工作负荷和GP燃烧:在丹麦的全科医院的调查和基于登记的研究
Astrid Ibsen Bruun1,2, Peter Vedsted3,4, Henrik Schou Pedersen3,2
1Research Unit for General Practice, Aarhus, Denmark astridibsen@gmail.com.
BJGP open
|October 25, 2023
概括
丹麦的全科医生 (GP) 每周工作超过五天,他们的倦怠风险会增加. 与患者相关的长时间任务也会增加燃烧,尽管服务数量与更高的燃烧没有相关性.
科学领域:
- 一般的做法一般的做法
- 职业健康 职业健康 职业健康
- 医学社会学 医学社会学
背景情况:
- 倦怠是一般医生 (GPs) 中普遍存在的问题.
- 之前的研究表明,高工作量和医生倦怠之间存在联系.
研究的目的:
- 为了调查丹麦单手全科医生的倦怠风险.
- 以自我报告和基于注册的工作负载数据来评估这种风险.
主要方法:
- 利用了来自312名丹麦单人全科医生的问卷数据.
- 集成的注册数据关于患者数量和提供的服务.
- 燃烧率是使用马斯拉赫燃烧率库存-人力服务调查 (MBI-HSS) 来衡量的.
- 进行了双项回归分析,调整了GP年龄,性别和患者的社会剥夺.
主要成果:
- 每周工作超过五天显著增加了倦怠风险 (调整后的RR=2.34).
- 每天花费超过7.5小时在与患者相关的任务上也增加了倦怠风险.
- 在提供服务的数量和倦怠风险之间没有发现显著的关联.
结论:
- 每周工作五天是丹麦单人全科医生中燃烧的重要风险因素.
- 长时间从事与患者相关的任务显示了增加倦怠风险的趋势.
- 在这一群体中,高服务量似乎与增加的倦怠风险无关.
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