Analyses of burn-out among medical professionals and suggested solutions—a narrative review

M. Tanios, David A. Haberman, J. Bouchard, Michael S. Motherwell, J. Patel
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引用次数: 1

Abstract

: The increasing complexity of healthcare delivery in the United States and the financial challenges of meeting the escalating costs pose significant pressures on physicians, healthcare providers, and their teams. These various demands put physicians at high-risk for extreme mental fatigue, which affects their occupational performance and their patient’s well-being, and the healthcare delivery systems in general. Moreover, burned-out doctors are at risk exiting healthcare altogether leading to reduction patients’ access and continuity of care. In this paper, we performed a selective review of the literature related to health care associated burnout and utilize double-loop learning to offer opinions and selected solutions for physicians and healthcare organizations for interventions to minimize burnout and reverse its occurrence in the workplace and at home. Moreover, this paper will analyze the significant contributors to burnout, such as a lack of proper understanding, diversity and workplace factors, absence of organizational support systems, and health record-related burdens associated with 21st century medicine. For these reasons, the authors recommend a multifaceted approach that includes flexible scheduling, mental health education, and support systems. Other intervention areas include home-work balance, organizational interventions, and financial remedies for rewarding performance - by altering incentivization schedules. The approach considers a single and double-loop approach for medical establishments and their respective infrastructures
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医疗专业人员精疲力竭的分析及解决方案——叙述性综述
:美国医疗保健服务日益复杂,以及应对不断上升的成本所面临的财务挑战,给医生、医疗保健提供者及其团队带来了巨大压力。这些不同的需求使医生面临极度精神疲劳的风险,这会影响他们的职业表现和患者的健康,以及整个医疗保健系统。此外,精疲力竭的医生面临着完全退出医疗保健的风险,导致患者获得护理的机会和护理的连续性减少。在本文中,我们对与医疗保健相关的倦怠相关的文献进行了选择性回顾,并利用双环学习为医生和医疗保健组织提供意见和选择的干预解决方案,以最大限度地减少倦怠并扭转其在工作场所和家中的发生。此外,本文将分析导致倦怠的重要因素,如缺乏适当的理解、多样性和工作场所因素、缺乏组织支持系统,以及与21世纪医学相关的健康记录相关负担。出于这些原因,作者建议采取多方面的方法,包括灵活的日程安排、心理健康教育和支持系统。其他干预领域包括家庭工作平衡、组织干预和通过改变激励计划来奖励表现的财务补救措施。该方法考虑了医疗机构及其各自基础设施的单循环和双循环方法
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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