Burnout in healthcare - the Emperor's New Clothes.

IF 1.7 Q3 GASTROENTEROLOGY & HEPATOLOGY Przegla̜d Gastroenterologiczny Pub Date : 2023-01-01 Epub Date: 2023-09-29 DOI:10.5114/pg.2023.131595
Wojciech Marlicz, Anastasios Koulaouzidis, Dafni Charisopoulou, Janusz Jankowski, Maria Marlicz, Karolina Skonieczna-Zydecka, Patrycja Krynicka, Igor Loniewski, Jerzy Samochowiec, Grażyna Rydzewska, George Koulaouzidis
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Abstract

Burnout is common among physicians; it severely alters their health and has a negative impact on functioning of healthcare systems. Hypertension, increased cortisol levels, maladaptive behaviors with negative social consequences, and suboptimal quality of care have been associated with healthcare providers' burnout. As the number of patients with cancers, psychiatric and neurodegenerative disorders will rise, we need new solutions to maintain physicians' health and, therefore, quality of care. Coping strategies before the COVID-19 pandemic seem ineffective in scaling all the deficits of the global healthcare systems. Examples of new initiatives include new collaborative projects, such as COH-FIT (The Collaborative Outcomes study on Health and Functioning during Infection Times - https://www.coh-fit.com), which aims to collect global data and understand the impact of the COVID-19 pandemic on physical and mental health in order to identify various coping strategies for patients and healthcare workers during infection times, or MEMO (Minimizing Error, Maximizing Outcome), funded by the Agency of Healthcare Research and Quality (AHRQ). Others: i) Rome Foundation GastroPsych undertake efforts dedicated to the science and practice of psychogastroenterology, a burgeoning field with roots in behavioral intervention, cognitive science and experimental psychology focused on fostering the professional growth and collaboration of those engaged in medical practices, or ii) World Gastroenterology Organisation (WGO), Train The Trainers (TTT) program including a new topic of the impact of burnout on career longevity in order to foster strategies for staying healthy and increasing career satisfaction. There is a need for continuous development of digital technologies (e.g. training simulators, telemedicine, robots and artificial intelligence). Their implementation into medical practice is inevitable. Now more than ever, there is a need for a new spirit in healthcare. Together with others in the field, we believe this article is a desperate call for maximizing the use of novel technologies supported by collaborative interactions among healthcare providers and medical professionals of diverse medical fields.

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在医疗保健中精疲力竭——皇帝的新衣。
倦怠在医生中很常见;它严重改变了他们的健康状况,并对医疗系统的运作产生了负面影响。高血压、皮质醇水平升高、具有负面社会后果的适应不良行为以及护理质量不佳与医疗服务提供者的倦怠有关。随着癌症、精神病和神经退行性疾病患者数量的增加,我们需要新的解决方案来维持医生的健康,从而提高护理质量。新冠肺炎大流行之前的应对策略似乎无法有效扩大全球医疗系统的所有赤字。新举措的例子包括新的合作项目,如COH-FIT(感染期间健康和功能的合作成果研究-https://www.coh-fit.com)旨在收集全球数据,了解新冠肺炎大流行对身心健康的影响,以确定患者和医护人员在感染期间的各种应对策略,或MEMO(最小化错误,最大化结果),由医疗保健研究与质量局(AHRQ)资助。其他:i)罗马胃肠病基金会致力于心理胃肠病学的科学和实践,这是一个植根于行为干预、认知科学和实验心理学的新兴领域,专注于促进从事医学实践的人的专业成长和合作,或ii)世界胃肠病组织(WGO),培训培训师(TTT)计划包括一个新的主题,即倦怠对职业寿命的影响,以培养保持健康和提高职业满意度的策略。需要不断发展数字技术(例如培训模拟器、远程医疗、机器人和人工智能)。它们在医学实践中的实施是不可避免的。现在,医疗保健比以往任何时候都更需要一种新的精神。与该领域的其他人一起,我们认为这篇文章迫切呼吁最大限度地利用由不同医疗领域的医疗保健提供者和医疗专业人员之间的协作互动支持的新技术。
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来源期刊
Przegla̜d Gastroenterologiczny
Przegla̜d Gastroenterologiczny GASTROENTEROLOGY & HEPATOLOGY-
CiteScore
2.20
自引率
7.70%
发文量
50
审稿时长
6-12 weeks
期刊介绍: Gastroenterology Review is a journal published each 2 months, aimed at gastroenterologists and general practitioners. Published under the patronage of Consultant in Gastroenterology and Polish Pancreatic Club.
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