임상의사의 삶의 만족도 자가평가 수준과 관련 요인
Levels of Physicians’ Self-assessment of Life Satisfaction and Associated Factors
3
조회
0
다운로드
0
인용
0
참고문헌
키워드
초록
Objectives: This study aimed to identify the level of self-assessment of life satisfaction and various factors related to the life satisfaction of Korean physicians. Methods: This study is a secondary data analysis using the 2016 Korean physician survey Korean Physician Survey(KPS) data collected by the Research Institute for Healthcare Policy of the Korean Medical Association. The member database(DB) of the Korean Medical Association was used for sampling and the target population was formed and surveyed by using stratified quota sampling. A questionnaire was sent by E-mail as an online survey method and was conducted for a total of 7 weeks from November 21, 2016 to January 8, 2017. The final number of respondents was 8,564 (response rate 13.8%). In this study, a total of 7,228 physicians, excluding residents and public health doctors who are currently treating patients directly, were studied. Factors affecting the life satisfaction of physicians were analyzed using ordinal logistic regression analysis. Results: The physical factors positively related to the life satisfaction of physicians were those who were in their 60s, female, and thought they had good health status. As for psychological factors, stress was low. As for economic factors, satisfaction with income was high. As for social factors, the physicians lived with their families and were satisfied with the time they could spend with them. Also, the physicians were satisfied with the social respect they received as a doctors. Conclusions: Based on the results of this study, it is thought that a multifaceted approach is needed to increase the life satisfaction of physicians.
Abstract
Objectives: This study aimed to identify the level of self-assessment of life satisfaction and various factors related to the life satisfaction of Korean physicians. Methods: This study is a secondary data analysis using the 2016 Korean physician survey Korean Physician Survey(KPS) data collected by the Research Institute for Healthcare Policy of the Korean Medical Association. The member database(DB) of the Korean Medical Association was used for sampling and the target population was formed and surveyed by using stratified quota sampling. A questionnaire was sent by E-mail as an online survey method and was conducted for a total of 7 weeks from November 21, 2016 to January 8, 2017. The final number of respondents was 8,564 (response rate 13.8%). In this study, a total of 7,228 physicians, excluding residents and public health doctors who are currently treating patients directly, were studied. Factors affecting the life satisfaction of physicians were analyzed using ordinal logistic regression analysis. Results: The physical factors positively related to the life satisfaction of physicians were those who were in their 60s, female, and thought they had good health status. As for psychological factors, stress was low. As for economic factors, satisfaction with income was high. As for social factors, the physicians lived with their families and were satisfied with the time they could spend with them. Also, the physicians were satisfied with the social respect they received as a doctors. Conclusions: Based on the results of this study, it is thought that a multifaceted approach is needed to increase the life satisfaction of physicians.
참고문헌 (30)
- Shanafelt T, "Wellness-Centered Leadership:Equipping Health Care Leaders to Cultivate Physician Well-Being and Professional Fulfillment", Acad Med, 96(5), pp.641~651 (2021)
- Schwenk TL, "What Does It Mean to Be a Physician?", JAMA, 323(11), pp.1037~1038 (2020)
- Slavin S, "Preventing Physician Burnout:Satisfaction or Something More?", Isr J Health Policy Res, 8(1), pp.1~3 (2019)
- Balch CM, "Personal Consequences of Malpractice Lawsuits on American Surgeons", J Am Coll Surg, 213(5), pp.657~667 (2011)
- Welp A, "Emotional Exhaustion and Workload Predict Clinician-Rated and Objective Patient Safety", Front Psycholo, 5, pp.1~13 (2015)
- Brown SD, "Beyond Substance Abuse : Stress, Burnout, and Depression as Causes of Physician Impairment and Disruptive Behavior", J Am Coll Radiol, 6(7), pp.479~485 (2009)
- Oreskovich MR, "Prevalence of Alcohol Use Disorders among American Surgeons", Arch Surg, 147(2), pp.168~174 (2012)
- Van der Heijden F, "Suicidal Thoughts among Medical Residents with Burnout", Arch Suicide Res, 12(4), pp.344~346 (2008)
- Dewa CS, "How Does Burnout Affect Physician Productivity? A Systematic Literature Review", BMC Health Serv Res, 14(1), pp.1~10 (2014)
- Schwartz SP, "Work-Life Balance Behaviours Cluster in Work Settings and Relate to Burnout and Safety Culture: A Cross-Sectional Survey Analysis", BMJ Qual Saf, 28(2), pp.142~150 (2019)
- Jang ES, "Work–Life Conflict and Its Health Effects on Korean Gastroenterologists According to Age and Sex", Dig Dis Sci, 65(1), pp.86~95 (2020)
- Franco P, "Professional Quality of Life and Burnout Amongst Radiation Oncologists: The Impact of Alexithymia and Empathy", Radiother Oncol, 147, pp.162~168 (2020)
- Pogosova N, "Occupational Burnout, Psychological Status and Quality of Life in Primary Care Physicians Working in Outpatient Settings", Kardiologiia, 61(6), pp.69~78 (2021)
- West CP, "Interventions to Prevent and Reduce Physician Burnout : A Systematic Review and Meta-Analysis", Lancet, 388(10057), pp.2272~2281 (2016)
- Dyrbye LN, "Development of a Research Agenda to Identify Evidence-Based Strategies to Improve Physician Wellness and Reduce Burnout", Ann Intern Med, 166(10), pp.743~744 (2017)
- Shanafelt TD, "Executive Leadership and Physician Well-Being : Nine Organizational Strategies to Promote Engagement and Reduce Burnout", Mayo Clin Proc, 92(1), pp.129~146 (2017)
- Kopelman RE, "A Model of Work, Family, and Interrole Conflict : A Construct Validation Study", Organizational behavior and human performance, 32(2), pp.198~215 (1983)
- Wang Z, "Physician Burnout and Its Associated Factors : A Cross-Sectional Study in Shanghai", J Occup Health, 56(1), pp.73~83 (2014)
- Starmer AJ, "Gender Discrepancies Related to Pediatrician Work-Life Balance and Household Responsibilities", Pediatrics, 144(4), pp.e20182926~ (2019)
- 안재희, "젠더가 여성수련의의 직업정체성 형성에 미치는 영향", Korean Journal of Medical Education, 24(2), pp.153~162 (2012), 한국의학교육학회
- McManus I, "Stress, Burnout and Doctors' Attitudes to Work Are Determined by Personality and Learning Style: A Twelve Year Longitudinal Study of Uk Medical Graduates", BMC Med, 2(1), pp.1~12 (2004)
- Yates SW, "Physician Stress and Burnout", Am J Med, 133(2), pp.160~164 (2020)
- West C, "A Randomized Controlled Trial Evaluating the Effect of Compass(Colleagues Meeting to Promote and Sustain Satisfaction)Small Group Sessions on Physician Well-Being, Meaning, and Job Satisfaction", J Gen Intern Med, 30(suppl 2), pp.45~ (2015)
- Shanafelt TD, "Changes in Burnout and Satisfaction with Work-Life Balance in Physicians and the General Us Working Population between 2011 and 2014", Mayo Clin Proc, 90(12), pp.1600~1613 (2015)
- Rasinski KA, "A Sense of Calling and Primary Care Physicians’ Satisfaction in Treating Smoking, Alcoholism, and Obesity", Arch Intern Med, 172(18), pp.1423~1424 (2012)
- Sangho Sohn, "Changes in the working conditions and learning environment of medical residents after the enactment of the Medical Resident Act in Korea in 2015: a national 4-year longitudinal study", Journal of Educational Evaluation for Health Professions, 18, pp.1~11 (2021), 한국보건의료인국가시험원[DOI]
- Carmen MG Del, "Trends and Factors Associated with Physician Burnout at a Multispecialty Academic Faculty Practice Organization", JAMA Netw Open, 2(3), pp.e190554~e190554 (2019)
- "의사도 대형병원 근무 선호, 규모 클수록 이직률 낮아"[URL]
- Biaggi P, "Stressors, Emotional Exhaustion and Aversion to Patients in Residents and Chief Residents-What Can Be Done?", Swiss Med Wkly, 133(2324), pp.339~339 (2003)
- Tsugawa Y, "Comparison of Hospital Mortality and Readmission Rates for Medicare Patients Treated by Male Vs Female Physicians", JAMA Intern Med, 177(2), pp.206~213 (2017)