Application of emergency trauma score in a hub-and-spoke regional system.

wanted to change their work. The mean score of MFI and job demand of our sample were 50.6 (SD: 12.5) and 36.1 (SD: 4.1), respectively. Multivariate logistic regression analysis (Table 1) showed that salarydissatisfaction significantly increased the incidence of depressive symptoms with adjusted odds ratio (OR) 1.9 (1.1–3.6). Meanwhile, physical fatigue, mental fatigue, and high job demand were significantly associated with depressive status, where the adjusted OR were 4.4 (2.2–8.7), 2.5 (1.3–5.0), and 2.0 (1.1–3.6), respectively. Our finding demonstrated that a large percentage of anaesthetists in China faced unsatisfactory working conditions and a higher level of fatigue and job demand compared with normal care workers, which could be risk factors of depressive symptoms. It also indicated that nearly two-thirds of Chinese anaesthetists suffered from depressive symptoms. For the sake of anaesthetists’ health and patients’ safety, mental health status of anaesthetists should receive more attention. As countermeasures to reduce depressive symptoms among Chinese anaesthetists, management of work arrangement and education of coping techniques for work stress with the purpose to improve anaesthetists working conditions and mental health should be considered.