Khalid Alkhurayji, Farah Kalagi, Hessah Alsuwaidan, Saja A Alrayes, Arwa Alumran, Sulaiman Bah
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引用次数: 0
Abstract
Background: Workers' health in business operations and healthcare delivery is paramount with various factors, significantly impacting performance and quality of care. Therefore, this systematic review and meta-analysis aimed to explore the intricate factors influencing the performance of healthcare providers.
Methods: Searches were conducted in the PubMed, Web of Science, and Google Scholar databases from 1 January 2000 to 1 January 2024. A standardized form was used for data extraction of the characteristics of the studies, outcomes, and risk of bias. The identification and selection process is reported according to PRISMA guidelines. The meta-analysis was performed using Jamovi software (with major meta-analysis packages, version 2.4.14). The analysis was carried out using the Fisher r-to-z-transformed correlation coefficient as the outcome measure with a random-effects model fitted to the data.
Results: The search strategy yielded 6136 studies from multiple databases, and according to the exclusion and inclusion criteria, only 61 studies were eligible for qualitative synthesis and 37 for meta-analysis. Among these studies, there was a predominant focus on hospital settings, with 43 studies, and Asia had the most studies. A meta-analysis investigated the relationship of the associated factors that influence healthcare professionals' performance in a total sample size of 24,419. The estimated average correlation coefficient based on the random effects model was 0.2370 (95% CI 0.0745-0.3995). Training, stress, workload, and organizational culture were the most commonly mentioned factors influencing healthcare providers' performance.
Conclusion: The relentless demands of healthcare can take a toll on providers' physical and mental health. Actionable intervention through organizational policies and procedures, continuous development programs, and supportive workplace environments can improve healthcare provider performance and ultimately improve the healthcare services. Performance can be preserved, improved, or optimized by improving these aspects that can positively impact the entire healthcare system.
背景：在商业运营和医疗保健服务中，工人的健康与各种因素一起至关重要，显著影响着医疗服务的绩效和质量。因此，本系统回顾和荟萃分析旨在探讨影响医疗服务提供者绩效的复杂因素。方法：检索2000年1月1日至2024年1月1日的PubMed、Web of Science和谷歌Scholar数据库。采用标准化表格提取研究特征、结果和偏倚风险的数据。根据PRISMA指南报告鉴定和选择过程。meta分析采用Jamovi软件（主要的meta分析包版本为2.4.14）。分析采用Fisher r- z转换相关系数作为结果度量，并采用随机效应模型拟合数据。结果：检索策略从多个数据库中获得6136项研究，根据排除和纳入标准，只有61项研究符合定性综合，37项研究符合meta分析。在这些研究中，主要关注医院环境，有43项研究，其中亚洲的研究最多。一项荟萃分析调查了影响医疗保健专业人员绩效的相关因素之间的关系，总样本量为24,419。基于随机效应模型的估计平均相关系数为0.2370 （95% CI 0.0745-0.3995）。培训、压力、工作量和组织文化是影响医疗保健提供者绩效的最常见因素。结论：医疗保健的无情需求会对提供者的身心健康造成损害。通过组织政策和程序、持续发展计划和支持性工作环境进行可操作的干预可以提高医疗保健提供者的绩效，并最终改善医疗保健服务。通过改进这些可以对整个医疗保健系统产生积极影响的方面，可以保持、改进或优化性能。
期刊介绍：
Human Resources for Health is an open access, peer-reviewed, online journal covering all aspects of planning, producing and managing the health workforce - all those who provide health services worldwide. Human Resources for Health aims to disseminate research on health workforce policy, the health labour market, health workforce practice, development of knowledge tools and implementation mechanisms nationally and internationally; as well as specific features of the health workforce, such as the impact of management of health workers" performance and its link with health outcomes. The journal encourages debate on health sector reforms and their link with human resources issues, a hitherto-neglected area.
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