Solving doctors' burnout ritual: The four major cardiovascular disease tissues issued a joint statement

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In May 2021, the world's top four cardiovascular disease tissue, the American Cardiac Society (ACC), the American Cardiac Society (AHA), the European Heart Society (ESC), and the World Heart Federation, respectively at their respective flagship journals Journal of the American College of Cardiology, Circulation, EUROPEAN Heart Journal, and Global Heart have issued a joint statement calling for global actions to improve the well -being of doctors in the world in medical reform, research and policy formulation. It is time for people to be aware of the influence and potential solutions of CLINICIAN BURNOUT to improve the health of cardiovascular clinicians.

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The consequences of occupational burnout and its driving factor

Dr. Athena Poppas, one of the former chairman of the American Cardiology Society and one of the joint statements, said, "In the past few decades, with the development of medical technology, strengthening regulatory efforts and the increase in various documents, medical care work has occurred significantly. Changes. And these development and changes are at the expected price of doctors and the pressure of life. The great popularity of the new crown epidemic increases patient mortality, individuals and family safety issues, fear of unknown fear and surge. Clinical doctors have brought more additional pressure. Therefore, it is time to let us and global healthcare professionals call for quickly to take action to improve the well -being of global clinicians. "

What is increasingly clear is that the well -being of doctors has four -weight goals: improving human health, enhancing patient experience, reducing medical costs, and improving the work and life of medical staff. The happiness of clinicians is mainly composed of two parts, one is satisfied with work, and the other is the degree of investment in work. On the contrary, clinical burnout refers to the pressure of work, fatigue, low personal achievement, and personality disorders. From the perspective of foreign doctors, occupational burnouts are extremely negative parts within the scope of the well -being of clinicians, often accompanied by other psychological conditions, such as anxiety and depression.

Unfortunately, the occupational burnout of clinicians will bring serious professional costs, including increased medical error rate, decreased medical quality, decreased patient satisfaction, professional spiritual spirit, and lack of empathy. Personal consequences of occupational burnout include alcoholism, drug abuse, interpersonal disorders, depression and suicide rates. Although the mental health may appear in all aspects of occupational burnout, it is important to realize that not all doctors who feel exhausted will have mental health, and no doctors who have mental health will have occupational burnout.

In the past year, the 2019-coronary virus disease has been popularized by increasing patient mortality, individuals and family safety issues, unknown fear, and increased work needs, which has brought additional pressure on clinicians.

The statement pointed out that there are several key driving factors that can affect the occupational burnout of cardiovascular clinicians: workload and work requirements, efficiency and resources, personal and organization values ​​are inconsistent, no time to write dissertation, frequent qualification assessment, whether work is obtained The understanding and support of society and communities, as well as the significance of work. The report of the MEDCAPE website in 2022 also listed the latest ranking of professional burnout. Among them, excessive document work (such as electronic cases) accounted for 60%.

Professor Stephan Achenbach, chairman of the European Cardiology Society (ESC), said, "The pressure and burnout rate of personnel in the field of health have continued to rise, which sounds the alarm. In addition to the serious consequences of the doctor, it will also affect the care of patients' care for patients Quality. Therefore, today ESC and other professional associations issued a warning and urged the health care department to provide a healthy working environment for clinicians. "

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Data from the burnout of the heart disease specialist

According to the survey data of 2274 US cardiac experts and specialists, more than a quarter of people reported that they were exhausted, and nearly 50%of them felt stressed; only 23.7%said they liked their work. Compared with men, women are more likely to feel burnout. In addition, a doctor in the middle of the career is more frequently reported to work burnout than in the early or late stage of the occupation. Whether it is the medical environment or the type of cardiovascular sub -professional, it will not affect burnout, but the respondents who are burnout indeed report more clinical working hours. Compared with their peers, the exhausted doctors are unlikely to feel or be treated fairly at work.

Among the heart disease specialists, 39.8%reported occupational burnout, and less than half of them (42.7%) were satisfied with the balance between work and living (WLI). Cardiovascular doctors and nurses' occupational burnouts are lower than doctors, 35.8%and 29.7%, respectively, while the WLI rate is higher than doctors, 65.3%and 55.5%, respectively.

The FRONT PUBLIC Health (FRONT PUBLIC Health) published a survey results for 25 120 Chinese doctors in January 2022. 60.8% of participants acknowledged at least one symptom of burnout. 11.2% of participants believed that there were all symptoms of burnout symptoms. (Low emotional, disintegration, and low sense of accomplishment), the overall ratio of Chinese doctors' burnout is as high as 66.5 to 87.8%. The joint statement urged the government's health care department to actively implement the strategy of preventing clinicians' work burnout. For example, actively solve the psychological and health problems of employees and be responsible for the overall plan; build a working environment that enables clinicians to "thrive"; and provide institutions that provide psychological problems for medical staff.

The recovery power refers to the ability to rebound in the face of difficulties. So, what is the relationship between recovery and occupational burnout? British Journal of General Practice has published a report on a recovery of China and American medical staff. As a result, China has an average score of 63 and the United States is 32. During the new crown epidemic, the United States fell to around 29, and Chinese medical care rose to more than 70, reflecting that Chinese medical staff faced a higher rebellion when facing adversity.

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Policies of the health care department

Professional burnout and health -level models are adapted from Maslow's demand hierarchical model, providing a priority to the health care administrative department that gradually meets the professional needs of clinicians. The first is the basic physiological and mental health needs; the second is the security of medical staff; the third is the mutual respect of managers, colleagues, and patients; fourth, good interpersonal relationships; finally, doctors have full medical resources and resources and Time cure. The health care department can carry out a series of practical work. For example, formulating a policy to ensure that medical personnel have sufficient rest and recovery time, provide appropriate personal protection equipment, solve the problem of low administrative system efficiency, fair and transparent compensation mechanism, and promote more direct contact time between doctors and patients.

Liu Ye Dao once posted "Chinese doctors are being threatened", calling for ending violence against Chinese doctors. The article pointed out that if the doctor's economic and social status is not completely improved, violence may be difficult to terminate.

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The role of the Medical Professional Association

The Medical Professional Association needs to develop a multi -approach approach to achieve meaningful progress. In order to support its members, the Medical Association needs to continue to provide suggestions to the health care department and advocate changes in meaningful health policies.

In addition, it is imperative to develop special tools for heart disease to improve the practical efficiency and professional knowledge of doctors in a timely and convenient way. The Medical Association needs to continue to expand its diversity and inclusive measures, so that all members can feel the attention and sense of belonging. In addition, the Medical Professional Association needs to consider providing educational content and online learning opportunities in an innovative manner, especially when resource restrictions and increased demand for virtual platforms at the moment.

ACC's recent online seminar shared the views of heart disease experts on mental health, and told the audience to show signs and symptoms of anxiety and depression, encouraged treatment, and provided members with contact information for confidentiality consulting resources. In addition, in 2020, the ACC/AHA Occupation and Ethics Conference incorporated the health issues of clinicians and released formal suggestions.

In addition, in Europe, in 2018, nearly 4,000 medical experts and teaching staff from 17 ESC members completed the investigation of ESC's "Culture and Leadership in Cardiology in Cardiology". In general, heart disease experts and researchers have high leadership ambitions, and they also have high personal satisfaction in work. However, about a quarter of people believe that their institutions do not provide the best opportunities for meaningful work, and one -third of them say they have no intention of supporting career development.

ACC, AHA, ESC, and the World Heart Federation acknowledged that the well -being of clinicians is essential to provide high -quality patients and is committed to improving the well -being of cardiovascular staff.

Original compilation from:

EUR Heart J. 2021 AUG 31; 42 (33): 3122-3126

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