Burnout and perceived quality of care among German clinicians in surgery
Burnout and perceived quality of care among German clinicians in surgery
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DOI：
10.1093/intqhc/mzq056
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发表时间：
2010-12-01
影响因子：
2.6
通讯作者：
von dem Knesebeck, Olaf
中科院分区：
文献类型：
--
作者：
Klein, Jens;Frie, Kirstin Grosse;von dem Knesebeck, Olaf
倦怠在临床医生中非常普遍，但人们对倦怠与护理质量之间的关系知之甚少。本文探讨了德国临床医生在手术中的倦怠、护理质量感知和医疗失误。数据是在 2008 年通过横断面标准化邮件调查收集的。共有 489 家德国医院的 1311 名手术临床医生。倦怠是通过使用哥本哈根倦怠量表 (CBI) 来测量的。自评患者护理的测量基于 13 个项目的工具 (Chirurgisches Qualitatssiegel) 和两个评估医疗错误频率的问题。根据 CBI，大约 48.7% 的临床医生符合职业倦怠标准。此外，在多变量逻辑回归分析中，职业倦怠与男性外科医生的护理质量感知显着相关（优势比在 1.5 至 2.6 之间），但在女性外科医生中则不然（优势比在 1.3 至 1.5 之间）。我们研究中职业倦怠的高发生率与之前对医生职业倦怠的研究相符。此外，研究结果表明男性倦怠与感知的护理质量之间存在关系。因此，减少外科医生的倦怠不仅可以改善他们的健康和福祉，还可以提高护理质量。
Burnout is highly prevalent among clinicians but there is not much known about the association between burnout and quality of care. In this paper, burnout, perceived quality of care and medical errors among German clinicians in surgery are explored.Data were collected during 2008 by a cross-sectional, standardized mail survey.A total of 1311 clinicians in surgery in 489 German hospitals.Burnout was measured by using the Copenhagen Burnout Inventory (CBI). The measurement of self-rated patient care was based on a 13 item instrument (Chirurgisches Qualitatssiegel) and two questions assessing the frequency of medical errors.About 48.7% of the clinicians meet the criteria for burnout according to the CBI. Moreover, in multivariate logistic regression analyses, burnout is significantly associated with perceived quality of care among male (odds ratios vary from 1.5 to 2.6) but not among female surgeons (odds ratios vary from 1.3 to 1.5).The high prevalence of burnout in our study corresponds with former studies of burnout among physicians. Furthermore, the results of the study suggest a relationship between burnout and perceived quality of care among men. Thus, reducing burnout among surgeons could not only improve their health and well-being but also the quality of care.