学术医生之间的福祉参数和离开当前机构的意图
Jennifer A Ligibel1, Nicolette Goularte2, Jennifer I Berliner3
1Department of Medical Oncology, Dana-Farber Cancer Institute, Boston, Massachusetts.
JAMA network open
|December 15, 2023
概括
医生倦怠和缺乏专业成就感显著增加了学术医生有意离开 (ITL) 的可能性. 解决这些福祉因素对于保持医疗保健专业人员和确保一致的患者护理至关重要.
科学领域:
- 医学研究 医学研究
- 医疗保健管理的管理
- 医生福利 医生福利
背景情况:
- 医生的流动性扰乱了医疗保健的提供,并为医疗保健系统带来了巨大的财务成本.
- 了解导致医生有意离职 (ITL) 的因素对于劳动力稳定至关重要.
研究的目的:
- 确定在学术医疗机构的医生中燃烧,专业成就和ITL的流行情况.
- 确定与医生ITL相关的个人和机构因素.
主要方法:
- 对15个学术医疗机构的37511名主治医生进行了横截面调查.
- 数据收集发生在2019年10月至2021年7月期间,统计分析从2022年5月至2023年3月.
- 离开意图 (ITL) 被定义为在两年内有中等或更大的离开意图.
主要成果:
- 32.6%的受访医生报告中度或更高的ITL.
- 燃烧 (OR,1.52) 和缺乏职业成就 (OR,0.64) 与ITL有显著的相关性.
- 支持性的领导力,同行支持,价值观对齐,感知到的感激,对COVID-19的组织支持和EHR的帮助与ITL相反相关.
结论:
- 很大一部分学术医生表示打算离开他们的机构.
- 倦怠,职业成就和各种工作场所因素显著影响了医生保留.
- 针对医生福祉的综合战略是必要的,以减轻医生流动.
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