Workload, burnout, and medical mistakes among physicians in China: A cross-sectional study
Workload, burnout, and medical mistakes among physicians in China: A cross-sectional study
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中国医生的工作量、倦怠和医疗失误：一项横断面研究
DOI：
10.5582/bst.2015.01175
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发表时间：
2016-02-01
影响因子：
5.5
通讯作者：
Shi, Yingkang
中科院分区：
文献类型：
--
作者：
Wen, Jin;Cheng, Yongzhong;Shi, Yingkang
本研究的目的是确定不同等级医院中职业倦怠的患病率，并检验职业倦怠与医疗差错之间是否存在联系。进行多中心横断面调查。中国在来自10个省份的医院采访了医生。采用中文版Maslach职业倦怠量表--一般情况调查表测量职业倦怠。总体而言，1537名医生参与了这项研究。在这些人中，76.9%的人报告了一些职业倦怠症状或严重的职业倦怠症状，54.8%的人报告在过去一年中犯下了医疗错误。在一、二、三级医院中，39.6%、50.0%和59.5%的受访者报告在前一年的过程中犯过错误。多因素分析显示，女性对医疗差错具有保护作用(OR=0.72，95%CI：0.58~0.89)，而医生每周工作60小时或以上(OR=1.65，95%CI：1.22~2.22)和医生职业倦怠严重(OR=2.28，95%CI：1.63~3.17)与医疗差错的发生率独立相关。总而言之，中国医生报告了高工作量、高疲劳率和高医疗差错。三级医院的医生尤其工作过度，职业倦怠最严重。每周工作时间较长和职业倦怠是医疗差错的独立危险因素。
The purpose of this study is to determine the prevalence of burnout among different grade hospitals and to examine if a relation exists between burnout and medical mistakes. A multi-center cross-sectional survey was conducted. Physicians were interviewed in hospitals from 10 provinces in China. Burnout was measured using the Chinese version of the Maslach Burnout Inventory-General Survey. Overall, 1,537 physicians were included in this study. Of these, 76.9% reported some burnout symptoms or serious burnout symptoms and 54.8% reported committing medical mistakes during the last year. 39.6%, 50.0%, and 59.5% of the respondents in primary, secondary, and tertiary hospitals respectively reported having made mistakes over the course of the previous year. Multivariate analysis demonstrated that being female was protective against medical mistakes (OR = 0.72, 95% CI: 0.58-0.89), whereas physician-reported 60 or more work hours per week (OR = 1.65, 95% CI: 1.22-2.22), and physicians who reported serious burnout (OR = 2.28, 95% CI: 1.63-3.17) were independently associated with higher incidence of medical mistakes. In conclusion, Chinese physicians reported high workloads, high rates of burnout and high medical mistakes. Physicians in tertiary hospitals were especially overworked and suffered the most serious burnout. Longer work hours per week, and burnout were the independent risk factors for medical mistakes.