在多学科初级保健团队工作的全科医生中,工作中的幸福感:一个横截面研究
Christine Cohidon1, Adeline Cachou de Camaret2, Nicolas Senn2
1Department of Family Medicine, Center for Primary Care and Public Health,University of Lausanne, Vaud, Switzerland christine.cohidon@unisante.ch.
BJGP open
|July 4, 2025
概括
多学科的初级保健团队通过减少职业压力和提高工作满意度来改善全科医生的福祉. 这些发现为改善医疗保健系统提供了洞察力.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 职业健康 职业健康 职业健康
- 初级医疗保健医学 一级医疗保健医学
背景情况:
- 通过发展多学科团队来改变初级保健 (PC) 对职业福利提出了挑战.
- 了解团队组成对医疗保健专业人员的影响对于有效的PC转型至关重要.
研究的目的:
- 调查一般医生 (GPs) 中职业压力和工作满意度之间的联系.
- 检查PC团队的专业组成如何影响GP福祉.
主要方法:
- 来自11个西方国家的2019英联邦基金国际卫生政策调查数据的二次分析 (N=13,200名医生).
- 根据专业组成,将PC实践分为五个模型.
- 使用有序后勤回归来评估实践模型与GP福利指标 (职业压力,工作满意度) 之间的关联.
主要成果:
- 与传统的全科医生为中心的实践相比,多学科的PC团队与明显较低的职业压力 (OR=0.77) 和更高的工作满意度 (OR=1.43) 相关.
- 心理学家为中心的实践也显示了与GP福祉的积极关联 (压力较低OR=0.81,满意度较高OR=1.24).
- 护士为中心的实践仅在较小的实践中 (<1.4 FTE GPs) 与更高的工作满意度有关.
结论:
- 多学科的初级保健团队与一般医生的职业幸福感有积极的关联.
- 这些发现对西方国家的医疗保健系统有影响,为医疗保健专业人员和政策制定者指导改善.
- 在初级保健中优化团队组成是提高医疗保健专业人员福祉的有希望的途径.
相关概念视频
01:30Primary Healthcare Services
1.5K
Primary care promotes wellness and prevents disease. This care includes health promotion, education, protection (such as immunizations), early disease screening, and environmental considerations. Settings providing this type of healthcare include physician offices, public health clinics, school nursing, and community health nursing.
In 1978, international leaders convened in Alma-Ata, Kazakhstan, for what would be a pivotal event in global health. The Alma-Ata Declaration was the first to call...
In 1978, international leaders convened in Alma-Ata, Kazakhstan, for what would be a pivotal event in global health. The Alma-Ata Declaration was the first to call...
1.5K
01:21Interdisciplinary Care: The Health Care Team-I
1.8K
An interdisciplinary team includes many healthcare professionals working together and utilizing their skills, knowledge, and expertise to provide holistic and quality patient care.
Physicians
The physician's primary responsibility is to diagnose illness and direct the medical or surgical treatment of the condition. The authority to admit patients to a healthcare agency or institution and practice care within that setting is granted to physicians by the healthcare agency or institution...
Physicians
The physician's primary responsibility is to diagnose illness and direct the medical or surgical treatment of the condition. The authority to admit patients to a healthcare agency or institution and practice care within that setting is granted to physicians by the healthcare agency or institution...
1.8K
01:18Interdisciplinary Care: The Health Care Team-II
1.5K
An interdisciplinary team includes many healthcare professionals working together and utilizing their skills, knowledge, and expertise to provide holistic and quality patient care. Here are a few more healthcare professionals.
Physical Therapist
A physical therapist (PT) aims to restore function or prevent additional impairment in a patient following an injury or disease. Massage, heat, cold, water, sonar waves, exercises, and electrical stimulation are some treatments used by PTs to treat...
Physical Therapist
A physical therapist (PT) aims to restore function or prevent additional impairment in a patient following an injury or disease. Massage, heat, cold, water, sonar waves, exercises, and electrical stimulation are some treatments used by PTs to treat...
1.5K
01:13Patient-centered Care
2.3K
Patient-centered care involves delivering care beyond inpatient hospitalization. Reflective practice can enhance a patient-centered approach. Reflective practice is a process of reasoning that considers all aspects of the present situation, including practicalities, learning from personal practice, and consideration of patient needs. Patients appreciate care decisions made while considering their input. Involving the patient in their care provides the patient with a sense of contribution rather...
2.3K
01:28International Nursing Organizations II
1.1K
The World Health Organization (WHO) is a specialized agency of the United Nations based in Geneva. The WHO has many initiatives that center around health. Primarily, they lead global efforts to expand universal health coverage using science-based policies and programs. They are also responsible for shaping health research agendas and developing norms and standards.
The WHO provides expert team support, including funding, vaccines, testing, and treatment tools at the country level to fight...
The WHO provides expert team support, including funding, vaccines, testing, and treatment tools at the country level to fight...
1.1K
01:27Peripheral Artery Disease III: Interprofessional Care
32
Peripheral Artery Disease (PAD) is characterized by narrowed arteries that diminish blood flow to the extremities. Effective management of PAD requires an interprofessional approach involving various healthcare professionals. The critical aspects of interprofessional care for PAD patients focus on risk factor modification, drug therapy, exercise therapy, nutrition therapy, critical limb ischemia care, and interventional radiology and surgical procedures.The primary treatment goal for PAD...
32