医生参与解决与健康相关的社会需求和倦怠的医生参与
Masami Tabata-Kelly1,2,3, Xiaochu Hu3, Michael J Dill3
1The Heller School for Social Policy and Management, Brandeis University, Waltham, Massachusetts.
JAMA network open
|January 9, 2025
概括
解决患者与健康相关的社会需求 (HRSN) 的医生显示出更高的倦怠率. 增加对HRSN的参与与更大的倦怠有关,这表明需要评估福利影响.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 医生福利 医生福利
- 健康的社会决定因素
背景情况:
- 解决与健康相关的社会需求 (HRSNs) 的组织能力与减少医生倦怠有关.
- 医生层面的参与解决HRSN及其对倦怠的直接影响仍未得到充分研究.
研究的目的:
- 定义医生参与治疗患者的HRSN.
- 调查医生HRSN参与和倦怠之间的关联.
主要方法:
- 美国医学院协会2022年全国医生样本调查 (NSSP) 的横截面分析.
- 通过自我报告的解决社会需求的频率来评估HRSN参与度.
- 使用Maslach Burnout Inventory测量的倦怠度是情绪疲劳领域.
- 多变量逻辑回归分析了协会,数据按国家代表性加权.
主要成果:
- 在5447名接受调查的医生中,有34.3%的医生报告说,他们在解决HRSN问题上的参与度很高.
- 较高的HRSN参与度 (低至中等和高) 与医生倦怠率的增加显著相关 (AOR分别为1.33和1.72).
- 在不同的医生特征中观察到的HRSN参与的变化.
结论:
- 医生参与解决HRSN的问题在全国范围内有所不同.
- 医生更多地参与解决HRSN的问题,与更高的倦怠概率相关.
- 需要进一步的研究来了解和减轻对医生福祉的潜在负面影响.
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