[Burnout among Hungarian physicians. Who are the most at risk?].

Abstract:

INTRODUCTION:Burnout is one of the most challenging questions of the healthcare systems in the 21st century. AIM:The aim of this study was to analyze the Hungarian physicians' burnout and its associations with workload factors (work hours, shift work, multiple workplaces). METHOD:Data of this representative, cross-sectional, online epidemiological study was obtained from online questionnaires completed by 4784 physicians. RESULTS:Medium or high level personal accomplishment was present in 75.9% and emotional exhaustion in 58% among physicians, while medium or high level of depersonalization subscale was 53%. All of the 3 dimensions showed association with young ages (<35 years), work in in-patient care, shift hours and multiple workplaces. The physician partner increased the risk of depersonalization, however, children were protective factors. The work-home interface was associated with higher burnout scores. CONCLUSIONS:Physicians' burnout is an important indicator of the functioning and effectiveness of the healthcare system. The results suggest the importance of prevention and intervention. :Bevezetés: A kiégés a XXI. század orvoslásának egyik legnagyobb kihívást jelentő kérdése. Célkitűzés: A szerzők célul tűzték ki a magyarországi orvosok (n = 4784) kiégésmutatóinak felmérését, valamint e mutatók és a munkavégzés körülményeit érintő legmeghatározóbb aspektusok (munkaórák, ügyeleti munkavégzés, több munkahelyen való helytállás) összefüggéseinek elemzését. Módszer: Orvosok körében végzett országos, reprezentatív, online kvantitatív felmérés eredményeinek deskriptív elemzése. Eredmények: A vizsgálat azt mutatta, hogy hazai orvosok körében a teljesítményvesztés dimenziója a legmagasabb arányú, ezt követi az emocionális kimerülés, majd a deperszonalizáció faktora. A fiatal életkor (<35 év), a fekvőbeteg-ellátásban való munkavégzés, az ügyeleti munka, valamint a több munkahelyen való egyidejű helytállás a kiégés mindhárom dimenziójának meghatározó kockázati tényezője. Az orvos partner megléte a deperszonalizációt növeli, míg a gyerekszám protektív mindhárom aspektus esetében. Ugyanakkor a munka–család konfliktus a kiégést egyértelműen növelő tényező. Következtetések: A betegellátásra, a lakosság egészségi állapotának alakulására nézve jelentős hatású a kiégés. Az eredmények fényében a prevenció és az intervenció kulcsszerepű. Orv. Hetil., 2015, 156(14), 564–570.

journal_name

Orv Hetil

journal_title

Orvosi hetilap

authors

Győrffy Z,Girasek E

doi

10.1556/OH.2015.30121

subject

Has Abstract

pub_date

2015-04-05 00:00:00

pages

564-70

issue

14

eissn

0030-6002

issn

1788-6120

pii

U367351618305754

journal_volume

156

pub_type

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