Your browser doesn't support javascript.
loading
Mostrar: 20 | 50 | 100
Resultados 1 - 20 de 1.583
Filtrar
1.
Harefuah ; 160(11): 760-761, 2021 Nov.
Artigo em Hebraico | MEDLINE | ID: mdl-34817145

RESUMO

INTRODUCTION: Medical work requires complete dedication to work, long hours of absence from home and family, as well as personal sacrifice on various issues. This results in impaired quality of life, and the phenomenon of depression and suicide is more common among physicians than in the general population. The impairment in quality of life and function was defined for years as burnout, and this figure of speech reflected the physician's inability to cope with existing pressures. In recent years, the concept of 'moral injury' has been emerging to explain a significant part of the burnout phenomenon. The term describes the poor mental state of the physician who is forced to make immoral choices as part of the organizational demands. This perception fundamentally changes the concept that the poor function at work and in personal life is only the weakness of the doctor who lacks coping resources and resilience, therefore needing personal support such as yoga and mindfulness exercise. It emphasizes the organization responsibility for change, which will minimize moral dilemmas, thereby the moral injury. This will allow the doctor to live professional, as well as personal life, in an optimal way.


Assuntos
Esgotamento Profissional , Atenção Plena , Transtornos de Estresse Pós-Traumáticos , Esgotamento Profissional/etiologia , Esgotamento Psicológico/etiologia , Humanos , Qualidade de Vida
2.
Med Lav ; 112(5): 346-359, 2021 Oct 28.
Artigo em Inglês | MEDLINE | ID: mdl-34726667

RESUMO

BACKGROUND: Burnout is a multidimensional syndrome associated with intense working conditions and negative psychosocial factors in physicians. The purpose of this study is to investigate the effects of living and working conditions of physicians on burnout level and sleep quality in Turkey. METHODS: In this internet-based questionnaire study, 1053 physicians [General Practitioners (n=233); Basic Medical Sciences (n=26); Internal Medical Sciences (n=530), and Surgery Sciences (n=264)] were included in the study, filling the forms consisting of study conditions, Maslach Burnout Inventory (MBI) and the Pittsburgh Sleep Quality Index (PSQI) questions. RESULTS: Negative occupational factors such as physicians having a night shift, high number of patients who are cared for daily, short examination period, low financial gain, exposure to violence, and mobbing were associated with poor sleep quality and burnout. Factors such as being subjected to violence, mobbing, and age are predictive of increasing burnout in women. Working on night shifts or being on-call were associated with all aspects of burnout. The proportion of those with poor sleep quality was significantly higher in those working night shifts (74.6%) than those working daytime shifts (67.2%) and those who were exposed to violence (75.1%) compared to those who were not exposed to violence (43.2%) (p=0.013, p<0.001, respectively). CONCLUSIONS: Impaired sleep quality, violence, mobbing, young age, excessive night shifts, short examination period, and low income may play a role in physician burnout. Our study data suggest that it is important to improve physicians' unfavorable working conditions and to prevent violence against burnout.


Assuntos
Esgotamento Profissional , Médicos , Esgotamento Profissional/epidemiologia , Esgotamento Profissional/etiologia , Esgotamento Psicológico/epidemiologia , Estudos Transversais , Feminino , Humanos , Sono , Condições Sociais , Inquéritos e Questionários
3.
PLoS One ; 16(10): e0258866, 2021.
Artigo em Inglês | MEDLINE | ID: mdl-34679110

RESUMO

AIM: The long-term stress, anxiety and job burnout experienced by healthcare workers (HCWs) are important to consider as the novel coronavirus disease (COVID-19) pandemic stresses healthcare systems globally. The primary objective was to examine the changes in the proportion of HCWs reporting stress, anxiety, and job burnout over six months during the peak of the pandemic in Singapore. The secondary objective was to examine the extent that objective job characteristics, HCW-perceived job factors, and HCW personal resources were associated with stress, anxiety, and job burnout. METHOD: A sample of HCWs (doctors, nurses, allied health professionals, administrative and operations staff; N = 2744) was recruited via invitation to participate in an online survey from four tertiary hospitals. Data were gathered between March-August 2020, which included a 2-month lockdown period. HCWs completed monthly web-based self-reported assessments of stress (Perceived Stress Scale-4), anxiety (Generalized Anxiety Disorder-7), and job burnout (Physician Work Life Scale). RESULTS: The majority of the sample consisted of female HCWs (81%) and nurses (60%). Using random-intercept logistic regression models, elevated perceived stress, anxiety and job burnout were reported by 33%, 13%, and 24% of the overall sample at baseline respectively. The proportion of HCWs reporting stress and job burnout increased by approximately 1·0% and 1·2% respectively per month. Anxiety did not significantly increase. Working long hours was associated with higher odds, while teamwork and feeling appreciated at work were associated with lower odds, of stress, anxiety, and job burnout. CONCLUSIONS: Perceived stress and job burnout showed a mild increase over six months, even after exiting the lockdown. Teamwork and feeling appreciated at work were protective and are targets for developing organizational interventions to mitigate expected poor outcomes among frontline HCWs.


Assuntos
Ansiedade , Esgotamento Profissional , COVID-19 , Pessoal de Saúde/psicologia , Pandemias , SARS-CoV-2 , Adulto , Idoso , Ansiedade/epidemiologia , Ansiedade/psicologia , Esgotamento Profissional/epidemiologia , Esgotamento Profissional/etiologia , COVID-19/epidemiologia , COVID-19/psicologia , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Estudos Prospectivos , Singapura/epidemiologia
4.
PLoS One ; 16(9): e0257833, 2021.
Artigo em Inglês | MEDLINE | ID: mdl-34570787

RESUMO

BACKGROUND: Compassion fatigue is associated with negative consequences that undermine workplace performance. However, literature is scarce on compassion fatigue among nurses in the context of Uganda who are at higher risk of compassion fatigue owed to the nature of their occupation and the unfavorable work environment. We aimed to assess the prevalence and predictors of compassion fatigue among nurses in Northern Uganda. METHODS: We conducted a cross-sectional survey among 395 randomly selected nurses from two referral and four general hospitals in Northern Uganda. Data was collected using a self-administered questionnaire. Data analysis consisted of descriptive statistics, cross-tabulations, and logistic regression at a 95% level of significance in SPSS version 25. RESULTS: Of 395 nurses who took part in the study, 58.2% were female, 39.8% had a diploma, 47.1% were single, and 32.4% had worked for between 11-15 years. Close to 50% of the nurses experienced compassion fatigue. The predictors of compassion fatigue among the participants were; workplace bullying (AOR: 3.83; 95% CI: 1.99-7.36; p = <0.001) career enhancement opportunities (AOR: 9.16; 95% CI: 2.32-36.22; p = 0.002; and remuneration (AOR: 7.30; 95% CI: 2.73-19.49; p = <0.001). CONCLUSION: More than 3 in 4 nurses in Northern Uganda experience compassion fatigue. The Ministry of Health together with other stakeholders should strive to increase career enhancement opportunities for nurses, improve nurses' remuneration and improve the overall workplace environment to prevent compassion fatigue among nurses in the country.


Assuntos
Esgotamento Profissional/epidemiologia , Fadiga por Compaixão/epidemiologia , Enfermeiras e Enfermeiros/psicologia , Esgotamento Profissional/etiologia , Fadiga por Compaixão/etiologia , Estudos Transversais , Feminino , Humanos , Masculino , Uganda/epidemiologia
5.
Gastrointest Endosc Clin N Am ; 31(4): 641-653, 2021 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-34538405

RESUMO

Physician fatigue, also known as burnout, is a highly prevalent but often underrecognized result of workplace stressors. The consequences of burnout can include poor work-life integration, isolation, depression, and suicide. As a result, an organization may experience high physician turnover, patient safety issues, malpractice suits, and financial losses. Physicians should be encouraged to play a role in their wellness by taking mental time away from work, pursuing hobbies, attending wellness programs, and ensuring quality time with family. Ultimately, it is an organization that must acknowledge physician burnout, identify risk factors, and invest in targeted interventions to prevent this immense threat to their stability.


Assuntos
Esgotamento Profissional , Médicos , Esgotamento Profissional/etiologia , Fadiga/etiologia , Humanos
6.
Ethiop J Health Sci ; 31(3): 543-552, 2021 May.
Artigo em Inglês | MEDLINE | ID: mdl-34483611

RESUMO

Background: The Burnout syndrome has been defined as a response to the chronic work-related stress typically found in professionals working in care service organizations. Therefore, this study aimed at assessing the prevalence of burnout syndrome and factors associated with burnout syndrome among nurses in public hospitals, Southwest Ethiopia, 2018. Method: An institutional-based cross-sectional study was conducted from February 1st, 2018 to April 1st, 2018. Total number of nurses who fulfill the inclusion criterias were enrolled. Data was collected using the predesigned tool. Data were entered using EPI INFO version 7 and was exported to statistical packages for social science (SPSS) version 21.0 for analysis. Logistic regression was employed and odds ratio with a 95% confidence interval was used. Variables with a P value of less than 0.05 was considered statistically significant. Results: A total of 282 eligible nurses were enrolled in the study with a mean age of 28.71 [SD ±7.047]. The prevalence of burnout syndrome among nurses was 96(34%). Predictor variables like; educational status, job title, work experience, fatigue, and social support were found to be strong predictor variables for burnout syndrome. Conclusion: This study revealed that a considerable proportion of nurses had burnout syndrome. Therefore, improved educational status and strong social support should be encouraged among nurses working in the health setting for the betterment of health care services, job satisfaction and quality of care in general.


Assuntos
Esgotamento Profissional , Enfermeiras e Enfermeiros , Esgotamento Profissional/epidemiologia , Esgotamento Profissional/etiologia , Esgotamento Psicológico , Estudos Transversais , Etiópia/epidemiologia , Hospitais Públicos , Humanos , Satisfação no Emprego , Prevalência , Inquéritos e Questionários
7.
J Alzheimers Dis ; 83(4): 1841-1848, 2021.
Artigo em Inglês | MEDLINE | ID: mdl-34420971

RESUMO

BACKGROUND: In a previous study, we assessed burnout in geriatric healthcare workers during the first lockdown that lasted from March to May 2020 in France, in response to the COVID-19 crisis. OBJECTIVE: We carried out a follow-up study to assess burnout in the same population during the second lockdown that was implemented at the end of October 2020. METHODS: We used an online survey to assess burnout in terms of exhaustion and disengagement in a sample of 58 geriatric healthcare workers. RESULTS: We found higher levels of exhaustion, disengagement, and burnout among geriatric healthcare workers during the second than during the first lockdown. We also found high levels of exhaustion but moderate disengagement and burnout during the second lockdown. CONCLUSION: The increased exhaustion, disengagement, and burnout during the second lockdown can be attributed to the increased workload in geriatric facilities throughout this crisis and during the second lockdown due to shortage in staff and increased number of shifts and allocated duties. The high levels of exhaustion reported among geriatric healthcare workers during the second lockdown can reflect their physical fatigue, as well as their feelings of being emotionally overextended and exhausted by their workload.


Assuntos
Esgotamento Profissional , COVID-19 , Fardo do Cuidador , Pessoal de Saúde/psicologia , Serviços de Saúde para Idosos , Engajamento no Trabalho , Adulto , Esgotamento Profissional/diagnóstico , Esgotamento Profissional/epidemiologia , Esgotamento Profissional/etiologia , Esgotamento Profissional/psicologia , COVID-19/epidemiologia , COVID-19/prevenção & controle , COVID-19/psicologia , Fardo do Cuidador/epidemiologia , Fardo do Cuidador/psicologia , Controle de Doenças Transmissíveis/métodos , Feminino , Seguimentos , França/epidemiologia , Necessidades e Demandas de Serviços de Saúde , Serviços de Saúde para Idosos/organização & administração , Serviços de Saúde para Idosos/estatística & dados numéricos , Humanos , Masculino , SARS-CoV-2 , Inquéritos e Questionários
9.
J Nurs Manag ; 29(8): 2383-2391, 2021 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-34259372

RESUMO

AIMS: This study examines the role of servant leadership through the mechanism of psychological safety in curbing nurses' burnout during the COVID-19 pandemic. BACKGROUND: During the COVID-19 pandemic, studies have shown an increased level of stress and burnout among health care workers, especially nurses. This study responds to the call for research to explore the mechanisms of servant leadership in predicting nurses' burnout by employing the perspective of conservation of resources theory. METHODS: Through a cross-sectional quantitative research design, data were collected in three waves from 443 nurses working in Pakistan's five public sector hospitals. Data were analysed by employing the partial least squares path modelling (PLS-PM) technique. RESULTS: Servant leadership (ß = -0.318; 95% CI = 0.225, 0.416) and psychological safety (ß = -0.342; CI = 0.143, 0.350) have an inverse relationship with nurses' burnout and explain 63.1% variance. CONCLUSIONS: Servant leadership significantly reduces nurses' burnout, and psychological safety mediates this relationship. IMPLICATIONS FOR NURSING MANAGEMENT: Human resource management policies in health care must emphasize training nursing leaders in servant leadership behaviour.


Assuntos
Esgotamento Profissional , COVID-19 , Enfermeiras e Enfermeiros , Esgotamento Profissional/epidemiologia , Esgotamento Profissional/etiologia , Esgotamento Profissional/prevenção & controle , Esgotamento Psicológico , Estudos Transversais , Humanos , Liderança , Pandemias , SARS-CoV-2
10.
J Ayub Med Coll Abbottabad ; 33(2): 283-288, 2021.
Artigo em Inglês | MEDLINE | ID: mdl-34137546

RESUMO

BACKGROUND: During the pandemic, disruption of work schedule and constant health risks causes physician burnout. This study aims to identify Burnout in physicians working in COVID ICU and isolation Ward. METHODS: A cross-sectional study was conducted on 200 physicians who had worked in either COVID ICU or Isolation ward. A survey of 23 questions was designed to assess the work-related Burnout using the Copenhagen burnout inventory and the implementation of NIH guidelines. RESULTS: Among the 200 physicians, 151 (75.5%) were well informed of the guidelines, of which 52 (34.4%) participants believed the guidelines were not sufficient. These 34.4% of individuals showed a mean burnout score of 70.05% (p-value 0.001). Medical registrars and Medical Officers suffered the highest burnout mean percentage score of 76% and 72.42%, respectively. 89 (44.5%) individuals arranged PPE suits on their own and suffered a burnout score of 71.3% ±14.35 (p-value <0.001). Seventy-two (36%) claimed their administration was not cooperative in resolve safety issues. These individuals showed a mean burnout score of 74.3% ±13.82 (p-value <0.001). CONCLUSIONS: Lack of physician's faith in the adequacy of the NIH guidelines has been found to be a significant factor in contributing to work-related Burnout. Due to the shortage of PPE, a majority of physicians have to reuse their PPE multiple times and even have to personally arrange their PPE suits, which further compounds the burnout. Increase administrative cooperation in resolving issues related to safety measures should help elevate work-related burnout in physicians working in the ICU and isolation ward.


Assuntos
Esgotamento Profissional , COVID-19 , Controle de Infecções , Unidades de Terapia Intensiva , Médicos/estatística & dados numéricos , Esgotamento Profissional/epidemiologia , Esgotamento Profissional/etiologia , COVID-19/prevenção & controle , COVID-19/terapia , Humanos , Isolamento de Pacientes , SARS-CoV-2
11.
Med Lav ; 112(3): 209-218, 2021 Jun 15.
Artigo em Inglês | MEDLINE | ID: mdl-34142677

RESUMO

BACKGROUND: Colleague incivility is one of the subtlest forms of workplace aggression, referring to any low-intensity deviant behavior in violation of the norms of mutual respect with ambiguous intent to harm the target. Although a large corpus of literature has identified the negative consequences of colleague incivility for workers and their organizations, there is a paucity of studies aimed at examining the role played by job characteristics in triggering this form of aggression. The present study, referring to the work environment assumption of Einarsen (2000), proposes that workplace aggression is primarily affected by factors related to deficiencies in the psychosocial work environment. In this view, the present study aimed to test whether the relationships between stressors in the psychosocial work environment (i.e., workload, role conflict, and unfair reward) and burnout (i.e., exhaustion and cynicism) are mediated by colleague incivility. METHODS: The study design was cross-sectional and non-randomized. In total, 659 administrative officers employed in a large-sized Italian university completed a self-report questionnaire. Regression and mediation analyses (using the SPSS PROCESS macro) were performed to test the study hypotheses. -Findings: After adjusting for control variables (i.e., superior incivility, age, gender, interactions with teaching staff, and interactions with students), the analyses indicated that colleague incivility mediated the associations of role conflict and unfair reward with the two dimensions of burnout. In contrast, the mediating role of colleague incivility in the associations of workload with exhaustion and cynicism was not supported. DISCUSSION: The present study shed light on the key role of colleague incivility in the linkage of variables describing job characteristics and job burnout. From a practical point of view, the present study suggests that in order to prevent colleague incivility, interventions such as job (re)design should be implemented.


Assuntos
Esgotamento Profissional , Incivilidade , Esgotamento Profissional/epidemiologia , Esgotamento Profissional/etiologia , Estudos Transversais , Docentes , Humanos , Itália/epidemiologia , Satisfação no Emprego , Inquéritos e Questionários , Local de Trabalho
12.
Med Lav ; 112(3): 200-208, 2021 Jun 15.
Artigo em Inglês | MEDLINE | ID: mdl-34142678

RESUMO

INTRODUCTION: Dealing with customers has increasingly became a risk factor that organisations should be aware of. Having to deal with difficult customers, pupils, patients it has been found to be the second most frequent reported risk factor in the recent 2019 ESENER survey (61%, up from 58%), just after repetitive hand or arm movements. OBJECTIVES: The aim of the present study is to explore the relationship between negative relations with customers and its association with employees' burnout and general health. METHODS: Data were collected using an anonymous, self-report questionnaire employed in an Italian company working in the large-scale retail sector. The sample was composed of 610 employees (70% women) working in 28 supermarkets. RESULTS: Results showed that negative customer relations were associated to higher levels of emotional dissonance (b = .25; p = .000), which in turn was associated with higher levels of burnout (b = .72; p = .017) and consequently to higher levels of poor general health (b = .03; p = .000). CONCLUSION: This study contributed to the current understanding of how negative relationship with clients could trigger a health impairment process which could lead to higher levels of burnout and poorer general health in employees. Findings suggest that organizations whose employees' work activities are characterized by a daily contact with customers should implement interventions such as training activities in order to enhance the employees' skills in dealing with custumers, for example on how to manage emotions at work.


Assuntos
Esgotamento Profissional , Supermercados , Esgotamento Profissional/epidemiologia , Esgotamento Profissional/etiologia , Emoções , Feminino , Humanos , Itália/epidemiologia , Masculino , Inquéritos e Questionários
14.
Medicine (Baltimore) ; 100(23): e26270, 2021 Jun 11.
Artigo em Inglês | MEDLINE | ID: mdl-34115023

RESUMO

ABSTRACT: The aim of this investigation was to compare the diagnostic performance of radiographers and deep learning algorithms in pulmonary nodule/mass detection on chest radiograph.A test set of 100 chest radiographs containing 53 cases with no pathology (normal) and 47 abnormal cases (pulmonary nodules/masses) independently interpreted by 6 trained radiographers and deep learning algorithems in a random order. The diagnostic performances of both deep learning algorithms and trained radiographers for pulmonary nodules/masses detection were compared.QUIBIM Chest X-ray Classifier, a deep learning through mass algorithm that performs superiorly to practicing radiographers in the detection of pulmonary nodules/masses (AUCMass: 0.916 vs AUCTrained radiographer: 0.778, P < .001). In addition, heat-map algorithm could automatically detect and localize pulmonary nodules/masses in chest radiographs with high specificity.In conclusion, the deep-learning based computer-aided diagnosis system through 4 algorithms could potentially assist trained radiographers by increasing the confidence and access to chest radiograph interpretation in the age of digital age with the growing demand of medical imaging usage and radiologist burnout.


Assuntos
Esgotamento Profissional/prevenção & controle , Competência Clínica , Aprendizado Profundo , Pulmão/diagnóstico por imagem , Nódulos Pulmonares Múltiplos/diagnóstico , Radiologistas , Nódulo Pulmonar Solitário/diagnóstico , Algoritmos , Esgotamento Profissional/etiologia , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Radiografia Torácica/métodos , Radiografia Torácica/normas , Radiologistas/educação , Radiologistas/psicologia , Radiologistas/normas , Sensibilidade e Especificidade , Taiwan
16.
Fam Syst Health ; 39(1): 169-171, 2021 03.
Artigo em Inglês | MEDLINE | ID: mdl-34014741

RESUMO

In this brief article, the author notes that discussion of work/life integration have become increasingly com mon at her institution, as school-age children regularly make appearances in Zoom meetings, and team mem bers have to shift between dynamic roles in their work and family lives throughout the day. Talk of burnout abounds-and she often find herself wondering if in fact they are only experiencing burnout as an occupational phenomenon, or whether it is a compounded experi ence of burnout and the emotional exhaustion of collective trauma and grief. Even when concerns dissipate about COVID's relentless spread and severe disease, there is no doubt that we will have lingering mental health hangovers from the psychologi cal impacts of the past year; we must be pre pared to leverage informatics and technology to stem the tide. We will navigate through these uncharted waters through thoughtful and effective leadership that culti vates community and a work environment that is with aligned with our organizational and personal values; and as the past year has demonstrated, it is evi dent that technology and informatics will play a piv otal role in the future of work. (PsycInfo Database Record (c) 2021 APA, all rights reserved).


Assuntos
Esgotamento Profissional , COVID-19 , Prestação Integrada de Cuidados de Saúde , Esgotamento Profissional/etiologia , Criança , Feminino , Humanos , Informática , SARS-CoV-2
17.
J Med Imaging Radiat Sci ; 52(2): 295-304, 2021 06.
Artigo em Inglês | MEDLINE | ID: mdl-33965349

RESUMO

OBJECTIVE: Burnout is seen as an occupational phenomenon related to workplace stress. Professional groups within medical imaging and radiation science have been reported to suffer from burnout in the past, however research into the profession has been limited. This systematic review aims to evaluate literature measuring levels and prevalence of burnout in the professional groups within medical imaging and radiation science (MIRS). These being radiographers (radiological technologists), sonographers, radiation therapists (therapeutic radiographers) and nuclear medicine technologists. METHODS: Electronic databases including Medline, Embase, Psycinfo and CINAHL were searched to locate studies published in English from 2000 that used a questionnaire/survey to measure burnout in the MIRS population. Also included were studies that measured burnout in a larger healthcare group that included MIRS professionals, as long as the MIRS professionals were reported as a separate group. RESULTS: Sixteen articles met the inclusion criteria; two of these articles reported the same data and therefore were combined to leave 15 studies to review. Of the radiation therapy group, seven of the nine studies reported low or moderate burnout amongst their participants. One study reported high levels of burnout in the emotional exhaustion and depersonalisation domains, and another reported high emotional exhaustion levels. Within the other MIRS professions, five of the six studies reported moderate burnout. One group of sonographers had high levels of burnout in the emotional exhaustion domain. CONCLUSION: For the past 20 years, levels of burnout in MIRS professionals has remained relatively steady, with the majority of studies reporting moderate levels of burnout. However, more research is needed in radiographers, sonographers and nuclear medicine technologists. IMPLICATIONS FOR PRACTICE: Even though the review indicates moderate level of burnout, this needs addressing on an organisational and individual level to ensure stress in the workplace is managed before burnout becomes a significant issue.


Assuntos
Esgotamento Profissional , Estresse Ocupacional , Pessoal Técnico de Saúde , Esgotamento Profissional/epidemiologia , Esgotamento Profissional/etiologia , Esgotamento Psicológico , Humanos , Inquéritos e Questionários
18.
CMAJ Open ; 9(2): E466-E473, 2021.
Artigo em Inglês | MEDLINE | ID: mdl-33958382

RESUMO

BACKGROUND: The province of British Columbia is facing a family physician shortage despite consistent increases in the number of physicians per capita and ongoing reforms to address the shortage. We identify physicians' priorities for structural reform, describe the alignment of those priorities with BC's suite of reforms and compare responses between established physicians and those new to practice; we also assessed rates of burnout. METHODS: All family physicians credentialed within Vancouver Coastal Health in 2018 were invited to participate in a cross-sectional survey. Respondents were asked about their practice model and characteristics, demographics, level of burnout and reform priorities. We used χ2 tests and multivariable logistic regression to investigate associations between personal and practice characteristics, burnout and reform priorities. RESULTS: Of the 1017 family physicians invited to participate, 525 (51.6%) responded. Of these, 399 (76.0%) indicated a need for fundamental change to how primary care is delivered; 244 (46.4%) would prefer to be a clinic employee rather than a small business owner. Other reform priorities included options to practise in a team (stated as very important by 69.6% of respondents), direct funding for team roles (66.7%), direct clinic funding (59.8%), part-time work options (64.7%), and ability to take planned vacations and parental leave (81.1%). The importance of individual reform priorities varied based on the participants' model of practice, location and years in practice. Of respondents, 108 (21.1%) had experienced a high level of burnout. INTERPRETATION: Almost half of family physicians would prefer to be employees rather than small business owners and over 20% reported a high level of burnout. Practice models offering direct employment model have very limited availability and are not included in the current suite of reforms in BC, potentially pulling physicians away from community-based family medicine and into other models or specialties.


Assuntos
Atitude do Pessoal de Saúde , Esgotamento Profissional , Reforma dos Serviços de Saúde , Médicos de Família/provisão & distribuição , Padrões de Prática Médica , Atenção Primária à Saúde , Esgotamento Profissional/epidemiologia , Esgotamento Profissional/etiologia , Esgotamento Profissional/prevenção & controle , Canadá , Estudos Transversais , Feminino , Acesso aos Serviços de Saúde/organização & administração , Humanos , Masculino , Área Carente de Assistência Médica , Modelos Organizacionais , Determinação de Necessidades de Cuidados de Saúde , Atenção Primária à Saúde/métodos , Atenção Primária à Saúde/organização & administração , Atenção Primária à Saúde/tendências , Percepção Social
SELEÇÃO DE REFERÊNCIAS
DETALHE DA PESQUISA
...