Prevalence of burnout and associated factors among general practitioners in Hubei, China: a cross-sectional study

被引:50
作者
Gan, Yong [1 ]
Jiang, Heng [2 ,3 ]
Li, Liqing [4 ]
Yang, Yudi [1 ]
Wang, Chao [1 ]
Liu, Jianxin [1 ]
Yang, Tingting [5 ]
Opoku, Sampson [1 ]
Hu, Sai [6 ]
Xu, Hongbin [1 ]
Herath, Chulani [7 ]
Chang, Yuanyuan [1 ]
Fang, Pengqian [8 ,9 ]
Lu, Zuxun [1 ]
机构
[1] Huazhong Univ Sci & Technol, Tongji Med Coll, Sch Publ Hlth, Dept Social Med & Hlth Management, 13 Hangkong Rd, Wuhan 430030, Hubei, Peoples R China
[2] La Trobe Univ, Ctr Alcohol Policy Res, Sch Psychol & Publ Hlth, Melbourne, Vic, Australia
[3] Univ Melbourne, Ctr Hlth Equ, Melbourne Sch Populat & Global Hlth, Melbourne, Vic, Australia
[4] Jiangxi Sci & Technol Normal Univ, Sch Econ & Management, Dept Management Sci & Engn, Nanchang, Jiangxi, Peoples R China
[5] Peoples Hosp Henan Prov, Dept Nutr, Zhengzhou, Henan, Peoples R China
[6] Huazhong Univ Sci & Technol, Union Hosp, Tongji Med Coll, Dept Med Records & Stat, Wuhan, Hubei, Peoples R China
[7] Open Univ Sri Lanka, Fac Hlth Sci, Dept Psychol & Counselling, Nugegoda, Sri Lanka
[8] Huazhong Univ Sci & Technol, Acad Hlth Policy & Management, Tongji Med Coll, Sch Med & Hlth Management, 13 Hangkong Rd, Wuhan 430030, Hubei, Peoples R China
[9] Nanjing Med Univ, Nanjing, Jiangsu, Peoples R China
基金
中国国家自然科学基金;
关键词
Burnout; General practitioners; Primary healthcare; Influencing factors; WORKPLACE VIOLENCE; EMERGENCY-DEPARTMENTS; PHYSICIAN BURNOUT; WORK-ENVIRONMENT; MENTAL-HEALTH; NURSES; SATISFACTION; EXPOSURE; DOCTORS; LIFE;
D O I
10.1186/s12889-019-7755-4
中图分类号
R1 [预防医学、卫生学];
学科分类号
1004 ; 120402 ;
摘要
Background High occupational burnout among general practitioners (GPs) is an important challenge to China's efforts to strengthen its primary healthcare delivery; however, data to help understand this issue are unavailable. This study aimed to investigate the prevalence of burnout and associated factors among GPs. Methods A cross-sectional design was used to collect data from December 12, 2014, to March 10, 2015, with a self-administered structured questionnaire from 1015 GPs (response rate, 85.6%) in Hubei Province, Central China. Burnout was measured using a 22-item Maslach Burnout Inventory-Human Services Survey (MBI-HSS). MBI-HSS scores and frequency were analyzed by the three dimensions of emotional exhaustion (EE), depersonalization (DP), and personal accomplishment (PA). Factors associated with burnout among GPs were estimated using a multiple linear regression model. Results Of the respondents, 2.46% had a high level of burnout in all three dimensions, 24.83% reported high levels of EE, 6.21% scored high on DP, and 33.99% were at high risk of PA. GPs who were unmarried, had lower levels of job satisfaction, and had been exposed to workplace violence experienced higher levels of burnout. Intriguingly, no statistically significant associations were found between burnout and the duration of GP practice, age, sex, income, practice setting, and professional level. Conclusion This is the first study of occupational burnout in Chinese general practice. Burnout is prevalent among GPs in Hubei, China. Interventions aimed at increasing job satisfaction, improving doctor-patient relationships and providing safer workplace environments may be promising strategies to reduce burnout among GPs in Hubei, China.
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页数:9
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