Prevalence of Burnout in Occupational and Environmental Medicine Physicians in the United States.

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Abstrakt

Tytuł:: Prevalence of Burnout in Occupational and Environmental Medicine Physicians in the United States.
Autorzy:: Green-McKenzie J; Division of Occupational Medicine (Dr Green-McKenzie, Dr Somasundaram, Dr Lawler, Dr O'Hara); Bayhealth Occupational Medicine, Dover, Delaware (Dr Somasundaram); Sharp Rees-Stealy Medical Group, San Diego (Dr Lawler); EMR CPR, Fremont (Dr O'Hara), California; Epidemiology & Biostatistics (Dr Shofer), Department of Emergency Medicine, University of Pennsylvania Perelman School of Medicine, Philadelphia, Pennsylvania.
Somasundaram P
Lawler T
O'Hara E
Shofer FS
Źródło:: Journal of occupational and environmental medicine [J Occup Environ Med] 2020 Sep; Vol. 62 (9), pp. 680-685.
Typ publikacji:: Journal Article; Research Support, U.S. Gov't, P.H.S.
Język:: English
Imprint Name(s):: Publication: Hagerstown, MD : Lippincott Williams & Wilkins
Original Publication: Baltimore, MD : Williams & Wilkins, c1995-
MeSH Terms:: Burnout, Professional*
Environmental Medicine*
Occupational Medicine*
Physicians*
Cross-Sectional Studies ; Female ; Humans ; Job Satisfaction ; Male ; Middle Aged ; Prevalence ; Surveys and Questionnaires ; United States
References:: Shanafelt TD, Hasan O, Dyrbye LN, et al. Changes in burnout and satisfaction with work-life balance in physicians and the general US working population between 2011 and 2014. Mayo Clin Proc 2015; 90:16001613.
Medscape. Medscape National Physician Burnout, Depression & Suicide Report 2019; 2019. Available at: https://www.medscape.com/slideshow/2019-lifestyle-burnout-depression-6011056#1.
Taking Action Against Clinician Burnout. 2019; Washington, D.C:National Academies Press, doi:10.17226/25521.
Maslach C, Leiter MP. Understanding the burnout experience: recent research and its implications for psychiatry. World Psychiatry 2016; 15:103111.
Paolini HO, Bertram B, Hamilton T. Antidotes to burnout: fostering physician resiliency, well-being, and holistic development. Medscape Psychiatry 2013; https://www.medscape.com/viewarticle/782514.
Deckard G, Meterko M, Field D. Physician burnout: an examination of personal, professional, and organizational relationships. Med Care 1994; 32:745754.
Benzer DG. Stress impairment in physicians. WMJ 2001; 100:2023.
Shanafelt T, Goh J, Sinsky C. The business case for investing in physician well-being. JAMA Intern Med 2017; 177:18261832.
Shanafelt TD, Boone S, Tan L, et al. Burnout and satisfaction with work-life balance among US physicians relative to the general US population. Arch Intern Med 2012; 172:13771385.
Jha A, Iliff A, Chaoui A, Bonbaugh MMY. A Crisis in Health Care: A Call to Action on Physician Burnout; 2019. Available at: http://www.massmed.org/News-and-Publications/MMS-News-Releases/Physician-Burnout-Report-2018/.
Shanafelt TD, West CP, Sinsky C, et al. Changes in burnout and satisfaction with work-life integration in physicians and the general US Working Population between 2011 and 2017. Mayo Clin Proc 2019; 94:16811694.
North CS, Ryall JE. Psychiatric illness in female physicians. Are high rates of depression an occupational hazard? Postgrad Med 1997; 101:233236.
Patel RS, Bachu R, Adikey A, et al. Factors related to physician burnout and its consequences: a review. Behav Sci (Basel) 2018; 8:E98.
McKenzie B, Walker T, Chin C. Prevalence of burnout in Bahamian Health Care Personnel. J Occup Environ Med 2018; 60:e434e435.
Leiter MP, Durup J. The discriminant validity of burnout and depression: a confirmatory factor analytic study. Anxiety Stress Coping 1994; 7:357373.
Tawfik DS, Profit J, Morgenthaler TI, et al. Physician burnout, well-being, and work unit safety grades in relationship to reported medical errors. Mayo Clin Proc 2018; 93:15711580.
West CP, Dyrbye LN, Erwin PJ, et al. Interventions to prevent and reduce physician burnout: a systematic review and meta-analysis. Lancet 2016; 388:22722281.
Karasek RA. Job demands, job decision latitude, and mental strain: implications for job redesign. Adm Sci Q 1979; 24:285.
Johnson JV, Hall EM. Job strain, work place social support, and cardiovascular disease: a cross-sectional study of a random sample of the Swedish working population. Am J Public Health 1988; 78:13361342.
Blom V, Bodin L, Bergström G, et al. Applying the demand-control-support model on burnout in managers and non-managers. Int J Work Heal Manag 2016; 9:110122.
Maslach C, Jackson SE, Leiter MP. Maslach Burnout Inventory. Manual. 3rd ed.Palo Alto, CA:Consulting Psychologists Press; 1996.
Maslach C, Jackson S, Leiter MP. Maslach Burnout Inventory Manual, 4th ed.; 2017.
Hyman SA, Shotwell MS, Michaels DR, et al. A survey evaluating burnout, health status, depression, reported alcohol and substance use, and social support of anesthesiologists. Anesth Analg 2017; 125:20092018.
Doulougeri K, Georganta K, Montgomery A. Diagnosing burnout among healthcare professionals: can we find consensus? Cogent Med 2016; 3:1237605doi:10.1080/2331205X.2016.1237605. (PMID: 10.1080/2331205x.2016.1237605)
Rafferty JP, Lemkau JP, Purdy RR, et al. Validity of the Maslach Burnout Inventory for family practice physicians. J Clin Psychol 1986; 42:488492.
Lee RT, Ashforth BE. A meta-analytic examination of the correlates of the three dimensions of job burnout. J Appl Psychol 1996; 81:123133.
Leiter CMSEJMP. Maslach Burnout Inventory manual; 1996.
Spector PE. Measurement of human service staff satisfaction: development of the Job Satisfaction Survey. Am J Community Psychol 1985; 13:693713.
Sarason IG, Levine HM, Basham RB, Sarason BR. Assessing social support: the Social Support Questionnaire. J Pers Soc Psychol 1983; 44:127139.
Darves B. Targeting physician burnout. NEJM Career Cent 2017.
Turner TB, Dilley SE, Smith HJ, et al. The impact of physician burnout on clinical and academic productivity of gynecologic oncologists: a decision analysis. Gynecol Oncol 2017; 146:642646.
Walters T, Matthews J, Dailey I. Burnout in Army health care providers. Mil Med 2014; 179:10061012.
Hachette Books, Loehr J. The Only Way to Win: How Building Character Drives Higher Achievement and Greater Fulfillment in Business and Life. 2012.
Oliver D. David Oliver: when “resilience” becomes a dirty word. BMJ 2017; 358:j3604.
Shanafelt TD, Noseworthy JH. Executive leadership and physician well-being: nine organizational strategies to promote engagement and reduce burnout. Mayo Clin Proc 2017; 92:129146.
Shanafelt TD, Dyrbye LN, West CP. Addressing physician burnout: the way forward. JAMA 2017; 317:901902.
American College of Occupational and Environmental Medicine. Vision and Mission Statements; 2018. Available at: https://acoem.org/About-ACOEM/Vision-and-Mission-Statements.
Green-McKenzie J, Emmett EA. Characteristics and outcomes of an innovative train-in-place residency program. J Grad Med Educ 2017; 9:634639.
ACGME. ACGME Program Requirements for Graduate Medical Education in Preventive Medicine; 2019. Available at: https://www.acgme.org/Portals/0/PFAssets/ProgramRequirements/380-Preventive_Medicine_2019.pdf?ver=2018-08-21-130637-697.
Personal communication with the AmericanCollege of Preventive Medine Membership Office on April 4, 2020.
Gold KJ, Sen A, Schwenk TL. Details on suicide among US physicians: data from the National Violent Death Reporting System. Gen Hosp Psychiatry 2012; 35:4549.
Entry Date(s):: Date Created: 20200905 Date Completed: 20210805 Latest Revision: 20210805
Update Code:: 20240104
DOI:: 10.1097/JOM.0000000000001913
PMID:: 32890204
: Czasopismo naukowe

Objective: To determine prevalence and key drivers of burnout in Occupational and Environmental Medicine physicians in the United States.
Methods: A nationwide survey of Occupational Medicine physicians was conducted using the Qualtrics® platform. Burnout, measured by the Maslach Burnout Inventory®, Social Support, and Job Satisfaction were assessed.
Results: The response rate was 46%, the overall burnout prevalence 38%, and most respondents were men (69%). The mean age and mean years in practice were 56 years and 20 years respectively. Physicians working in government/military (48%) and private medical center group settings (46%) were significantly more likely to report burnout, with consultants (15%) reporting the lowest rate.
Conclusions: Although the overall burnout prevalence is lower in Occupational Medicine physicians compared with most specialties, the rate varies significantly by practice setting (15% to 48%) affirming the impact of organizational factors.

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