The relationship between physician burnout and quality of healthcare in terms of safety and acceptability: a systematic review.
The relationship between physician burnout and quality of healthcare in terms of safety and acceptability: a systematic review.
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DOI：
10.1136/bmjopen-2016-015141
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发表时间：
2017-06-21
期刊：
影响因子：
2.9
通讯作者：
Trojanowski L
中科院分区：
文献类型：
--
作者：
Dewa CS;Loong D;Bonato S;Trojanowski L
本研究回顾了与医生职业倦怠和两个护理质量维度相关的同行评议文献的现状。本系统性文献综述的目的是解决这个问题，“医生职业倦怠如何影响与可接受性和安全性维度相关的医疗质量？”使用多阶段筛选过程，该系统性文献综述基于2002年至2017年期间发表的医学上可用的同行评审研究。检索了6个电子数据库：（1）MEDLINE Current，（2）MEDLINE In-process，（3）MEDLINE Epub Ahead of Print，（4）PsycINFO，（5）Embase和（6）Web of Science。医生在民间执业。完成培训的执业医师。与可接受性（即，患者满意度、医生沟通和医生态度）和安全性（即，最大限度地降低对患者的风险或伤害）相关的医疗质量。共发现4114篇引文。其中，12篇文章被纳入综述。两项研究被评为具有高偏倚风险，10项研究被评为具有中等风险。四项研究在北美进行，四项在欧洲，一项在中东，三项在东亚。本系统性文献综述的结果表明，有适度的证据表明，倦怠与安全相关的护理质量。由于患者可接受性相关的护理质量的测量方式的可变性和研究结果的不一致性，支持倦怠和患者可接受性相关的护理质量之间的关系的证据不太强。对直接护理相关质量的关注突出了医生职业倦怠影响医疗保健系统的其他方式。这些研究有助于通过解决医生职业倦怠问题来改善患者护理。持续的工作，在可接受性相关的护理质量的措施和倦怠的维度之间的关系，需要推进该领域。
This study reviews the current state of the published peer-reviewed literature related to physician burnout and two quality of care dimensions. The purpose of this systematic literature review is to address the question, ‘How does physician burnout affect the quality of healthcare related to the dimensions of acceptability and safety?’ Using a multiphase screening process, this systematic literature review is based on publically available peer-reviewed studies published between 2002 and 2017. Six electronic databases were searched: (1) MEDLINE Current, (2) MEDLINE In-process, (3) MEDLINE Epub Ahead of Print, (4) PsycINFO, (5) Embase and (6) Web of Science. Physicians practicing in civilian settings. Practicing physicians who have completed training. Quality of healthcare related to acceptability (ie, patient satisfaction, physician communication and physician attitudes) and safety (ie, minimising risks or harm to patients). 4114 unique citations were identified. Of these, 12 articles were included in the review. Two studies were rated as having high risk of bias and 10 as having moderate risk. Four studies were conducted in North America, four in Europe, one in the Middle East and three in East Asia. Results of this systematic literature review suggest there is moderate evidence that burnout is associated with safety-related quality of care. Because of the variability in the way patient acceptability-related quality of care was measured and the inconsistency in study findings, the evidence supporting the relationship between burnout and patient acceptability-related quality of care is less strong. The focus on direct care-related quality highlights additional ways that physician burnout affects the healthcare system. These studies can help to inform decisions about how to improve patient care by addressing physician burnout. Continued work looking at the relationship between dimensions of acceptability-related quality of care measures and burnout is needed to advance the field.
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影响因子：
2.6
作者：
Klein, Jens;Frie, Kirstin Grosse;von dem Knesebeck, Olaf
通讯作者：
von dem Knesebeck, Olaf
影响因子：
3.7
作者：
Hall LH;Johnson J;Watt I;Tsipa A;O'Connor DB
通讯作者：
O'Connor DB
影响因子：
3.3
作者：
Lagerveld, S. E.;Bultmann, U.;Nieuwenhuijsen, K.
通讯作者：
Nieuwenhuijsen, K.
DOI：
10.1007/s10880-011-9278-8
发表时间：
2012-12-01
影响因子：
2.2
作者：
Anagnostopoulos, Fotios;Liolios, Evangelos;Niakas, Dimitris
通讯作者：
Niakas, Dimitris
影响因子：
5.7
作者：
Dolan, Emily D.;Mohr, David;Helfrich, Christian D.
通讯作者：
Helfrich, Christian D.