Primary care physicians' work conditions and their confidence in managing multimorbidity: a quantitative analysis using Job Demands-Resources Model.

IF 2.4 4区医学 Q1 MEDICINE, GENERAL & INTERNAL

Family practice Pub Date : 2024-12-02 DOI:10.1093/fampra/cmad099

Ruixue Zhao, Jinnan Zhang, Mengyao Li, Ekaterina Loban, Stephen Nicolas, Elizabeth Martiland, Wenhua Wang

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引用次数: 0

Abstract

Background: Multimorbidity is a global issue that presents complex challenges for physicians, patients, and health systems. However, there is a lack of research on the factors that influence physicians' confidence in managing multimorbidity within primary care settings, particularly regarding physicians' work conditions.

Objectives: Drawing on the Job Demands-Resources Model, this study aims to investigate the level of confidence among Chinese primary care physicians in managing multimorbidity and examine the predictors related to their confidence.

Methods: Data were collected from 224 physicians working in 38 Community Healthcare Centres (CHCs) in Shanghai, Shenzhen, Tianjin, and Jinan, China. Work-family conflict (WFC) perceived organizational support (POS), self-directed learning (SDL), and burnout were measured. Physicians' confidence was assessed using a single item. Mediation effect analysis was conducted using the Baron and Kenny method.

Results: The results showed that the mean confidence score for physicians managing multimorbidity was 3.63 out of 5, only 20.10% rating their confidence level as 5. WFC negatively related physicians' confidence and POS positively related physicians' confidence in multimorbid diagnosis and treatment. Burnout fully mediated the relationship between WFC and physicians' confidence, and SDL partially mediated the relationship between POS and physicians' confidence.

Conclusions: The confidence level of Chinese primary care physicians in managing multimorbidity needs improvement. To enhance physicians' confidence in managing multimorbid patients, CHCs in China should address WFC and burnout and promote POS and SDL.

查看原文本刊更多论文

初级保健医生的工作条件和他们对管理多发病的信心：使用工作需求-资源模型的定量分析。

背景：多发病是一个全球性问题，给医生、患者和卫生系统带来了复杂的挑战。然而，缺乏对影响医生在初级保健环境中管理多发性疾病信心的因素的研究，特别是对医生的工作条件的研究。目的：利用工作需求-资源模型，本研究旨在调查中国初级保健医生在管理多发病方面的信心水平，并检验与他们的信心相关的预测因素。方法：收集来自中国上海、深圳、天津和济南38个社区医疗中心的224名医生的数据。测量工作-家庭冲突（WFC）感知的组织支持（POS）、自主学习（SDL）和倦怠。医生的信心是用一个项目来评估的。采用Baron和Kenny方法进行调解效果分析。结果：结果显示，医生管理多发性疾病的平均信心得分为3.63分（满分5分），只有20.10%的人将他们的信心水平评为5分。WFC与医生对多发性疾病诊断和治疗的信心呈负相关，POS与医生对多种疾病诊断和处理的信心呈正相关。倦怠完全介导了WFC与医生信心之间的关系，SDL部分介导了POS与医生信心的关系。结论：中国初级保健医生在管理多发病方面的信心水平需要提高。为了增强医生管理多发病患者的信心，中国的CHCs应该解决WFC和倦怠问题，并推广POS和SDL。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Family practice 医学-医学：内科

CiteScore

4.30

自引率

9.10%

发文量

144

审稿时长

4-8 weeks

期刊介绍： Family Practice is an international journal aimed at practitioners, teachers, and researchers in the fields of family medicine, general practice, and primary care in both developed and developing countries. Family Practice offers its readership an international view of the problems and preoccupations in the field, while providing a medium of instruction and exploration. The journal''s range and content covers such areas as health care delivery, epidemiology, public health, and clinical case studies. The journal aims to be interdisciplinary and contributions from other disciplines of medicine and social science are always welcomed.