Abstract
Background
The physicians in Chinese public tertiary hospitals are exposed to considerable work-related stress because of the imperfections in hierarchical diagnosis and treatment systems, such as the imperfections in referral system and low quality in diagnosis and treatment outcomes in community hospitals, for which most patients visit tertiary hospitals firstly in order to access a higher quality health care service. As a consequence, the health-related quality of life (HRQOL) for Chinese physicians is compromised. However, there is a paucity of research exploring physicians’ physical and mental health and positive psychological resource factors such as resilience and recovery experience (RE) which can help maintain well-being. Thus, this study aims to assess HRQOL of Chinese physicians and explore the relationship between HRQOL, resilience, and RE.
Methods
A cross-sectional study with proportional sampling was conducted in Shenyang, China from February to October 2018. A total of 642 physicians in five public tertiary hospitals were enrolled in this study. They completed the smartphone questionnaire including the 36-item Short-Form Health Survey (SF-36), the EGO Resilience Scale, and Recovery Experience Questionnaire (REQ). Linear regression analysis was conducted to explore the factors associated with HRQOL. Structural equation modeling (SEM) was used to evaluate the mediating effect of RE on the relationship between resilience and HRQOL.
Results
Regression analysis indicated that resilience and RE were the most important contributors to both physical and mental component summary scores. SEM showed that RE partially mediated the relationship between resilience and HRQOL in these physicians.
Conclusion
Chinese physicians exhibited good physical health, but poor mental health. Resilience could help maintain and improve HRQOL through the partial mediating effect of RE. Resilience and RE enhancement should be provided to effectively manage work-related stress and improve both physical and mental health for the long-term well-being of physicians.
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Abbreviations
- RE:
-
Recovery experience
- REQ:
-
Recovery Experience Questionnaire
- SF-36:
-
The 36-item Short-Form Health Survey
- PCS:
-
Physical component summary
- MCS:
-
Mental component summary
- ANOVA:
-
One-way analysis of variance
- SEM:
-
Structural equation model
- HRQOL:
-
Health-related quality of life
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Acknowledgements
The authors thank Professor Fritz who authorizes the scale of The Recovery Experience Questionnaire.
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JD contributed to acquisition and analysis of data, drafting, and revision of the manuscript. YJ contributed to acquisition and analysis of data, drafting, and revision of the manuscript. JZ critically reviewed the manuscript and provided English edits. FY contributed to acquisition and interpretation of data. RM contributed to acquisition data and revision of the manuscript. XY was responsible for the conception and design.
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Ding, J., Jia, Y., Zhao, J. et al. Optimizing quality of life among Chinese physicians: the positive effects of resilience and recovery experience. Qual Life Res 29, 1655–1663 (2020). https://doi.org/10.1007/s11136-020-02414-8
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DOI: https://doi.org/10.1007/s11136-020-02414-8