Workload, burnout, and medical mistakes among physicians in China: A cross-sectional study

Wen, Jin; Cheng, Yong; Hu, Xiuying; Yuan, Ping; Hao, Tianyou; Shi, Yujun

doi:10.5582/bst.2015.01175

Cited by 138 publications

(159 citation statements)

References 17 publications

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“…As previously mentioned, the results of research concerning the relationship between stress, occupational burnout and demographic factors in the group of doctors, are ambiguous. This applies in particular to the variables: age and marital status [23,47,62,73,74,75,76]. The analysis in the current study included variable 'marital status;, which in many studies confirmed that being in a more stable relationship is a more important predictor for reducing stress and burnout symptoms, than the age of the individual.…”

Section: Aaem Annals Of Agricultural and Environmental Medicinementioning

confidence: 51%

“…This has been clearly indicated in many studies [61], and although this is not the rule, it should be emphasized that the patients' contact with nurses is more frequent than with a doctor. There is also a smaller social distance in nurse-patient relations due to different social positions of the doctor and nurse professions [62,63,64]. The burnout process will therefore have a different course due to other work missions, which is rarely shown in research.…”

Section: Aaem Annals Of Agricultural and Environmental Medicinementioning

confidence: 99%

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Stress and occupational burnout in a population of Polish doctors – Organizational-professional and non-professional-social predictors

Makara‐Studzińska¹,

Wontorczyk²,

Izydorczyk³

2020

Ann Agric Environ Med.

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Introduction and objective. Numerous studies have found that doctors are exposed to stress and burnout at work. In consequence, these processes lead to a decrease in the quality of life. The study aimed to determine whether professional burnout, understood as a cognitive existential process, is related to stress at work and if any of the four dimensions of burnout are its predictor. The study also analyzed relations between organizational-professional and non-professionalsocial factors and burnout and stress at work. Materials and method. 318 doctors (210 women, 108 men), aged 27-8, participated in the study. Link Burnout Questionnaire (LBQ) was used to measure burnout, and the Perceived Stress Scale (PSS-10) to measure the variable describing the current level of stress. Results. Occupational burnout is related to stress. Two of its symptoms: exhaustion and lack of a sense of professional effectiveness, are important predictors for the sense of stress experienced by the examined group of doctors. The individuals who are in a partner relationship (but not marriage) experienced a stronger sense of non-professional effectiveness than those who were single. Being in an informal relationship is related to the level of stress and lack of a sense of professional effectiveness. The level of stress, as well as all burnout indicators, are connected with the function of a team leader and having passion. The frequency of taking leave and using social networks is related to the level of stress and burnout. Conclusions. Problems related to burnout in doctors, and therefore people professionally involved in helping and treating, must not be underestimated, as evidenced by the results of the presented study Professional burnout of doctors leads to somatic and psychological problems. Doctors suffering from occupational burnout need support and psychological assistance the same as any other professional group.

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Section: Aaem Annals Of Agricultural and Environmental Medicinementioning

confidence: 51%

Section: Aaem Annals Of Agricultural and Environmental Medicinementioning

confidence: 99%

Stress and occupational burnout in a population of Polish doctors – Organizational-professional and non-professional-social predictors

Makara‐Studzińska¹,

Wontorczyk²,

Izydorczyk³

2020

Ann Agric Environ Med.

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“…A multi-center cross-sectional survey of 1537 physicians at 46 hospitals across China showed that physicians working over 45 h per week were significantly more likely to commit medical mistakes compared to those working less than 45 h per week [7]. In addition, overwork has been demonstrated to lead to inferior doctor-patient communication, a factor that can impact patient health and lead in rare cases to violence against physicians [16,17].…”

Section: Discussionmentioning

confidence: 99%

“…Physicians could suffer from stress and exhaustion, ultimately leading to negative personal health outcomes and even death [3,4]. Physicians being overwork also can impact the quality of patient care, leading to poor or rushed doctor-patient communication, medical mistakes and poor patient satisfaction ratings [5,6,7]. Perhaps as a result of poor doctor-patient communication and heavy and stressful physician workloads, there are multiple reports of serious violence by patients against Chinese physicians [8,9].…”

Section: Introductionmentioning

confidence: 99%

Physicians’ Workloads in China: 1998–2016

Schwebel

2018

IJERPH

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Background: Physicians play a primary role in patients’ health. Heavy workloads can threaten the health of physicians and their patients. This study examined workload changes among physicians in Chinese health institutions from 1998–2016. Methods: This study examined data from the online China Statistical Yearbook of 1999–2017, which is released annually by the National Bureau of Statistics of the People’s Republic of China. Three relevant and available indicators were retrieved: (1) number of physicians, (2) number of patient visits and (3) number of inpatient admissions. Patient visits per physician and inpatient admissions per physician from 1998–2016 were calculated to approximate physician workloads in Chinese health institutions. Results: Between 1998 and 2016, patient visits per physician in China increased by 135% and inpatient admissions per physician rose by 184%. Both indicators demonstrate a stabilizing trend in the most recent five years, including a slight decrease (7%) in patient visits per physician since 2012. Conclusions: Physician workload increased dramatically for Chinese physicians from 1998–2016, a trend that could potentially threaten physicians’ health and the quality of patient care. The findings highlight the importance of interventions and efforts to relieve physician workloads in China.

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“…Therefore, Chinese medical workers may suffer from more serious psychological problems. In fact, 76.9% of Chinese physicians report burnout symptoms31. Workplace violence, and symptoms of anxiety and depression are increasingly prevalent among Chinese healthcare workers32333435.…”

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confidence: 99%

Effect of Positive Psychological Intervention on Posttraumatic Growth among Primary Healthcare Workers in China: A Preliminary Prospective Study

Song

et al. 2016

Sci Rep

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Posttraumatic growth (PTG) is defined as positive psychological change in the wake of highly challenging circumstances. Healthcare workers in particular are more vulnerable to stressors and trauma than the general population. The current study examined the use and effectiveness of a novel positive psychological intervention based on Chinese traditional culture to improve PTG in hospital healthcare workers. The intervention was provided to 579 healthcare workers at hospitals in Guilin, Shenzhen and Xiangtan. Scores on the Posttraumatic Growth Inventory (PTGI) and its subscales were significantly higher after intervention than before (p < 0.001). Of the five aspects of PTG, the aspect of “new possibilities” benefited the most from intervention (Cohen’s d = 0.45). PTG in women, nurses and college graduates increased to a greater extent than other participants after intervention. It was concluded that our novel intervention is effective at improving PTG in medical staff.

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Workload, burnout, and medical mistakes among physicians in China: A cross-sectional study

Cited by 138 publications

References 17 publications

Stress and occupational burnout in a population of Polish doctors – Organizational-professional and non-professional-social predictors

Stress and occupational burnout in a population of Polish doctors – Organizational-professional and non-professional-social predictors

Physicians’ Workloads in China: 1998–2016

Effect of Positive Psychological Intervention on Posttraumatic Growth among Primary Healthcare Workers in China: A Preliminary Prospective Study

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