为什么精神病医生选择离开公共精神卫生服务
Benjamin McBreen1, Jenni Manuel2, Matthew Tennant3
1Senior Psychiatric Registrar, Health New Zealand - Te Whatu Ora Waitaha Canterbury, New Zealand.
精神病医生正在离开新西兰.
科学领域:
- 精神病学是一个精神病学.
- 心理健康服务 心理健康服务
- 医疗保健劳动力研究 劳动力研究
背景情况:
- 公共资助的心理健康服务在保留精神病学家方面面临着挑战.
- 了解精神病医生离职的原因对于服务的可持续性至关重要.
研究的目的:
- 探索导致精神病医生离开新西兰公共精神卫生服务的因素.
主要方法:
- 定性描述性设计. 定性描述性设计.
- 与12名在过去5年中离开公共服务的精神病学家进行半结构化采访.
- 对面试数据进行主题分析.
主要成果:
- 确定了关键主题:倦怠,尽管负有责任,但缺乏权威,安全问题和系统惯性.
- 过度的工作量,资源不足和对专业技能的低估是重要的因素.
- 系统性低效率和对变革的抵抗导致精神病医生感到无法改善护理质量,促使他们离开.
结论:
- 改善精神病学家的保留需要增加资源,接受创新,并重视他们的作用.
- 培养积极的组织文化和强大的医疗领导力至关重要.
- 解决系统性问题至关重要,以防止精神病医生离开公共精神卫生服务.
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