Professional Satisfaction and the Career Plans of US Physicians
Professional Satisfaction and the Career Plans of US Physicians
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DOI：
10.1016/j.mayocp.2017.08.017
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发表时间：
2017-11-01
影响因子：
8.9
通讯作者：
Shanafelt, Tait D.
中科院分区：
文献类型：
--
作者：
Sinsky, Christine A.;Dyrbye, Lotte N.;Shanafelt, Tait D.
目的：探讨美国医生职业倦怠、电子病历满意度和工作生活融合程度与职业规划的关系。参与者和方法：在2014年8月28日至2014年10月6日期间对美国所有专业的医生进行了调查。医生提供了关于在未来12个月内减少临床工作时间的可能性和在未来24个月内离开目前执业的可能性的信息。结果：在联系的35,922名医生中，有6880名（19.2%）回复了调查。在进行统计调查时，在6695名临床执业医生中（97.3%），在6452名回应者中，1275名（19.8%）表示他们很可能或肯定会在未来12个月内减少临床工作时数，而在6496名回应者中，1726名（26.6%）表示他们很可能或肯定会在未来2年内离职。在接受调查的6695名临床执业医生中，有126名（1.9%）表示他们计划完全离开诊所，从事不同的职业。职业倦怠(优势比[OR]， 1.81; 95% CI, 1.49-2.19
Objective: To evaluate the relationship between burnout, satisfaction with electronic health records and work-life integration, and the career plans of US physicians.Participants and Methods: Physicians across all specialties in the United States were surveyed between August 28, 2014, and October 6, 2014. Physicians provided information regarding the likelihood of reducing clinical hours in the next 12 months and the likelihood of leaving current practice within the next 24 months.Results: Of 35,922 physicians contacted, 6880 (19.2%) returned surveys. Of the 6695 physicians in clinical practice at the time of the survey (97.3%), 1275 of the 6452 who responded (19.8%) reported it was likely or definite that they would reduce clinical work hours in the next 12 months, and 1726 of the 6496 who responded (26.6%) indicated it was likely or definite that they would leave their current practice in the next 2 years. Of the latter group, 126 (1.9% of the 6695 physicians in clinical practice at the time of the survey) indicated that they planned to leave practice altogether and pursue a different career. Burnout (odds ratio [ OR], 1.81; 95% CI, 1.49-2.19; P