Physician burnout in the Eastern Mediterranean region: influence of gender and related factors – Systematic review and meta-analysis

Doraiswamy, Sathyanarayanan; Chaabna, Karima; Jithesh, Anupama; Mamtani, Ravinder; Cheema, Sohaila

doi:10.7189/jogh.11.04043

Cited by 13 publications

(26 citation statements)

References 55 publications

(60 reference statements)

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“…Although burnout has been extensively described among health professionals worldwide and in the Eastern Mediterranean region ( 33 ), limited research was performed among academic university staff, particularly in low middle-income countries. In developed countries, burnout among faculty has been an important issue for decades with increasing responsibilities and tasks diversity ( 34 ).…”

Section: Discussionmentioning

confidence: 99%

Occupational Burnout and Productivity Loss: A Cross-Sectional Study Among Academic University Staff

Amer

Elotla

Ameen

et al. 2022

Front. Public Health

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BackgroundBurnout has been endorsed with serious negative health- and work-related outcomes. This study is aimed to assess the prevalence of burnout and its association with work productivity among academic staff.MethodsThis cross-sectional study involved 240 academic staff working at a public university in Egypt. Participants were invited to complete a web-based questionnaire involving basic personal, health, and work-related characteristics. Besides, Maslach Burnout Inventory-Human Services Survey (MBI-HSS) was used to assess occupational burnout dimensions (i.e., emotional exhaustion “EE,” depersonalization “DP,” and personal accomplishment “PA”), while work productivity was assessed with the Health and Work Performance Questionnaire (HPQ).ResultsIn total, 28% of respondents scored high in EE [95% confidence interval (CI): 22.5–33.8%], 18.3% high in DP (95% CI: 13.8–3.6%), and 88.3% scored low in PA (95% CI: 83.8–91.9%). Seventy percent of respondents scored high in only one burnout dimension, 21.7% scored high in two dimensions, while 7.1% scored high in all three dimensions. Multivariable analysis showed that EE was the only burnout dimension that showed a statistically significant association between absenteeism and presenteeism rates. The absenteeism rates among respondents with moderate and high EE were 2.1 and 3.3 times the rates among those with low EE, respectively. Likewise, the presenteeism rates among respondents with moderate and high EE were 2.4 and 4.7 times the rates among those with low EE, respectively.ConclusionsAcademic staff showed a high prevalence of at least one burnout dimension. Moderate and high EE scores were significantly associated with increased productivity loss when compared to low EE.

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Section: Discussionmentioning

confidence: 99%

Occupational Burnout and Productivity Loss: A Cross-Sectional Study Among Academic University Staff

Amer

Elotla

Ameen

et al. 2022

Front. Public Health

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“…(Norlund et al, 2010;Dyrbye et al, 2011;Aguwa et al, 2014;Granek et al, 2016;Huang et al, 2019;Eden et al, 2020;Gold et al, 2021;Lee et al, 2021;McPeek-Hinz et al, 2021). A few other studies reported only marginal gender differences in physician burnout prevalence (Linzer et al, 2002;te Brake et al, 2003;Śliwiński et al, 2014;El Ghaziri et al, 2019;Doraiswamy et al, 2021). The differences may be due to sampling, research settings, cultures, assessment methods for burnout, and variable cut-off valuesat least 142 unique burnout definitions or subscale criteria (Rotenstein et al, 2018).…”

Section: Discussionmentioning

confidence: 99%

“…A few studies found that female health workers had a higher risk of burning out (Aguwa et al, 2014;Granek et al, 2016;Eden et al, 2020;Loscalzo et al, 2021;McPeek-Hinz et al, 2021), and some suggested that educational level, socioeconomic status and working hours were associated with burnout in female physicians (Norlund et al, 2010). On the contrary, a few studies found no gender differences in physician burnout (Linzer et al, 2002;te Brake et al, 2003;Doraiswamy et al, 2021).…”

Section: Introductionmentioning

confidence: 99%

Gender Differences in Burnout Among Endocrinologists in China

et al. 2022

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ObjectiveTo survey the prevalence of burnout in a national sample of endocrinologists in China and to examine its correlates, with a special focus on gender differences.MethodsAn anonymous online survey was conducted among endocrinologists in 31 provincial government-owned “People’s Hospitals” of each province in mainland China. Demographic and work-related factors were collected from participants. The Maslach Burnout Inventory-Human Services Survey (MBI-HSS) was used to assess burnout, including emotional exhaustion (EE), depersonalization (DP), and reduced personal accomplishment (PA).ResultsA total of 711 endocrinologists (72.1% were female and mean age was 39.63 ± 8.51 years old) completed the survey. Burnout was reported by 32.8% of the participants. There were no significant gender differences in the overall prevalence of burnout or EE, DP, and PA (all p > 0.05). A multi-level linear regression revealed: (1) In male participants, PA was significantly associated with age (β = 0.03, p = 0.003), DP was inversely associated with age (β = −0.06, p = 0.005), EE was significantly associated with shorter sleep duration (β = −0.25, p = 0.006), and longer work hours (β = 0.01, p = 0.016). (2) In females, PA was significantly associated with age (β = 0.01, p = 0.038), EE and DP were both significantly associated with shorter sleep duration (β = −0.19, p = 0.001; and β = −0.15, p = 0.011, respectively). EE and DP were also associated with work hours (β = 0.02, p < 0.001; and β = 0.01, p < 0.001, respectively).ConclusionNearly one-third of endocrinologists in China experienced burnout. Although there were no significant gender differences in the prevalence of overall burnout or EE, DP, and PA scores, male and female participants differed in factors associated with EE, DP, and PA. Interventions need to be tailored to target different aspects in male and female endocrinologists and target different subgroups.

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“…We screened the titles and abstracts of 604 articles (after removing duplicate articles) and performed full-text review of 137 articles. We deemed 16 reviews to be relevant for inclusion, of which eight were systematic reviews 6,8,[15][16][17][18][19][20] and eight were narrative reviews (Figure 1). 3,[21][22][23][24][25][26][27] Copyright © 2023 JPOSNA® www.jposna.org…”

Section: Overviewmentioning

confidence: 99%

A Comprehensive Umbrella Review for Understanding Burnout in Orthopaedic Surgery

Niekerk¹,

Tileston²,

Bouchard³

et al. 2023

Journal of the Pediatric Orthopaedic Society of North America

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Background: Burnout is characterized by depersonalization, emotional exhaustion, and low personal achievement. Occupational demands can lead to burnout in orthopaedic surgeons, negatively impacting patients and surgeons alike. A high-level overview of burnout is lacking; we therefore aimed to conduct an umbrella review (i.e., review of reviews) summarizing evidence on burnout in orthopaedic surgery, focusing on its rates, associations, prevention, and management. Methods:We searched Ovid Medline, Ovid PsycINFO, EBSCO CINAHL, and CENTRAL from database inception to 16 July 2022, using the terms "orthopaedic surgery," "burnout," and "review." Quality assessments were conducted using the PASS checklist. An article was considered for inclusion if it was a review, summarized evidence on burnout in orthopaedic surgery, and had a full text available to allow for data extraction. We present the results of our review using narrative syntheses. Results:We included eight systematic reviews and eight narrative reviews. We found burnout to be common among orthopaedic surgeons, although reviews reported variable rates, thereby precluding definitive conclusions. Residents were found to be particularly at risk of experiencing burnout, with estimates of one in two being affected. Burnout was found to be positively associated with several personal-related factors, including identifying as a female or as a racial minority, experiencing work-life imbalances, and not having spousal support. It was also associated with workrelated factors, including working long hours, having stressful work relationships, and experiencing anxiety about one's clinical competence. Literature on interventions for preventing and managing burnout was limited, although there was some evidence supporting work-hour restrictions for residents.

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Physician burnout in the Eastern Mediterranean region: influence of gender and related factors – Systematic review and meta-analysis

Cited by 13 publications

References 55 publications

Occupational Burnout and Productivity Loss: A Cross-Sectional Study Among Academic University Staff

Occupational Burnout and Productivity Loss: A Cross-Sectional Study Among Academic University Staff

Gender Differences in Burnout Among Endocrinologists in China

A Comprehensive Umbrella Review for Understanding Burnout in Orthopaedic Surgery

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