Investigating the links between diagnostic uncertainty, emotional exhaustion, and turnover intention in General Practitioners working in the United Kingdom.
Investigating the links between diagnostic uncertainty, emotional exhaustion, and turnover intention in General Practitioners working in the United Kingdom.
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DOI：
10.3389/fpsyt.2022.936067
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发表时间：
2022
影响因子：
4.7
通讯作者：
Panagioti, Maria
中科院分区：
文献类型：
--
作者：
Zhou, Anli Yue;Zghebi, Salwa S.;Hodkinson, Alexander;Hann, Mark;Grigoroglou, Christos;Ashcroft, Darren M.;Esmail, Aneez;Chew-Graham, Carolyn A.;Payne, Rupert;Little, Paul;de Lusignan, Simon;Cherachi-Sohi, Sudeh;Spooner, Sharon;Zhou, Andrew K.;Kontopantelis, Evangelos;Panagioti, Maria
关键词：
全科医生(GP)报告了高度的职业倦怠、工作不满和离职倾向。将问题提交给全科医生的复杂性使诊断不确定性成为一种常见的事件，与职业倦怠有关。诊断不确定性与其他因素之间的相互关系，如职业倦怠、工作满意度和离职意向，以前从未被研究过。探讨全科医生的诊断不确定性、情绪衰竭(EE)、去人格化(DP)、工作满意度和离职倾向之间的关系。通过牛津-皇家全科医生研究和监督中心(RCGP-RSC)随机选择了英国的70家全科医生。在67个实践中，共有348名全科医生完成了一份包含10个项目的在线问卷，其中包括全科医生的特征、工作与生活平衡、工作满意度、疾病出勤率、诊断不确定性、离职意向以及EE和DP。诊断不确定性与EE、DP、工作满意度和离职意向之间的关联被用多变量混合效应有序Logistic回归进行评估，同时调整协变量，以说明感兴趣的三个结果中的相关性。近三分之一的全科医生(n=101；29%)报告在过去一年的日常实践中经历了10%的诊断不确定性。诊断不确定性越大的患者EE[OR=3.90；95%CI=(2.54，5.99)]、工作不满意[OR=2.01；95%CI=(1.30，3.13)]和离职意向[OR=4.51；95%CI=(2.86，7.11)]水平较高。无疾病出勤者的EE[OR=0.53；95%CI=(0.35，0.82)]、工作不满足感[OR=0.56；95%CI=(0.35，0.88)]和离职意向[OR=0.61；95%CI=(0.41，0.91)]较低。诊断的不确定性不仅可能对全科医生的福祉产生负面影响，而且还可能对初级保健中的劳动力保留产生不利影响。
General Practitioners (GPs) report high levels of burnout, job dissatisfaction, and turnover intention. The complexity of presenting problems to general practice makes diagnostic uncertainty a common occurrence that has been linked to burnout. The interrelationship between diagnostic uncertainty with other factors such as burnout, job satisfaction and turnover intention have not been previously examined. To examine associations between diagnostic uncertainty, emotional exhaustion (EE), depersonalization (DP), job satisfaction, and turnover intention in GPs. Seventy general practices in England were randomly selected through the Oxford-Royal College of General Practitioners Research and Surveillance Centre (RCGP-RSC). A total of 348 GPs within 67 these practices completed a 10-item online questionnaire which included questions on GP characteristics, work-life balance, job satisfaction, sickness presenteeism, diagnostic uncertainty, turnover intention as well as EE and DP. Associations between diagnostic uncertainty and each of EE, DP, job satisfaction, and turnover intention were evaluated in multivariate mixed-effect ordinal logistic regressions whilst adjusting for covariates, to account for the correlation in the three outcomes of interest. Almost one-third of GPs (n = 101; 29%) reported experiencing >10% of diagnostic uncertainty in their day-to-day practice over the past year. GPs reporting greater diagnostic uncertainty had higher levels of EE [OR = 3.90; 95% CI = (2.54, 5.99)], job dissatisfaction [OR = 2.01; 95% CI = (1.30, 3.13)] and turnover intention [OR = 4.51; 95% CI = (2.86, 7.11)]. GPs with no sickness presenteeism had lower levels of EE [OR = 0.53; 95% CI = (0.35, 0.82)], job dissatisfaction [OR = 0.56; 95% CI = (0.35, 0.88)], and turnover intention [OR = 0.61; 95% CI = (0.41, 0.91)]. Diagnostic uncertainty may not only negatively impact on the wellbeing of GPs, but could also have adverse implications on workforce retention in primary care.
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影响因子：
5.9
作者：
Goyder, Clare R.;Jones, Caroline H. D.;Thompson, Matthew J.
通讯作者：
Thompson, Matthew J.
影响因子：
5.4
作者：
Avery AJ;Sheehan C;Bell B;Armstrong S;Ashcroft DM;Boyd MJ;Chuter A;Cooper A;Donnelly A;Edwards A;Evans HP;Hellard S;Lymn J;Mehta R;Rodgers S;Sheikh A;Smith P;Williams H;Campbell SM;Carson-Stevens A
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影响因子：
3.5
作者：
Meyer, Ashley N. D.;Giardina, Traber D.;Singh, Hardeep
通讯作者：
Singh, Hardeep
DOI：
10.1016/j.bbmt.2017.11.015
发表时间：
2018-04
期刊：
Biology of blood and marrow transplantation : journal of the American Society for Blood and Marrow Transplantation
影响因子：
--
作者：
Neumann JL;Mau LW;Virani S;Denzen EM;Boyle DA;Boyle NJ;Dabney J;De KeselLofthus A;Kalbacker M;Khan T;Majhail NS;Murphy EA;Paplham P;Parran L;Perales MA;Rockwood TH;Schmit-Pokorny K;Shanafelt TD;Stenstrup E;Wood WA;Burns LJ
通讯作者：
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影响因子：
4.4
作者：
GERRITY, MS;EARP, JAL;LIGHT, DW
通讯作者：
LIGHT, DW