醫師工作壓力之文獻回顧

A Literature Review of Job Stress in Physicians

由於醫師工作性質特殊，步調快並講求時效，且工作時間較長、又有輪班制度，經常處於壓力大的狀態下。過大的壓力不僅對醫師身心健康及工作滿意度產生重大的負面影響，更容易使醫師於臨床醫療服務做出錯誤診斷及處理，導到醫療疏失增加，而影響醫療服務品質，對醫病雙方身心造成相當程度的傷害。本文回顧相關文獻，介紹醫師壓力相關危險因子以及壓力測量指標，盼能掌握醫師壓力高風險因子，提出改善方案與建議措施。

Physicians faced heavy workload and frequent stressful on-call duties with sleep-deprivation. Severe job stress in physicians has great negative impacts on personal mental health, physician-patient communication, job satisfaction and quality and safety of patient care. Recently, in Taiwan litigation and criminalization related to medical malpractice lead to imbalance of medical professional specialty distribution. In this review article, we discussed the risk factors and indicators for physician's job stress. We hope this article could be helpful to provide strategies for managing the physician's job stress.