[Association between burnout and quality of care in primary care].

IF 1.8 4区 医学 Q2 MEDICINE, GENERAL & INTERNAL Atencion Primaria Pub Date : 2025-01-11 DOI:10.1016/j.aprim.2024.103207
Kilian Griñan Ferre, Joan Torras Borrell, Jordi Aparicio Freixa
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引用次数: 0

Abstract

Objectives: To assess the influence of burnout in family physicians on their score on the EQA index.

Design: Observational study. SITE: Study conducted in the primary care centers of the Terrassa Health Consortium, in Vallès Occidental, Catalonia.

Participants: Primary care physicians with a basic care unit were included. Of the 107 family doctors working in the 8 primary care centers of the Terrassa Health Consortium, 73 professionals participated.

Interventions: A self-administered survey was carried out with demographic and occupational elements such as age, gender, length of service at the work center, the MBI and the last self-reported EQA value belonging to the year 2023.

Main measures: Sociodemographic variables were analysed; years of experience and clinical variables such as the EQA, the Maslach test and its dimensions emotional exhaustion, depersonalisation and personal fulfilment. The Maslach Burnout Inventory test was administered. The level of statistical significance considered was 5%.

Results: Seventy-threefamily doctors took the Maslach test, 54 (74%) had burnout, of which 21.9% (16) were severe. A statistically significant relationship was found between burnout and EQA (P=.023) and between emotional exhaustion and EQA (P=.013) in the mild and severe categories (P=.003).

Conclusions: Family physicians with burnout have a lower EQA value, which is not associated with age, sex or years of experience, but with the emotional exhaustion suffered.

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[初级保健中职业倦怠与护理质量的关系]。
目的:探讨家庭医生职业倦怠对家庭医生EQA指标得分的影响。设计:观察性研究。地点:研究在加泰罗尼亚西部山谷的Terrassa健康联盟的初级保健中心进行。参与者:包括基本护理单位的初级保健医生。在Terrassa保健联盟的8个初级保健中心工作的107名家庭医生中,有73名专业人员参加了调查。干预措施:进行了一项自我管理的调查,包括人口统计学和职业因素,如年龄、性别、在工作中心的服务年限、MBI和属于2023年的最后一次自我报告的EQA值。主要措施:分析社会人口学变量;多年的经验和临床变量,如EQA、马斯拉克测试及其维度情绪耗竭、人格解体和个人成就感。进行Maslach倦怠量表测试。考虑的统计学显著性水平为5%。结果:73名家庭医生参加了Maslach测验,54名(74%)家庭医生存在职业倦怠,其中21.9%(16%)严重职业倦怠。轻度和重度职业倦怠与EQA (P= 0.023)、情绪衰竭与EQA (P= 0.013)存在显著相关(P= 0.003)。结论:有职业倦怠的家庭医生EQA值较低,与年龄、性别、工作年限无关,而与所遭受的情绪衰竭有关。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Atencion Primaria
Atencion Primaria 医学-医学:内科
CiteScore
2.90
自引率
8.00%
发文量
156
审稿时长
33 days
期刊介绍: Atención Primaria es una revista que publica trabajos de investigación relativos al ámbito de la atención primaria de salud. Desde el punto de vista conceptual, Atención Primaria asume el nuevo modelo de atención primaria de salud, orientado no sólo a la curación de la enfermedad, sino también a su prevención y a la promoción de la salud, tanto en el plano individual como en el de la familia y la comunidad. En estos nuevos aspectos que definen el modelo de atención primaria de salud es en los que se centran los trabajos de investigación que publica Atención Primaria, la primera revista de originales española creada para recoger y difundir la producción científica realizada desde los centros de atención primaria de salud sobre cuestiones como protocolización de la asistencia, programas de prevención, seguimiento y control de pacientes crónicos, organización y gestión de la asistencia primaria, entre otros.
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