Mayo Clin Proc:美国研究称,职业倦怠医生医疗差错率超两倍,中国三分之二医生职业倦怠

2018-07-11 xujing 文韬 中国循环杂志

根据Mayo Clin Proc发表的一项研究数据,如果医生有职业倦怠症状,那么其在过去3个月内发生的重大医疗差错会超过两倍。

根据Mayo Clin Proc发表的一项研究数据,如果医生有职业倦怠症状,那么其在过去3个月内发生的重大医疗差错会超过两倍。

之前一项调查也发现,美国医生的职业倦怠已达到危险程度,超过一半的医生有职业倦怠。与2011年相比,尽管工作时间总体上没有增加,但职业生活平衡的倦怠和满意度大幅恶化。

研究人员使用对6695名医生进行了调查。2/3为男性,平均年龄为56岁。平均每周工作50小时。

超过一半(54%)的医生报告至少有一个主要的倦怠症状。33% 报告过度疲劳,6.5%在过去一年中有过自杀想法。

10.5%的医生报告在过去3个月内发生过医疗差错。最常见的医疗差错是判断错误(39%)、错误诊断(20%)和技术错误(13%)。

4.5%的错误导致死亡,5.3%导致严重的致残,55%的错误没有影响患者的预后。

出现医疗差错最多的是放射科医生、神经外科医生以及急诊科医生。儿科医生、精神科医生以及麻醉科医生出现医疗差错最少。

研究显示,倦怠、疲劳和自杀意念与医疗差错显着相关,出现医疗差错的医生中有78%的医生有倦怠症状。

在校正了人口因素和每周工作时间之后,倦怠使医疗差错的风险增加了2.2倍。

同样,近50%的医生存在疲劳。每周一次夜班的医生发生医疗差错的风险增加4%。

在发生重大医疗差错的医生中,有自杀意念的比例是没有医疗差错的医生的两倍(13% vs 6%)。

之前有研究称,医疗差错与每年超过10~20万名患者死亡有关。

作者建议,医生需要限制工作时间,减少写病历时间和减轻过度压力。

香港理工大学近期一项分析发现,中国医生的职业倦怠已成为普遍现象。有66.5%~87.8%的中国医生职业倦怠。

研究发现,有职业倦怠的医生更焦虑,工作满意度相下降,医疗差错风险高,更容易离职。每周工作时间超过40小时、在三级医院工作、30~40岁的医生的职业倦怠较高。

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    2019-03-17 linlin2312
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2018, time=2018-07-13, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=331132, encodeId=e3683311329b, content=职业倦怠.错误在差异范围内.仍不影响患者预后.美国执业医生是世界上最优秀的.医学博士领导人类的疾病和健康.中国医生还是请外国医生介绍执业制度.防治死亡患病率意外高发.而不能记载说明.医生能记载病历报告.就已经很好了.安心医师.终生执业.德高医萃.医者仁心.--学习了., beContent=null, objectType=article, channel=null, level=null, likeNumber=51, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://cdnapi.center.medsci.cn/medsci/head/2018/06/29/019388f2810bce5642c9ebe328c93075.jpg, createdBy=287a2391674, createdName=doctor meng, createdTime=Thu Jul 12 20:39:08 CST 2018, time=2018-07-12, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=331128, encodeId=0f91331128cf, content=可怕, beContent=null, objectType=article, channel=null, level=null, likeNumber=46, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/vi_32/AZrzNQsJCr2KZBvtNDWbedU4biaG32gf4TwtUvmiaZaywv9LovOqiaEKzzBzAoyFtWx26yvkAib1dX7nmBgjk1FSfw/132, createdBy=58282242727, createdName=一叶轻言, createdTime=Thu Jul 12 19:53:37 CST 2018, time=2018-07-12, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=330834, encodeId=681633083427, content=学习了.获益匪浅.感谢分享, beContent=null, objectType=article, channel=null, level=null, likeNumber=0, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://cdnapi.center.medsci.cn/medsci/head/2018/02/27/c53a212859edcad4f60a54feffff50bb.jpg, createdBy=67cf1525321, createdName=13718711b3m, createdTime=Wed Jul 11 13:25:22 CST 2018, time=2018-07-11, status=1, ipAttribution=)]
  4. 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topicList=[TopicDto(id=15600, encryptionId=b9f11560065, topicName=ROC)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=d590125, createdName=linlin2312, createdTime=Sun Mar 17 11:09:00 CST 2019, time=2019-03-17, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1704665, encodeId=c5e11e046658c, content=<a href='/topic/show?id=5a5934665a2' target=_blank style='color:#2F92EE;'>#医生职业#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=36, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=34665, encryptionId=5a5934665a2, topicName=医生职业)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=959830807371, createdName=steven_u12, createdTime=Mon Oct 15 22:09:00 CST 2018, time=2018-10-15, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=333410, encodeId=977e3334108c, content=了解一下, beContent=null, objectType=article, channel=null, level=null, likeNumber=63, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/NUyjXTCJjo6KcicAVC1MwuOgo3iaicb1Imgk1yIfnvr6oXzibcAFB6puAyNJXbzWhNuLqaFYBVRWjh7rghkvFLPxMAfD5ib3nXwVD/0, createdBy=bed21972958, createdName=wxl882001, createdTime=Sun Jul 22 17:11:46 CST 2018, time=2018-07-22, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=332517, encodeId=93a533251e3a, content=了解一下, beContent=null, objectType=article, channel=null, level=null, likeNumber=51, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/NUyjXTCJjo6KcicAVC1MwuOgo3iaicb1Imgk1yIfnvr6oXzibcAFB6puAyNJXbzWhNuLqaFYBVRWjh7rghkvFLPxMAfD5ib3nXwVD/0, createdBy=bed21972958, createdName=wxl882001, createdTime=Wed Jul 18 18:51:26 CST 2018, time=2018-07-18, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1602028, encodeId=e803160202830, content=<a href='/topic/show?id=2f801469e57' target=_blank style='color:#2F92EE;'>#PRO#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=22, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=14697, encryptionId=2f801469e57, topicName=PRO)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=a60b18898917, createdName=sunylz, createdTime=Fri Jul 13 04:09:00 CST 2018, time=2018-07-13, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1618152, encodeId=817a1618152cd, content=<a href='/topic/show?id=7379805698d' target=_blank style='color:#2F92EE;'>#职业倦怠#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=36, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=80569, encryptionId=7379805698d, topicName=职业倦怠)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=a8e919850894, createdName=ms1774076774505970, createdTime=Fri Jul 13 04:09:00 CST 2018, time=2018-07-13, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=331132, encodeId=e3683311329b, content=职业倦怠.错误在差异范围内.仍不影响患者预后.美国执业医生是世界上最优秀的.医学博士领导人类的疾病和健康.中国医生还是请外国医生介绍执业制度.防治死亡患病率意外高发.而不能记载说明.医生能记载病历报告.就已经很好了.安心医师.终生执业.德高医萃.医者仁心.--学习了., beContent=null, objectType=article, channel=null, level=null, likeNumber=51, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://cdnapi.center.medsci.cn/medsci/head/2018/06/29/019388f2810bce5642c9ebe328c93075.jpg, createdBy=287a2391674, createdName=doctor meng, createdTime=Thu Jul 12 20:39:08 CST 2018, time=2018-07-12, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=331128, encodeId=0f91331128cf, content=可怕, beContent=null, objectType=article, channel=null, level=null, likeNumber=46, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/vi_32/AZrzNQsJCr2KZBvtNDWbedU4biaG32gf4TwtUvmiaZaywv9LovOqiaEKzzBzAoyFtWx26yvkAib1dX7nmBgjk1FSfw/132, createdBy=58282242727, createdName=一叶轻言, createdTime=Thu Jul 12 19:53:37 CST 2018, time=2018-07-12, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=330834, encodeId=681633083427, content=学习了.获益匪浅.感谢分享, beContent=null, objectType=article, channel=null, level=null, likeNumber=0, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://cdnapi.center.medsci.cn/medsci/head/2018/02/27/c53a212859edcad4f60a54feffff50bb.jpg, createdBy=67cf1525321, createdName=13718711b3m, createdTime=Wed Jul 11 13:25:22 CST 2018, time=2018-07-11, status=1, ipAttribution=)]
    2018-07-22 wxl882001

    了解一下

    0

  5. 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topicList=[TopicDto(id=15600, encryptionId=b9f11560065, topicName=ROC)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=d590125, createdName=linlin2312, createdTime=Sun Mar 17 11:09:00 CST 2019, time=2019-03-17, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1704665, encodeId=c5e11e046658c, content=<a href='/topic/show?id=5a5934665a2' target=_blank style='color:#2F92EE;'>#医生职业#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=36, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=34665, encryptionId=5a5934665a2, topicName=医生职业)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=959830807371, createdName=steven_u12, createdTime=Mon Oct 15 22:09:00 CST 2018, time=2018-10-15, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=333410, encodeId=977e3334108c, content=了解一下, beContent=null, objectType=article, channel=null, level=null, likeNumber=63, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/NUyjXTCJjo6KcicAVC1MwuOgo3iaicb1Imgk1yIfnvr6oXzibcAFB6puAyNJXbzWhNuLqaFYBVRWjh7rghkvFLPxMAfD5ib3nXwVD/0, createdBy=bed21972958, createdName=wxl882001, createdTime=Sun Jul 22 17:11:46 CST 2018, time=2018-07-22, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=332517, encodeId=93a533251e3a, content=了解一下, beContent=null, objectType=article, channel=null, level=null, likeNumber=51, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/NUyjXTCJjo6KcicAVC1MwuOgo3iaicb1Imgk1yIfnvr6oXzibcAFB6puAyNJXbzWhNuLqaFYBVRWjh7rghkvFLPxMAfD5ib3nXwVD/0, createdBy=bed21972958, createdName=wxl882001, createdTime=Wed Jul 18 18:51:26 CST 2018, time=2018-07-18, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1602028, encodeId=e803160202830, content=<a href='/topic/show?id=2f801469e57' target=_blank style='color:#2F92EE;'>#PRO#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=22, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=14697, encryptionId=2f801469e57, topicName=PRO)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=a60b18898917, createdName=sunylz, createdTime=Fri Jul 13 04:09:00 CST 2018, time=2018-07-13, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1618152, encodeId=817a1618152cd, content=<a href='/topic/show?id=7379805698d' target=_blank style='color:#2F92EE;'>#职业倦怠#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=36, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=80569, encryptionId=7379805698d, topicName=职业倦怠)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=a8e919850894, createdName=ms1774076774505970, createdTime=Fri Jul 13 04:09:00 CST 2018, time=2018-07-13, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=331132, encodeId=e3683311329b, content=职业倦怠.错误在差异范围内.仍不影响患者预后.美国执业医生是世界上最优秀的.医学博士领导人类的疾病和健康.中国医生还是请外国医生介绍执业制度.防治死亡患病率意外高发.而不能记载说明.医生能记载病历报告.就已经很好了.安心医师.终生执业.德高医萃.医者仁心.--学习了., beContent=null, objectType=article, channel=null, level=null, likeNumber=51, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://cdnapi.center.medsci.cn/medsci/head/2018/06/29/019388f2810bce5642c9ebe328c93075.jpg, createdBy=287a2391674, createdName=doctor meng, createdTime=Thu Jul 12 20:39:08 CST 2018, time=2018-07-12, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=331128, encodeId=0f91331128cf, content=可怕, beContent=null, objectType=article, channel=null, level=null, likeNumber=46, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/vi_32/AZrzNQsJCr2KZBvtNDWbedU4biaG32gf4TwtUvmiaZaywv9LovOqiaEKzzBzAoyFtWx26yvkAib1dX7nmBgjk1FSfw/132, createdBy=58282242727, createdName=一叶轻言, createdTime=Thu Jul 12 19:53:37 CST 2018, time=2018-07-12, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=330834, encodeId=681633083427, content=学习了.获益匪浅.感谢分享, beContent=null, objectType=article, channel=null, level=null, likeNumber=0, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://cdnapi.center.medsci.cn/medsci/head/2018/02/27/c53a212859edcad4f60a54feffff50bb.jpg, createdBy=67cf1525321, createdName=13718711b3m, createdTime=Wed Jul 11 13:25:22 CST 2018, time=2018-07-11, status=1, ipAttribution=)]
    2018-07-18 wxl882001

    了解一下

    0

  6. [GetPortalCommentsPageByObjectIdResponse(id=2006119, encodeId=bffe20061190f, content=<a href='/topic/show?id=b2a43493852' target=_blank style='color:#2F92EE;'>#医疗差错#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=43, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=34938, encryptionId=b2a43493852, topicName=医疗差错)], attachment=null, authenticateStatus=null, createdAvatar=https://thirdwx.qlogo.cn/mmopen/vi_32/lGEyfsKnIkkH93xUPMrUUycLh2XOfJJsphwPsVqDx8somSOepIFy9QE0MVAwDW3AS7V1epJ4tbPL9ADJLicvm8A/132, createdBy=b5132500067, createdName=ms55066533437992, createdTime=Sat Jul 21 07:09:00 CST 2018, time=2018-07-21, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1976960, encodeId=460719e69601c, content=<a href='/topic/show?id=b9f11560065' target=_blank style='color:#2F92EE;'>#ROC#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=23, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=15600, encryptionId=b9f11560065, topicName=ROC)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=d590125, createdName=linlin2312, createdTime=Sun Mar 17 11:09:00 CST 2019, time=2019-03-17, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1704665, encodeId=c5e11e046658c, content=<a href='/topic/show?id=5a5934665a2' target=_blank style='color:#2F92EE;'>#医生职业#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=36, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=34665, encryptionId=5a5934665a2, topicName=医生职业)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=959830807371, createdName=steven_u12, createdTime=Mon Oct 15 22:09:00 CST 2018, time=2018-10-15, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=333410, encodeId=977e3334108c, content=了解一下, beContent=null, objectType=article, channel=null, level=null, likeNumber=63, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/NUyjXTCJjo6KcicAVC1MwuOgo3iaicb1Imgk1yIfnvr6oXzibcAFB6puAyNJXbzWhNuLqaFYBVRWjh7rghkvFLPxMAfD5ib3nXwVD/0, createdBy=bed21972958, createdName=wxl882001, createdTime=Sun Jul 22 17:11:46 CST 2018, time=2018-07-22, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=332517, encodeId=93a533251e3a, content=了解一下, beContent=null, objectType=article, channel=null, level=null, likeNumber=51, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/NUyjXTCJjo6KcicAVC1MwuOgo3iaicb1Imgk1yIfnvr6oXzibcAFB6puAyNJXbzWhNuLqaFYBVRWjh7rghkvFLPxMAfD5ib3nXwVD/0, createdBy=bed21972958, createdName=wxl882001, createdTime=Wed Jul 18 18:51:26 CST 2018, time=2018-07-18, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1602028, encodeId=e803160202830, content=<a href='/topic/show?id=2f801469e57' target=_blank style='color:#2F92EE;'>#PRO#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=22, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=14697, encryptionId=2f801469e57, topicName=PRO)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=a60b18898917, createdName=sunylz, createdTime=Fri Jul 13 04:09:00 CST 2018, time=2018-07-13, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1618152, encodeId=817a1618152cd, content=<a href='/topic/show?id=7379805698d' target=_blank style='color:#2F92EE;'>#职业倦怠#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=36, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=80569, encryptionId=7379805698d, topicName=职业倦怠)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=a8e919850894, createdName=ms1774076774505970, createdTime=Fri Jul 13 04:09:00 CST 2018, time=2018-07-13, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=331132, encodeId=e3683311329b, content=职业倦怠.错误在差异范围内.仍不影响患者预后.美国执业医生是世界上最优秀的.医学博士领导人类的疾病和健康.中国医生还是请外国医生介绍执业制度.防治死亡患病率意外高发.而不能记载说明.医生能记载病历报告.就已经很好了.安心医师.终生执业.德高医萃.医者仁心.--学习了., beContent=null, objectType=article, channel=null, level=null, likeNumber=51, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://cdnapi.center.medsci.cn/medsci/head/2018/06/29/019388f2810bce5642c9ebe328c93075.jpg, createdBy=287a2391674, createdName=doctor meng, createdTime=Thu Jul 12 20:39:08 CST 2018, time=2018-07-12, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=331128, encodeId=0f91331128cf, content=可怕, beContent=null, objectType=article, channel=null, level=null, likeNumber=46, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/vi_32/AZrzNQsJCr2KZBvtNDWbedU4biaG32gf4TwtUvmiaZaywv9LovOqiaEKzzBzAoyFtWx26yvkAib1dX7nmBgjk1FSfw/132, createdBy=58282242727, createdName=一叶轻言, createdTime=Thu Jul 12 19:53:37 CST 2018, time=2018-07-12, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=330834, encodeId=681633083427, content=学习了.获益匪浅.感谢分享, beContent=null, objectType=article, channel=null, level=null, likeNumber=0, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://cdnapi.center.medsci.cn/medsci/head/2018/02/27/c53a212859edcad4f60a54feffff50bb.jpg, createdBy=67cf1525321, createdName=13718711b3m, createdTime=Wed Jul 11 13:25:22 CST 2018, time=2018-07-11, status=1, ipAttribution=)]
    2018-07-13 sunylz
  7. 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replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/NUyjXTCJjo6KcicAVC1MwuOgo3iaicb1Imgk1yIfnvr6oXzibcAFB6puAyNJXbzWhNuLqaFYBVRWjh7rghkvFLPxMAfD5ib3nXwVD/0, createdBy=bed21972958, createdName=wxl882001, createdTime=Sun Jul 22 17:11:46 CST 2018, time=2018-07-22, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=332517, encodeId=93a533251e3a, content=了解一下, beContent=null, objectType=article, channel=null, level=null, likeNumber=51, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/NUyjXTCJjo6KcicAVC1MwuOgo3iaicb1Imgk1yIfnvr6oXzibcAFB6puAyNJXbzWhNuLqaFYBVRWjh7rghkvFLPxMAfD5ib3nXwVD/0, createdBy=bed21972958, createdName=wxl882001, createdTime=Wed Jul 18 18:51:26 CST 2018, time=2018-07-18, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1602028, encodeId=e803160202830, content=<a href='/topic/show?id=2f801469e57' target=_blank style='color:#2F92EE;'>#PRO#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=22, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=14697, encryptionId=2f801469e57, topicName=PRO)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=a60b18898917, createdName=sunylz, createdTime=Fri Jul 13 04:09:00 CST 2018, time=2018-07-13, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1618152, encodeId=817a1618152cd, content=<a href='/topic/show?id=7379805698d' target=_blank style='color:#2F92EE;'>#职业倦怠#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=36, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=80569, encryptionId=7379805698d, topicName=职业倦怠)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=a8e919850894, createdName=ms1774076774505970, createdTime=Fri Jul 13 04:09:00 CST 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  8. 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replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/NUyjXTCJjo6KcicAVC1MwuOgo3iaicb1Imgk1yIfnvr6oXzibcAFB6puAyNJXbzWhNuLqaFYBVRWjh7rghkvFLPxMAfD5ib3nXwVD/0, createdBy=bed21972958, createdName=wxl882001, createdTime=Sun Jul 22 17:11:46 CST 2018, time=2018-07-22, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=332517, encodeId=93a533251e3a, content=了解一下, beContent=null, objectType=article, channel=null, level=null, likeNumber=51, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/NUyjXTCJjo6KcicAVC1MwuOgo3iaicb1Imgk1yIfnvr6oXzibcAFB6puAyNJXbzWhNuLqaFYBVRWjh7rghkvFLPxMAfD5ib3nXwVD/0, createdBy=bed21972958, createdName=wxl882001, createdTime=Wed Jul 18 18:51:26 CST 2018, time=2018-07-18, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1602028, encodeId=e803160202830, content=<a href='/topic/show?id=2f801469e57' target=_blank style='color:#2F92EE;'>#PRO#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=22, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=14697, encryptionId=2f801469e57, topicName=PRO)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=a60b18898917, createdName=sunylz, createdTime=Fri Jul 13 04:09:00 CST 2018, time=2018-07-13, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1618152, encodeId=817a1618152cd, content=<a href='/topic/show?id=7379805698d' target=_blank style='color:#2F92EE;'>#职业倦怠#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=36, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=80569, encryptionId=7379805698d, topicName=职业倦怠)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=a8e919850894, createdName=ms1774076774505970, createdTime=Fri Jul 13 04:09:00 CST 2018, time=2018-07-13, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=331132, encodeId=e3683311329b, content=职业倦怠.错误在差异范围内.仍不影响患者预后.美国执业医生是世界上最优秀的.医学博士领导人类的疾病和健康.中国医生还是请外国医生介绍执业制度.防治死亡患病率意外高发.而不能记载说明.医生能记载病历报告.就已经很好了.安心医师.终生执业.德高医萃.医者仁心.--学习了., beContent=null, objectType=article, channel=null, level=null, likeNumber=51, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://cdnapi.center.medsci.cn/medsci/head/2018/06/29/019388f2810bce5642c9ebe328c93075.jpg, createdBy=287a2391674, createdName=doctor meng, createdTime=Thu Jul 12 20:39:08 CST 2018, time=2018-07-12, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=331128, encodeId=0f91331128cf, content=可怕, beContent=null, objectType=article, channel=null, level=null, likeNumber=46, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/vi_32/AZrzNQsJCr2KZBvtNDWbedU4biaG32gf4TwtUvmiaZaywv9LovOqiaEKzzBzAoyFtWx26yvkAib1dX7nmBgjk1FSfw/132, createdBy=58282242727, createdName=一叶轻言, createdTime=Thu Jul 12 19:53:37 CST 2018, time=2018-07-12, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=330834, encodeId=681633083427, content=学习了.获益匪浅.感谢分享, beContent=null, objectType=article, channel=null, level=null, likeNumber=0, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://cdnapi.center.medsci.cn/medsci/head/2018/02/27/c53a212859edcad4f60a54feffff50bb.jpg, createdBy=67cf1525321, createdName=13718711b3m, createdTime=Wed Jul 11 13:25:22 CST 2018, time=2018-07-11, status=1, ipAttribution=)]
    2018-07-12 doctor meng

    职业倦怠.错误在差异范围内.仍不影响患者预后.美国执业医生是世界上最优秀的.医学博士领导人类的疾病和健康.中国医生还是请外国医生介绍执业制度.防治死亡患病率意外高发.而不能记载说明.医生能记载病历报告.就已经很好了.安心医师.终生执业.德高医萃.医者仁心.--学习了.

    0

  9. 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content=<a href='/topic/show?id=2f801469e57' target=_blank style='color:#2F92EE;'>#PRO#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=22, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=14697, encryptionId=2f801469e57, topicName=PRO)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=a60b18898917, createdName=sunylz, createdTime=Fri Jul 13 04:09:00 CST 2018, time=2018-07-13, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1618152, encodeId=817a1618152cd, content=<a href='/topic/show?id=7379805698d' target=_blank style='color:#2F92EE;'>#职业倦怠#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=36, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=80569, encryptionId=7379805698d, topicName=职业倦怠)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=a8e919850894, createdName=ms1774076774505970, createdTime=Fri Jul 13 04:09:00 CST 2018, time=2018-07-13, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=331132, encodeId=e3683311329b, content=职业倦怠.错误在差异范围内.仍不影响患者预后.美国执业医生是世界上最优秀的.医学博士领导人类的疾病和健康.中国医生还是请外国医生介绍执业制度.防治死亡患病率意外高发.而不能记载说明.医生能记载病历报告.就已经很好了.安心医师.终生执业.德高医萃.医者仁心.--学习了., beContent=null, objectType=article, channel=null, level=null, likeNumber=51, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://cdnapi.center.medsci.cn/medsci/head/2018/06/29/019388f2810bce5642c9ebe328c93075.jpg, createdBy=287a2391674, createdName=doctor meng, createdTime=Thu Jul 12 20:39:08 CST 2018, time=2018-07-12, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=331128, encodeId=0f91331128cf, content=可怕, beContent=null, objectType=article, channel=null, level=null, likeNumber=46, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/vi_32/AZrzNQsJCr2KZBvtNDWbedU4biaG32gf4TwtUvmiaZaywv9LovOqiaEKzzBzAoyFtWx26yvkAib1dX7nmBgjk1FSfw/132, createdBy=58282242727, createdName=一叶轻言, createdTime=Thu Jul 12 19:53:37 CST 2018, time=2018-07-12, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=330834, encodeId=681633083427, content=学习了.获益匪浅.感谢分享, beContent=null, objectType=article, channel=null, level=null, likeNumber=0, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://cdnapi.center.medsci.cn/medsci/head/2018/02/27/c53a212859edcad4f60a54feffff50bb.jpg, createdBy=67cf1525321, createdName=13718711b3m, createdTime=Wed Jul 11 13:25:22 CST 2018, time=2018-07-11, status=1, ipAttribution=)]
    2018-07-12 一叶轻言

    可怕

    0

  10. 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content=<a href='/topic/show?id=2f801469e57' target=_blank style='color:#2F92EE;'>#PRO#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=22, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=14697, encryptionId=2f801469e57, topicName=PRO)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=a60b18898917, createdName=sunylz, createdTime=Fri Jul 13 04:09:00 CST 2018, time=2018-07-13, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1618152, encodeId=817a1618152cd, content=<a href='/topic/show?id=7379805698d' target=_blank style='color:#2F92EE;'>#职业倦怠#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=36, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=80569, encryptionId=7379805698d, topicName=职业倦怠)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=a8e919850894, createdName=ms1774076774505970, createdTime=Fri Jul 13 04:09:00 CST 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    2018-07-11 13718711b3m

    学习了.获益匪浅.感谢分享

    0

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