Deckard G, Meterko M, Field D
Florida International University, Miami.
Med Care. 1994 Jul;32(7):745-54. doi: 10.1097/00005650-199407000-00007.
This study presents an empirical assessment of burnout among physicians in two staff model HMOs and examines the critical relationships between physician burnout and personal, professional, and organizational/worklife factors. The authors hypothesize that a substantial proportion (> 40%) of physicians will report high scores on emotional exhaustion, the key burnout dimension, and that high emotional exhaustion will be correlated with low evaluations of organizational/worklife factors. The survey results found 58% of the physicians reported scores in high emotional exhaustion. Regression analyses established that organizational measures, specifically, evaluative ratings of Workload/Scheduling and Input/Influence were the strongest predictors of emotional exhaustion. The substantial proportion of physicians reporting scores high on the burnout dimensions, and the potential for management to intervene and improve the factors that foster burnout, suggests the need for organizations to examine the impact of their structures, policies, and procedures on physician stress and quality of worklife.
本研究对两家员工模式健康维护组织（HMO）中的医生职业倦怠进行了实证评估，并考察了医生职业倦怠与个人、职业及组织/工作生活因素之间的关键关系。作者假设，相当大比例（>40%）的医生在情绪耗竭（职业倦怠的关键维度）上会报告高分，且高情绪耗竭将与对组织/工作生活因素的低评价相关。调查结果发现，58%的医生报告情绪耗竭得分高。回归分析表明，组织措施，具体而言，工作量/排班以及投入/影响力的评估评级是情绪耗竭最强的预测因素。相当大比例的医生在职业倦怠维度上报告高分，以及管理层进行干预并改善助长职业倦怠因素的可能性，表明组织有必要审视其结构、政策和程序对医生压力及工作生活质量的影响。
