农村和地区医生面临的压力和保留挑战:混合方法系统审查和行动框架
Joëlle V F Coumans1,2, Ilona Ciller1,2
1University of New England, School of Rural Medicine, Elm Avenue, Armidale, NSW 2351, Australia.
Journal of public health (Oxford, England)
|February 15, 2026
概括
工作场所的压力对农村医生产生重大影响,导致倦怠和流动. 专注于医生福祉和支持的系统性改革对于可持续的农村医疗保健至关重要.
科学领域:
- 公共卫生 公共卫生
- 医学实践 医学实践
- 农村卫生 农村卫生
背景情况:
- 工作场所的压力是农村医生的关键问题,因为工作量很大,资源有限.
- 人口变化和医疗保健基础设施挑战加剧了农村医疗环境中的压力.
研究的目的:
- 审查农村医生中与压力相关的结果.
- 识别导致和减轻医生压力的因素.
- 为农村医疗保健提供可持续干预的框架提出建议.
主要方法:
- 从2020年1月到2025年,在五个数据库中对24项研究进行了系统审查.
- 纳入标准侧重于农村,偏远地区或地区医生.
- 数据综合遵循PRISMA指导方针与质量评估.
主要成果:
- 倦怠是主要的结果,由工作负担,低自主性和工作与生活平衡不佳所驱动.
- 地理隔离导致焦虑,抑郁和睡眠问题.
- 工作不满导致缺勤;自主,认可和多样化的任务是保护因素.
结论:
- 维持农村医疗保健需要系统性改革,优先考虑医生福祉和自主权.
- 以公平为导向的框架,支持自我实现和对文化敏感的护理至关重要.
- 未来的研究应该专注于农村卫生系统的特定环境结构变化.
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