解决行为健康提供者倦怠问题的卫生系统策略:修改后的Delphi方法
Jennifer Burgess1,2, Molly Harrod3, Linda Takamine3
1Center for Clinical Management Research, VA Ann Arbor Healthcare System, Ann Arbor, Michigan, USA. Jennifer.Burgess@va.gov.
The Psychiatric quarterly
|October 13, 2025
概括
卫生系统可以通过专注于人力资源战略来减少行为健康提供者 (BHP) 倦怠. 关键干预措施包括更快的招聘和远程工作的灵活性,小组成员发现有影响力和可行.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 组织心理学 组织心理学
- 心理健康服务 心理健康服务
背景情况:
- 行为健康提供者 (BHP) 倦怠是影响医疗保健系统的一个重要问题.
- 确定有效的组织层面战略对于缓解倦怠至关重要.
研究的目的:
- 在潜在的组织级策略上达成共识,以解决BHP燃烧问题.
- 根据影响,可接受性和可行性来评估干预措施.
主要方法:
- 召开了由十名专家组成的两轮修改后的Delphi小组.
- 11项潜在的倦怠干预措施使用9分利克特级别进行了评分.
- 共识被定义为≥60%的小组成员在中位数的三点范围内作出反应.
主要成果:
- 27个项目达到了共识,其中10个达到相关性 (平均评分≥7).
- 四个干预措施在两个领域取得了相关性;没有一个干预措施在所有三个领域取得了相关性.
- 人力资源 (HR) 干预措施,如更快的招聘时间和远程工作灵活性,显示出高影响力和可行性,但缺乏领导/提供商的接受度.
结论:
- 卫生系统可以实施人力资源驱动的策略,如加速招聘和远程工作灵活性,以应对BHP燃烧.
- 虽然这些干预措施具有影响力和可行性,但需要进一步改进才能获得领导和提供者的接受.
- 进一步的研究应探讨在影响,可接受性和可行性方面达成共识的战略.
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