, Lee Kathryn, Syed Sarah, Gibb Maya, Dhaliwal Shan, Myran Daniel, Maskerine Courtney, Brown Pierre Antoine, Akbari Ayub, Hundemer Gregory L, Tanuseputro Peter, Fremont Deena, Spilg Edward, Sood Manish M
机构信息
Ottawa Hospital Research Institute, The Ottawa Hospital, Civic Campus, 2-014 Administrative Services Building, 1053 Carling Avenue, Box 693, Ottawa, ON, K1Y 4E9, Canada.
Faculty of Medicine, University of Ottawa, Ottawa, ON, Canada.
出版信息
BMC Health Serv Res. 2025 Jul 3;25(1):908. doi: 10.1186/s12913-025-12934-z.
BACKGROUND
Physician wellness programs are being implemented to offset rises in physician burnout. Insight into the effectiveness of these programs and to whom they are being offered, remains unclear.
OBJECTIVES
To identify and characterize wellness program interventions to improve physician wellness.
METHODS
A PRISMA-P 2020-compliant systematic review as conducted, searching PubMed, Scopus, and Medline from May 2006 to July 2024. Search terms included Medical Subject Headings terms and keywords related to physicians and wellness program interventions. Peer reviewed published studies that qualitatively and/or quantitively measured outcomes of wellness interventions for practicing physicians were included.
RESULTS
Thirty-six studies involving 6,708 total participants were included. Interventions were heterogenous and included group therapy, stress reduction strategies, time off/workload reductions, education, and peer support. The efficacy of interventions varied, with sixteen studies (44.4%) demonstrating some measurable degree of effectiveness, with statistically significant changes ( < 0.05) post-intervention. Few studies reported improvements by physician sex, age groups, or comparisons across specialities.
CONCLUSION
Studies examining physician wellness program interventions are highly heterogenous in terms of intervention, study design and methods of outcome assessment, limiting definitive conclusions about their general effectiveness.
TRIAL REGISTRATION
The review protocol has been registered on Open Science Framework (10.17605/OSF.IO/8SDM9).
SUPPLEMENTARY INFORMATION
The online version contains supplementary material available at 10.1186/s12913-025-12934-z.
背景
正在实施医生健康计划以应对医生职业倦怠的增加。然而，这些计划的有效性以及实施对象仍不明确。
目的
识别并描述改善医生健康状况的健康计划干预措施。
方法
进行了一项符合PRISMA-P 2020的系统评价，检索了2006年5月至2024年7月期间的PubMed、Scopus和Medline。检索词包括医学主题词以及与医生和健康计划干预措施相关的关键词。纳入了对执业医生健康干预结果进行定性和/或定量测量的同行评审发表研究。
结果
纳入了36项研究，共涉及6708名参与者。干预措施多种多样，包括团体治疗、减压策略、休假/减少工作量、教育和同伴支持。干预措施的效果各不相同，16项研究（44.4%）显示出一定程度的可测量效果，干预后有统计学显著变化（P<0.05）。很少有研究报告按医生性别、年龄组或不同专业比较的改善情况。
结论
关于医生健康计划干预措施的研究在干预措施、研究设计和结果评估方法方面高度异质，限制了对其总体有效性得出明确结论。
试验注册
该综述方案已在开放科学框架（10.17605/OSF.IO/8SDM9）上注册。
补充信息
在线版本包含可在10.1186/s12913-025-12934-z获取的补充材料。
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