Chinese Anesthesiologists Have High Burnout and Low Job Satisfaction: A Cross-Sectional Survey

Li, Hange; Zuo, Mingzhang; Gelb, Adrian W.; Zhang, Biao; Zhao, Xiaohui; Yao, Dongdong; Xia, Di; Huang, Yuguang

doi:10.1213/ane.0000000000002776

Cited by 76 publications

(99 citation statements)

References 27 publications

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“…A recent survey by the General Medical Council reported that 24% of trainees and 21% of trainers from across the United Kingdom (UK) described ‘feeling burnt out’ based on self-reported symptoms 9. The consequences of burnout among doctors have been investigated primarily in the United States (USA)10 with relatively few large studies conducted in Europe11–16 and Asia17 18 to validate these findings internationally. These include a negative impact on health including higher rates of substance abuse, depression, suicide and a poorer quality of life 19 20.…”

Section: Introductionmentioning

confidence: 99%

Burnout, well-being and defensive medical practice among obstetricians and gynaecologists in the UK: cross-sectional survey study

et al. 2019

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ObjectivesTo determine the prevalence of burnout in doctors practising obstetrics and gynaecology, and assess the association with defensive medical practice and self-reported well-being.DesignNationwide online cross-sectional survey study; December 2017–March 2018.SettingHospitals in the UK.Participants5661 practising obstetrics and gynaecology consultants, specialty and associate specialist doctors and trainees registered with the Royal College of Obstetricians and Gynaecologists.Primary and secondary outcome measuresPrevalence of burnout using the Maslach Burnout Inventory and defensive medical practice (avoiding cases or procedures, overprescribing, over-referral) using a 12-item questionnaire. The odds ratios (OR) of burnout with defensive medical practice and self-reported well-being.Results3102/5661 doctors (55%) completed the survey. 3073/3102 (99%) met the inclusion criteria (1462 consultants, 1357 trainees and 254 specialty and associate specialist doctors). 1116/3073 (36%) doctors met the burnout criteria, with levels highest amongst trainees (580/1357 (43%)). 258/1116 (23%) doctors with burnout reported increased defensive practice compared with 142/1957 (7%) without (adjusted OR 4.35, 95% CI 3.46 to 5.49). ORs of burnout with well-being items varied between 1.38 and 6.37, and were highest for anxiety (3.59, 95% CI 3.07 to 4.21), depression (4.05, 95% CI 3.26 to 5.04) and suicidal thoughts (6.37, 95% CI 95% CI 3.95 to 10.7). In multivariable logistic regression, being of younger age, white or ‘other’ ethnicity, and graduating with a medical degree from the UK or Ireland had the strongest associations with burnout.ConclusionsHigh levels of burnout were observed in obstetricians and gynaecologists and particularly among trainees. Burnout was associated with both increased defensive medical practice and worse doctor well-being. These findings have implications for the well-being and retention of doctors as well as the quality of patient care, and may help to inform the content of future interventions aimed at preventing burnout and improving patient safety.

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Section: Introductionmentioning

confidence: 99%

Burnout, well-being and defensive medical practice among obstetricians and gynaecologists in the UK: cross-sectional survey study

et al. 2019

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“…This observation contributes more to explain the feeling of discomfort in the caregiverpatient relationship often reported by patients attending public hospitals (11) and forebodes the poor professional temperament in public hospitals (14). However, the prevalence of burnout symptoms in Gabon's medical community is close to the values reported in the French, American (United States of America) and Asian medical settings (8,13,(15)(16)(17).…”

Section: Burnout Prevalencementioning

confidence: 83%

Burnout level and associated factors in a Sub-Saharan African medical setting: prospective cross-sectional survey.

Mackanga

Mouloungui

Ibaba

et al. 2019

Preprint

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Background Burnout, a real barrier to care, whose knowledge has often been established in the high-income medical context. However, in low and middle-income countries, such as sub-Saharan Africa, which is characterized by a precarious hospital situation and a high stakes linked to the Millennium Development Goals, burnout is poorly studied. The objective of our study was to evaluate, in the medical context of one sub-Saharan African country, the burnout level and associated factors.Methods a prospective cross-sectional study concerning doctors and doctoral student in medicine practicing clinical activity in Gabon. According to the Maslach Burnout Inventory Scale, the burnout symptom was defined by high level in at least one of the 3 dimensions and the severe burnout by high level in all 3 dimensions. Potential factors explored: demographic, socio-professional and psychometric. Multiple logistic regression, by backward method, established the model of factors associated with burnout symptom.Results out of 104 participants, severe burnout prevailed at 1.9% (95% CI: 0.2% -6.8%) and burnout symptom at 34.6% (95% CI: 25, 6% -44.6%). Model of factors associated with burnout symptoms: age (OR = 0.86, p = 0.004), clinical activity in a university hospital center (OR = 5.19, p = 0.006), the feeling of ease of access to the hospital (OR = 0.59, p = 0.012), the number of elderly dependents living with the practitioner (OR = 0.54, p = 0.012), living in a different borough from that of the hospital (OR = 0.24, p = 0.039) and the opinion score favorable to traditional medicine (OR = 1.82, p = 0.087).Conclusion in the Gabonese medical settings, almost one out of two practitioners is symptomatic of burnout. The young age, the university hospital center, the perceived difficulty to access the workplace and paradoxically the proximity to the hospital seems be at risk of burnout. The link between burnout and the perception of traditional medicine questions cultural issues in the doctor-patient relationship in this context.

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“…This observation contributes more to explain the feeling of discomfort in the caregiver-patient relationship often reported by patients attending public hospitals (12) and forebodes the poor professional temperament in public hospitals (15). However, the prevalence of burnout symptoms in Gabon's medical community is close to the values reported in the French, American (United States of America) and Asian medical settings (8,14,(16)(17)(18).…”

Section: Burnout Prevalencementioning

confidence: 84%

Burnout level and associated factors in a Sub-Saharan African medical setting: prospective cross-sectional survey.

Mackanga

Mouloungui

Ibaba

et al. 2020

Preprint

View full text Add to dashboard Cite

Background: burnout in the hospital environment is a problem that affects care and training. Often explored in the high-income medical context, burnout is poorly studied in low and middle-income countries characterized by a precarious hospital situation and a high stake linked to the Millennium Development Goals. The aim of our study was to determine in medical practitioners, in a sub-Saharan African country’s medical context, the burnout level and associated factors. Methods: a prospective cross-sectional study by using a self-administered Likert-scale questionnaire addressed to doctors and doctoral medical students in Gabon. Maslach Burnout Inventory scale has been used. Burnout symptoms were defined by high level in at least one of the 3 dimensions. Severe burnout defined by high level in all dimensions. Explored factors: socio-demographic and psychometric. Multiple logistic regression has been performed. Results: among 104 participants, severe burnout prevailed at 1.9% (95% CI: 0.2% -6.8%) and burnout symptoms at 34.6% (95% CI: 25, 6% -44.6%). The associated factors with burnout symptoms: age (OR = 0.86, p = 0.004), clinical activity in a university hospital center (OR = 5.19, p = 0.006), the easy access to the hospital (OR = 0.59, p = 0.012), number of elderly dependents living with the practitioner (OR = 0.54, p = 0.012), place of residence (same borough where the hospital is located: OR = 4.09, p = 0.039) and to be favorable to traditional medicine (OR = 1.82, p = 0.087). Nagelkerke’s R-squared:53.1%. Conclusion: in Gabon, middle-income country, almost one practitioner in two has burnout symptoms. The young age, the university hospital center, the difficulty to access to hospital and to live in the borough where the hospital is located increase the probability of burnout symptoms. These results must put question to relevant authorities regarding health and medical education, to set up: a public transport for practitioners, an optimal primary health care system, a regulation of medical tasks in hospitals, a training in clinical supervision.

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Chinese Anesthesiologists Have High Burnout and Low Job Satisfaction: A Cross-Sectional Survey

Cited by 76 publications

References 27 publications

Burnout, well-being and defensive medical practice among obstetricians and gynaecologists in the UK: cross-sectional survey study

Burnout, well-being and defensive medical practice among obstetricians and gynaecologists in the UK: cross-sectional survey study

Burnout level and associated factors in a Sub-Saharan African medical setting: prospective cross-sectional survey.

Burnout level and associated factors in a Sub-Saharan African medical setting: prospective cross-sectional survey.

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