Physician wellness: a missing quality indicator

被引:1110
作者
Wallace, Jean E. [1 ]
Lemaire, Jane B. [2 ]
Ghali, William A. [3 ]
机构
[1] Univ Calgary, Dept Sociol, Fac Social Sci, Calgary, AB T2N 1N4, Canada
[2] Univ Calgary, Dept Med, Fac Med, Calgary, AB T2N 1N4, Canada
[3] Univ Calgary, Dept Community Hlth Sci, Fac Med, Calgary, AB T2N 1N4, Canada
关键词
US MEDICAL-STUDENTS; JOB-SATISFACTION; GENERAL-PRACTITIONERS; WOMEN PHYSICIANS; PATIENT-CARE; PROFESSIONAL AUTONOMY; RESIDENCY PROGRAM; UNHAPPY DOCTORS; WORK HOURS; OF-CARE;
D O I
10.1016/S0140-6736(09)61424-0
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
When physicians are unwell, the performance of health-care systems can be suboptimum. Physician wellness might not only benefit the individual physician, it could also be vital to the delivery of high-quality health care. We review the work stresses faced by physicians, the barriers to attending to wellness, and the consequences of unwell physicians to the individual and to health-care systems. We show that health systems should routinely measure physician wellness, and discuss the challenges associated with implementation.
引用
收藏
页码:1714 / 1721
页数:8
相关论文
共 98 条
[1]   Subjective indicators as a gauge for improving organizational well-being. An attempt to apply the cognitive activation theory to organizations [J].
Arnetz, BB .
PSYCHONEUROENDOCRINOLOGY, 2005, 30 (10) :1022-1026
[2]   Staff perception of the impact of health care transformation on quality of care [J].
Arnetz, BB .
INTERNATIONAL JOURNAL FOR QUALITY IN HEALTH CARE, 1999, 11 (04) :345-351
[3]   Psychosocial challenges facing physicians of today [J].
Arnetz, BB .
SOCIAL SCIENCE & MEDICINE, 2001, 52 (02) :203-213
[4]   Extended work duration and the risk of self-reported percutaneous injuries in interns [J].
Ayas, Najib T. ;
Barger, Laura K. ;
Cade, Brian E. ;
Hashimoto, Dean M. ;
Rosner, Bernard ;
Cronin, John W. ;
Speizer, Frank E. ;
Czeisler, Charles A. .
JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION, 2006, 296 (09) :1055-1062
[5]   Impaired healthcare professional [J].
Baldisseri, Marie R. .
CRITICAL CARE MEDICINE, 2007, 35 (02) :S106-S116
[6]   Young doctors' health .2. Health and health behaviour [J].
Baldwin, PJ ;
Dodd, M ;
Wrate, RM .
SOCIAL SCIENCE & MEDICINE, 1997, 45 (01) :41-44
[7]   Extended work shifts and the risk of motor vehicle crashes among interns [J].
Barger, LK ;
Cade, BE ;
Ayas, NT ;
Cronin, JW ;
Rosner, B ;
Speizer, FE ;
Czeisler, CA .
NEW ENGLAND JOURNAL OF MEDICINE, 2005, 352 (02) :125-134
[8]  
Canadian Medical Association, 2003, GUID PHYS HLTH WELL
[9]   Confronting depression and suicide in physicians - A consensus statement [J].
Center, C ;
Davis, M ;
Detre, T ;
Ford, DE ;
Hansbrough, W ;
Hendin, H ;
Laszlo, J ;
Litts, DA ;
Mann, J ;
Mansky, PA ;
Michels, R ;
Miles, SH ;
Proujansky, R ;
Reynolds, CF ;
Silverman, MM .
JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION, 2003, 289 (23) :3161-3166
[10]   Well-being in residency training: A survey examining resident physician satisfaction both within and outside of residency training and mental health in Alberta [J].
Cohen J.S. ;
Patten S. .
BMC Medical Education, 5 (1)