Well-being Index Scores and Subjective Health Status of Korean Healthcare Workers
3
조회
0
다운로드
0
인용
0
참고문헌
키워드
초록
Objectives: The aim of this study was to evaluate the subjective level of health-related quality of life of Korean healthcare workers using various quality-of-life instruments. Methods: This study included 992 participants, who were doctors and nurses. A survey was conducted between November 28 and December 4, 2019. Data from 954 participants divided into 3 groups (physicians, residents, and nurses) were analyzed. Four measurement tools (29 questions) were used in the survey to evaluate subjective health status and well-being. Results: In the Mayo Well-being Index, burnout during work (88.5%) and emotional difficulties caused by work (84.0%) were frequently cited by the respondents. Regarding questions on burnout and emotional difficulties, residents and nurses had the highest scores (91.0 and 89.6%, respectively). Emotional problems, such as anxiety, depression, and irritability, accounted for a high percentage (73.1%) of the total, while 82.2% of respondents reported that their work schedules interfered with their leisure and family time. There was no significant difference among the groups in subjective health status. However, 10.1% of the residents experienced very low quality of life, which was a higher proportion than that of physicians (2.7%) and nurses (5.2%). Conclusions: The level of well-being that Korean medical workers experienced in relation to work was lower than the results of the United States healthcare workers surveyed using the same tool. This study was unique in that it conducted a subjective quality-of-life survey on Korean healthcare workers.
Abstract
Objectives: The aim of this study was to evaluate the subjective level of health-related quality of life of Korean healthcare workers using various quality-of-life instruments. Methods: This study included 992 participants, who were doctors and nurses. A survey was conducted between November 28 and December 4, 2019. Data from 954 participants divided into 3 groups (physicians, residents, and nurses) were analyzed. Four measurement tools (29 questions) were used in the survey to evaluate subjective health status and well-being. Results: In the Mayo Well-being Index, burnout during work (88.5%) and emotional difficulties caused by work (84.0%) were frequently cited by the respondents. Regarding questions on burnout and emotional difficulties, residents and nurses had the highest scores (91.0 and 89.6%, respectively). Emotional problems, such as anxiety, depression, and irritability, accounted for a high percentage (73.1%) of the total, while 82.2% of respondents reported that their work schedules interfered with their leisure and family time. There was no significant difference among the groups in subjective health status. However, 10.1% of the residents experienced very low quality of life, which was a higher proportion than that of physicians (2.7%) and nurses (5.2%). Conclusions: The level of well-being that Korean medical workers experienced in relation to work was lower than the results of the United States healthcare workers surveyed using the same tool. This study was unique in that it conducted a subjective quality-of-life survey on Korean healthcare workers.
참고문헌 (30)
- Devlin AS, "Health care environments and patient outcomes : a review of the literature", Environ Behav, 35(5), pp.665~694 (2003)
- Bodenheimer T, "Confronting the growing burden of chronic disease: can the U.S. health care workforce do the job?", Health Aff(Millwood), 28(1), pp.64~74 (2009)
- Brand SL, "Whole-system approaches to improving the health and wellbeing of healthcare workers : a systematic review", PLoS One, 12(12), pp.e0188418~ (2017)
- Drach-Zahavy A, "Workplace health friendliness : a cross level model for predicting workers’ health", J Occup Health Psychol, 13(3), pp.197~213 (2008)
- Shanafelt TD, "Longitudinal study evaluating the association between physician burnout and changes in professional work effort", Mayo Clin Proc, 91(4), pp.422~431 (2016)
- Dyrbye LN, "Utility of a brief screening tool to identify physicians in distress", J Gen Intern Med, 28(3), pp.421~427 (2013)
- Shields LB, "Multidisciplinary approach to enhancing provider well-being in a metropolitan medical group in the United States", BMC Fam Pract, 21(1), pp.262~ (2020)
- O’Connor AB, "Internal medicine residency program director burnout and program director turnover : results of a national survey", Am J Med, 132(2), pp.252~261 (2019)
- Schoen C, "A survey of primary care doctors in ten countries shows progress in use of health information technology, less in other areas", Health Aff(Millwood), 31(12), pp.2805~2816 (2012)
- Jeehee Pyo, "Meaning and Status of Health-related Quality of Life Recognized by Medical Professionals: a Qualitative Study", Journal of Korean Medical Science, 36(3), pp.1~16 (2021), 대한의학회[DOI]
- "The number of healthcare workers"[URL]
- Shanafelt TD, "Changes in burnout and satisfaction with work-life integration in physicians and the general US working population between 2011 and 2017", Mayo Clin Proc, 94(9), pp.1681~1694 (2019)
- Devlin NJ, "Valuing health-related quality of life : an EQ-5D-5L value set for England", Health Econ, 27(1), pp.7~22 (2018)
- Lin FJ, "Measuring health-related quality of life in chronic obstructive pulmonary disease : properties of the EQ-5D-5L and PROMIS-43 short form", BMC Med Res Methodol, 14, pp.78~ (2014)
- Kim SH, "The EQ-5D-5L valuation study in Korea", Qual Life Res, 25(7), pp.1845~1852 (2016)
- 이정은, "HINT-8 도구에서 EQ-5D 도구들로의 Mapping을 이용한 전환식 도출 연구", 보건경제와 정책연구, 25(1), pp.77~103 (2019), 한국보건경제정책학회
- Feng Y, "Assessing the performance of the EQ-VAS in the NHS PROMs programme", Qual Life Res, 23(3), pp.977~989 (2014)
- Dyrbye LN, "Ability of the physician well-being index to identify residents in distress", J Grad Med Educ, 6(1), pp.78~84 (2014)
- Dyrbye LN, "Efficacy of the Well-Being Index to identify distress and stratify well-being in nurse practitioners and physician assistants", J Am Assoc Nurse Pract, 31(7), pp.403~412 (2019)
- "Clinician distress is at an all-time high, and the consequences are devastating"[URL]
- "Action collaborative on clinician well-being and resilience"[URL]
- "Residency programs"[URL]
- "Dashboard, summary statistics – metrics" (2021)[URL]
- 2016 Korean physician survey, "Lee JC", Korean Medical Association, 1~321 (2017)
- Oh YI, "Factors affecting Korean physician job satisfaction", Int J Environ Res Public Health, 16(15), pp.2714~ (2019)
- Kim O, "The Korea nurses’ health study: a prospective cohort study", J Womens Health (Larchmt), 26(8), pp.892~899 (2017)
- Valuation of Korean health-related quality of life instrument with 8 items (HINT-8), "Jo MW", Korea Centers for Disease Control and Prevention, 20~103 (2017)
- Adams JA, "Nursing strategies to support family members of ICU patients at high risk of dying", Heart Lung, 43(5), pp.406~415 (2014)
- Wissow LS, "Therapeutic alliance in pediatric primary care : preliminary evidence for a relationship with physician communication style and mothers’ satisfaction", J Dev Behav Pediatr, 31(2), pp.83~91 (2010)
- Norfolk T, "Developing therapeutic rapport : a training validation study", Qual Prim Care, 17(2), pp.99~106 (2009)