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

Gan, Yong; Jiang, Heng; Li, Liqing; Yang, Yudi; Wang, Chao; Liu, Jianxin; Yang, Tingting; Opoku, Sampson; Hu, Sujuan; Xu, Hongbin; Herath, Chulani; Chang, Yuanyuan; Fang, Pengqian; Lu, Zuxun

doi:10.1186/s12889-019-7755-4

Cited by 65 publications

(77 citation statements)

References 39 publications

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“…This increase in experienced workload of PC providers may lead to burnout. The prevalence of moderate burnout in this study (47.1%) is much lower than that (70.25%) shown by a recent published study from Hubei Province, China [26], which may be due to the study scale (national vs. regional) or the different instruments adopted (MBI-GS vs. MBI-HSS) to measure burnout. The results of this current study demonstrated that the prevalence of reduced personal accomplishment was higher than that of the other two subcomponents, which is in line with the results of previous studies conducted at Chinese PC facilities [19,26,33].…”

Section: Discussioncontrasting

confidence: 88%

“…The prevalence of moderate burnout in this study (47.1%) is much lower than that (70.25%) shown by a recent published study from Hubei Province, China [26], which may be due to the study scale (national vs. regional) or the different instruments adopted (MBI-GS vs. MBI-HSS) to measure burnout. The results of this current study demonstrated that the prevalence of reduced personal accomplishment was higher than that of the other two subcomponents, which is in line with the results of previous studies conducted at Chinese PC facilities [19,26,33]. Reported low levels of personal accomplishment among Chinese PC providers might be explained by the fact that citizens are free to choose their first-contact health care facility; they generally have little trust in PC and usually bypass PC facilities to seek health care in hospitals [19].…”

Section: Discussioncontrasting

confidence: 88%

“…township health centres representing rural areas or community health centres representing urban areas) [21,22,24,25] or on regional (e.g. city or provincial level) contexts [19,26,27]; these studies pay little attention to different types of PC providers and define PC providers by their job category as opposed to their type of service provision. This approach does not do justice to the different types of services that are currently provided in the Chinese PC system and limits our understanding of factors that contribute to burnout.…”

Section: Introductionmentioning

confidence: 99%

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More public health service providers are experiencing job burnout than clinical care providers in primary care facilities in China

et al. 2020

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Background Health workers are at high risk of job burnout. Primary care in China has recently expanded its scope of services to a broader range of public health services in addition to clinical care. This study aims to measure the prevalence of burnout and identify its associated factors among clinical care and public health service providers at primary care facilities. Methods A cross-sectional survey (2018) was conducted among 17,816 clinical care and public health service providers at 701 primary care facilities from six provinces. Burnout was measured by the Chinese version of the Maslach Burnout Inventory-General Scale, and multilevel linear regression analysis was conducted to identify burnout’s association with demographics, as well as occupational and organisational factors. Results Overall, half of the providers (50.09%) suffered from burnout. Both the presence of burnout and the proportion of severe burnout among public health service providers (58.06% and 5.25%) were higher than among clinical care providers (47.55% and 2.26%, respectively). Similar factors were associated with burnout between clinical care and public health service providers. Younger, male, lower-educated providers and providers with intermediate professional title, permanent contract or higher working hours were related to a higher level of burnout. Organisational environment, such as the presence of a performance-based salary system, affected job burnout. Conclusions Job burnout is prevalent among different types of primary care providers in China, indicating the need for actions that encompass the entirety of primary care. We recommend strengthening the synergy between clinical care and public health services and transforming the performance-based salary system into a more quality-based system that includes teamwork incentives.

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Section: Discussioncontrasting

confidence: 88%

Section: Discussioncontrasting

confidence: 88%

Section: Introductionmentioning

confidence: 99%

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More public health service providers are experiencing job burnout than clinical care providers in primary care facilities in China

et al. 2020

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“…The possible interpretation for the high-level turnover intention among Chinese primary care providers is their heavy workload, low income level, and few professional development opportunities [15]. Moreover, 11.3% of participants reported severe burnout, which was higher than that reported among Chinese primary care doctors [34] and primary care providers in the US [35]. The mean score for social support in this study was 64.93, which was lower than reported in a previous study involving Chinese physicians [25].…”

Section: Discussionmentioning

confidence: 89%

Mediation Role of Social Support and Burnout Between Financial Satisfaction and Turnover Intention in Primary Care Providers: A Cross-Sectional Study

Yan¹,

Sang²,

Hong-zhang³

et al. 2020

Preprint

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Background: Turnover intention is a major cause of reduced team morale and low work efficiency. It hinders work performance and reduces the quality of medical services. This study aimed to investigate the relationship between financial satisfaction and turnover intention and its mediators among primary care providers.Methods: Stratified sampling was used to select 1241 participants from three counties in Anhui province, China. Data were collected using self-administered questionnaire. Turnover intention was assessed with a turnover intention assessment scale. Social support and burnout were measured with the 12-item Perceived Social Support Scale and the Chinese version of the Maslach Burnout Inventory, respectively. Structural equation modeling was used for data analysis.Results: The findings showed high turnover intention among primary care providers (mean score 14.16±4.337), and most providers reported low financial satisfaction (mean score 2.49±0.990). The mean social support score was 64.93±13.229, and only 6.1% of primary care providers reported no burnout. Compared with participants with high financial satisfaction, those with low financial satisfaction were more likely to report higher turnover intention (β=−0.216, p<0.001), more social support (β=0.181, p<0.001), and more severe burnout (β=−0.123, p<0.05). Turnover intention may be related to social support (β=−0.147, p<0.001) and burnout (β=0.239, p<0.001). Furthermore, the effect of financial satisfaction on turnover intention was significantly mediated by social support (β=−0.027, p<0.001) and burnout (β=−0.029, p<0.05).Conclusions: Turnover intention is associated with financial satisfaction, with this association mediated by social support and burnout. A reasonable mechanism needs to be established to improve the financial satisfaction and social support and reduce burnout among primary care providers.

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“…The prevalence of academic burnout differs worldwide [7][8][9]. It often occurs as the result of inability to cope with the educational curriculum [10][11][12].…”

Section: Introductionmentioning

confidence: 99%

Impact of career choice motivation on academic burnout in senior dental students: A cross-sectional study

Mohebbi

Gholami

Chegini

et al. 2020

Preprint

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Background: Motivation triggers all human activities including learning and lack of career motivation can lead to decreased efficiency. This study assessed the association between academic burnout and career choice motivation in senior dental students.Methods: This cross-sectional study was performed on senior dental students of all four dental schools in Tehran in 2017. Dental students voluntarily filled out a 33-item questionnaire that comprised three sections. The first section included the Burnout Clinical Subtype Questionnaire (BCSQ-SS) with 12 questions addressing academic burnout. The second section consisted of 8 questions about career choice motivation, and the third section concentrated on 13 questions dealing with demographics. The individual scores of each section and the total scores were reported. The factor analysis of 8 questions about dental career choice motivation yielded 3 factors of social status and security, altruism, and others’ advice motivations. The data were analyzed using regression test. Results: Totally, 131 students filled out the questionnaire (response rate = 86%). The total score of academic burnout was 38.89% ± 1.13%. The highest and the lowest burnout scores belonged to the domains of “overload” (46.69%± 1.46%) and “neglect” (31.98%± 1.32%), respectively. The most and the least frequently mentioned source of motivation for choosing dentistry were high income and failing to enter other fields, respectively. The burnout score was higher in students with altruism motivations (P=0.007) and lower in students with others’ advice motivations (P=0.004). The burnout score was higher in students with inadequate or moderate financial support from the family and lower in students whose mothers’ educational level was high-school diploma or lower. Conclusion: Senior dental students in Tehran encountered different levels of academic burnout. In the present study, low financial support and altruism as career choice motivations were associated with higher level of academic burnout.

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

Cited by 65 publications

References 39 publications

More public health service providers are experiencing job burnout than clinical care providers in primary care facilities in China

More public health service providers are experiencing job burnout than clinical care providers in primary care facilities in China

Mediation Role of Social Support and Burnout Between Financial Satisfaction and Turnover Intention in Primary Care Providers: A Cross-Sectional Study

Impact of career choice motivation on academic burnout in senior dental students: A cross-sectional study

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