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Wednesday, April 29, 2009
Charles-Edward Amory Winslow (The Hilton Istanbul Hotel )
Objective
To study ambulatory practitioners health status (including burn-out) and self-care.
Methods
Following a psychological study including 20 PCP, a cross-sectional study was conducted in 1235 PCP and specialist practitioners (SP) randomised, within a total of 2819 ambulatory practitioners working in Upper Normandy region in 2008. The postal anonymous questionnaire contained 200 items collecting data about work (environment, content, schedules and ability), personal situation, health status, self-care and difficulties with their professional practice.
Results
A total of 543 physicians were included (354 PCP, 189 SP), with an overall response rate was 44.7%. The mean age was 50.9 in PCP and 52.7 SP (p=0.02). PCP weekly work hours were higher than SP (51.0h vs. 46.5, p<10-5); PCP were more unsatisfied with their work situation (42.1% vs. 25.6%, p=0.001), especially because of the administrative work part (60.1% vs. 41.0%, p=0.01). Exhaustion periods (18.6% vs. 12.4%, p=0.008) and psychiatric diseases (32.1% vs. 18.0%, p=5.10-4) were more prevalent in PCP; they also took more antidepressant drugs (10.6% vs. 4.3%, p=0.01). PCP were more affected by osteoarticular diseases (66.6% vs. 58.3%, p=0.06), overweight (34.9% vs. 22.8%, p=0.02) and addictions (17.2% vs. 11.1%, p=0.06, essentially eating disorders). Up to date vaccination status was better for PCP (85.8% vs. 71.3%, p<10-4) whereas fewer PCP did cervical cancer screening (78.6% vs. 90.1%, p=0.04). Prevalence of burnout was 16.3% (95% CI=14.7-17.9). Burn-out was significantly associated to primary care practice, high workload, psychotropic drugs consumption and sleep disorders.
Discussion
Physicians increasing workload and health status are emergent public health issues while French medical demography has reached a critical threshold, with serious difficulties expected in the next years. Furthermore, medical physician population is progressively aged. Some worrying aspects of physician health status support the fact that they should benefit from a specific health service as a public health priority, with a particular attention for PCP.
To study ambulatory practitioners health status (including burn-out) and self-care.
Methods
Following a psychological study including 20 PCP, a cross-sectional study was conducted in 1235 PCP and specialist practitioners (SP) randomised, within a total of 2819 ambulatory practitioners working in Upper Normandy region in 2008. The postal anonymous questionnaire contained 200 items collecting data about work (environment, content, schedules and ability), personal situation, health status, self-care and difficulties with their professional practice.
Results
A total of 543 physicians were included (354 PCP, 189 SP), with an overall response rate was 44.7%. The mean age was 50.9 in PCP and 52.7 SP (p=0.02). PCP weekly work hours were higher than SP (51.0h vs. 46.5, p<10-5); PCP were more unsatisfied with their work situation (42.1% vs. 25.6%, p=0.001), especially because of the administrative work part (60.1% vs. 41.0%, p=0.01). Exhaustion periods (18.6% vs. 12.4%, p=0.008) and psychiatric diseases (32.1% vs. 18.0%, p=5.10-4) were more prevalent in PCP; they also took more antidepressant drugs (10.6% vs. 4.3%, p=0.01). PCP were more affected by osteoarticular diseases (66.6% vs. 58.3%, p=0.06), overweight (34.9% vs. 22.8%, p=0.02) and addictions (17.2% vs. 11.1%, p=0.06, essentially eating disorders). Up to date vaccination status was better for PCP (85.8% vs. 71.3%, p<10-4) whereas fewer PCP did cervical cancer screening (78.6% vs. 90.1%, p=0.04). Prevalence of burnout was 16.3% (95% CI=14.7-17.9). Burn-out was significantly associated to primary care practice, high workload, psychotropic drugs consumption and sleep disorders.
Discussion
Physicians increasing workload and health status are emergent public health issues while French medical demography has reached a critical threshold, with serious difficulties expected in the next years. Furthermore, medical physician population is progressively aged. Some worrying aspects of physician health status support the fact that they should benefit from a specific health service as a public health priority, with a particular attention for PCP.
Learning Objectives: To study ambulatory practitioners health status (including burn-out) and self-care
See more of: Research on Human Resources in Health
See more of: Public Health Research & Policy Development
See more of: Public Health Research & Policy Development
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