{"title":"评估美国首席执行官和其他医疗保健行政领导的职业成就感和职业倦怠。","authors":"Tait Shanafelt, Mickey Trockel, Hanhan Wang, Thom Mayer, Leslie Athey","doi":"10.1097/JHM-D-22-00012","DOIUrl":null,"url":null,"abstract":"<p><strong>Goal: </strong>The objective of this study was to evaluate the prevalence of burnout and professional fulfillment among healthcare administrative leaders and examine the association between burnout and professional fulfillment and personal and professional characteristics.</p><p><strong>Methods: </strong>Between June 7 and June 30, 2021, we performed a national survey of CEOs and other senior operational leaders to evaluate their personal work experience. Burnout and professional fulfillment-as well as a sleep-related impairment and self-valuation-were assessed using standardized instruments.</p><p><strong>Principle findings: </strong>Of the 5,994 members of the American College of Healthcare Executives who were sent an invitation to participate, 1,269 (21.2%), including 279 CEOs, submitted usable responses. The mean overall burnout score was 2.71 (range: 0-10), and 33% of participants had burnout scores that fell in the high range (unfavorable). Mean professional fulfillment score was 7.29 (range: 0-10), with 56.6% scoring in the high range (favorable). Burnout and professional fulfillment scores varied by role. On multivariable analysis, sleep-related impairment (OR for each 1-point increase = 1.29, 95% CI [1.19-1.41]; p < .001) and self-valuation (OR for each 1-point increase = 0.63, 95% CI [0.57-0.68]; p < .001) were independently associated with burnout after adjusting for all other variables.</p><p><strong>Applications to practice: </strong>Results of this study suggest that healthcare leaders had lower burnout and professional fulfillment scores than clinicians. Nonetheless, one third of healthcare leaders had burnout scores that fell in the high range. 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引用次数: 4
摘要
目的:本研究的目的是评估医疗保健行政领导的职业倦怠和职业成就感的患病率,并探讨职业倦怠和职业成就感与个人和职业特征之间的关系。方法:在2021年6月7日至6月30日期间,我们对首席执行官和其他高级运营领导者进行了一项全国性调查,以评估他们的个人工作经历。倦怠和职业成就感——以及睡眠相关障碍和自我评价——使用标准化工具进行评估。主要发现:在收到邀请的5994名美国医疗保健主管学院成员中,1269人(21.2%)提交了可用的回复,其中包括279名首席执行官。平均倦怠总分为2.71分(范围:0-10),33%的参与者的倦怠得分落在高范围(不利)。平均职业成就感为7.29分(范围:0-10),其中56.6%得分在高范围(良好)。职业倦怠和职业成就感得分因角色而异。在多变量分析中,睡眠相关障碍(OR = 1.29, 95% CI [1.19-1.41];p < .001)和自我评价(每增加1点的OR = 0.63, 95% CI [0.57-0.68];P < 0.001)在校正所有其他变量后与倦怠独立相关。实践应用:本研究结果表明,医疗保健领导者的职业倦怠和职业成就感得分低于临床医生。尽管如此,三分之一的医疗保健领导者的倦怠得分处于较高范围。在个人层面上,改善睡眠健康和自我评估似乎可以降低职业倦怠的风险,促进职业成就感。
Assessing Professional Fulfillment and Burnout Among CEOs and Other Healthcare Administrative Leaders in the United States.
Goal: The objective of this study was to evaluate the prevalence of burnout and professional fulfillment among healthcare administrative leaders and examine the association between burnout and professional fulfillment and personal and professional characteristics.
Methods: Between June 7 and June 30, 2021, we performed a national survey of CEOs and other senior operational leaders to evaluate their personal work experience. Burnout and professional fulfillment-as well as a sleep-related impairment and self-valuation-were assessed using standardized instruments.
Principle findings: Of the 5,994 members of the American College of Healthcare Executives who were sent an invitation to participate, 1,269 (21.2%), including 279 CEOs, submitted usable responses. The mean overall burnout score was 2.71 (range: 0-10), and 33% of participants had burnout scores that fell in the high range (unfavorable). Mean professional fulfillment score was 7.29 (range: 0-10), with 56.6% scoring in the high range (favorable). Burnout and professional fulfillment scores varied by role. On multivariable analysis, sleep-related impairment (OR for each 1-point increase = 1.29, 95% CI [1.19-1.41]; p < .001) and self-valuation (OR for each 1-point increase = 0.63, 95% CI [0.57-0.68]; p < .001) were independently associated with burnout after adjusting for all other variables.
Applications to practice: Results of this study suggest that healthcare leaders had lower burnout and professional fulfillment scores than clinicians. Nonetheless, one third of healthcare leaders had burnout scores that fell in the high range. At the individual level, improved sleep health and self-valuation appear to reduce risk of burnout and promote professional fulfillment.
期刊介绍:
The Journal of Healthcare Management is the official journal of the American College of Healthcare Executives. Six times per year, JHM offers timely healthcare management articles that inform and guide executives, managers, educators, and researchers. JHM also contains regular columns written by experts and practitioners in the field that discuss management-related topics and industry trends. Each issue presents an interview with a leading executive.