Burnout Among Doctors in China Through 2018: A Systematic Review and Meta-Analysis

Zheng, Qin; Ping, Ping; Yang, Kun; Zhao, Ruijie; Wang, Xue; Ou, Zheng-Hang; Su, Xiao-Peng; Zhang, Jing; Qu, Miao

doi:10.2139/ssrn.3487764

Cited by 6 publications

(9 citation statements)

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“…Globally, the prevalence of burnout in MDs is highly variable due to the heterogeneity of burnout assessment methods, definitions and outcomes as well as statistical heterogeneity [2][3][4][5]. In addition, despite most studies using the Maslach Burnout Inventory (MBI) to screen for burnout, there were multiple implementations of the MBI versions, cut-off combinations, or both [2].…”

Section: Introductionmentioning

confidence: 99%

Burnout, anxiety and depression risk in medical doctors working in KwaZulu-Natal Province, South Africa: Evidence from a multi-site study of resource-constrained government hospitals in a generalised HIV epidemic setting

2020

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Globally, burnout in medical doctors (MDs) is concerning, with higher rates reported in studies conducted in South Africa (SA). This psychological syndrome leads to serious health consequences, and jeopardises patient care. Despite this, there is no data pertaining to these potential adverse mental health outcomes in KwaZulu-Natal (KZN) Province, SA, where it is overshadowed by the fight against priorities such as HIV and AIDS/TB. This study therefore aimed to establish the nature and extent of burnout, anxiety and depressive symptoms and their associations among public sector MDs in KZN. A cross sectional study was conducted among MDs at five KZN public sector training hospitals to investigate their associations with practitioner (individual) and organisational factors using the Maslach Burnout Inventory-Human Services Survey (MBI-HSS), the Generalised Anxiety Disorder-7 (GAD-7) questionnaire and the Patient Health Questionnaire-9 (PHQ-9). Of the 150 participants, 88 (59.0%) screened positive for burnout, as indicated by high scores on the emotional exhaustion or depersonalisation subscales in the MBI-HSS. One fifth screened positive for anxiety (n = 30) and depressive symptoms (n = 32). Burnout was significantly associated with individual factors of anxiety (p<0.01) and depressive (p<0.01) symptoms based on adjusted logistic regression models. Organisational factors, such as lack of clinical supervisor support (p<0.01) and hospital resources (p<0.01), were significantly associated with burnout based on the bivariate analyses. Burnout, anxiety and depressive symptoms in MDs are highly prevalent and intertwined in resource constrained KZN public training hospitals. Addressing burnout at individual and organisational levels is important to mitigate its adverse effects.

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Section: Introductionmentioning

confidence: 99%

Burnout, anxiety and depression risk in medical doctors working in KwaZulu-Natal Province, South Africa: Evidence from a multi-site study of resource-constrained government hospitals in a generalised HIV epidemic setting

2020

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“…Çalışma sonuçlarımız birçok literatür çalışmasıyla uyumlu olarak bekâr anestezi uygulayıcılarındaki duygusal tükenmişlik ve duyarsızlaşmanın evlilere kıyasla daha yüksek, kişisel başarının ise daha düşük olduğunu gösterdi. Bu durum evlilerde, ikili ilişkiler ve krizle başa çıkma deneyimlerinin fazla olmasına bu sayede sorun çözme becerilerinin daha gelişmiş olmasına bağlanabilir (2,18). Diğer bir önemli faktör ise aile ortamının, bireyin iş stresiyle başa çıkabilmesi için sosyal destek sağlıyor olması olabilir (19).…”

Section: Discussionunclassified

Anestezi Uygulayıcılarında Tükenmişlik Sendromu Sıklığının Araştırılması

Bıçak

Çelik

2021

Harran Üniversitesi Tıp Fakültesi Dergisi

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Minesota doyum ölçeği alt boyutları puanlarından içsel doyum, dışsal doyum ve genel doyum puanı hastane çalışanlarında branşlara göre farklılık gösterdi. En yüksek doyum puanının uzman doktorlarda, en düşük doyum puanınınsa teknikerlerde olduğu saptandı. Maslach tükenmişlik ölçeği alt boyut puanları branşlara göre farklılık göstermedi. Uzman doktor ve teknikerde doyum ve tükenmişlik ölçeği alt boyut puanları cinsiyete göre anlamlı farklılık göstermedi. Asistan doktorlarda duygusal tükenme ve duyarsızlaşma puanları cinsiyete göre farklılık gösterdi. Erkek asistan doktorların duygusal tükenme ve duyarsızlaşma puanları daha yüksekti. Uzman ve asistan doktorlarda doyum ve tükenmişlik ölçeği puanları medeni duruma göre farklılık göstermedi. Teknikerlerde ise duyarsızlaşma puanının bekârlarda daha yüksek olduğu saptandı. Sonuç: Anket çalışmasının bulguları, bireye yönelik müdahalelerin daha etkili olduğunu göstermektedir. Tükenmişliğin tüm alt boyutlarında etkili olan çalışmaların daha fazla olması istenen bir durum olmakla birlikte bunun az sayıdaki çalışmada sağlanabildiği görülmektedir.

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“…As a result, dermatologists were less motivated to perform patch testing with little or no profit. Furthermore, burnout, a syndrome resulting from overload and stress during work, among doctors in China is another point that could not be ignored 8 . A survey reported that patient visits per physician in China increased by 135% and physician workload increased dramatically between 1998 and 2016 9 .…”

Section: Discussionmentioning

confidence: 99%

Changes in Chinese patch testing practices over 13 years: Updated cross‐sectional survey and possible international implications

Cao

Gao

et al. 2020

Contact Dermatitis

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Background Patch testing, the standard method for diagnosing allergic contact dermatitis, has been utilized for over 30 years in China. A 2006 survey found that patch testing was widespread among Chinese dermatologists, but the practice and perceptions were unsatisfactory. Objective To evaluate the current situation of patch testing practice and perception, we resurveyed Chinese dermatologists. Methods A cross‐sectional survey of Chinese dermatologists was conducted by electronic questionnaires at the 15th National Congress of Dermatology in November 2019. Results There were 2199 valid questionnaires collected. About 75% of dermatologists performed patch testing; the majority (59.2%) utilized the baseline (standard) allergen series made in China; others used TRUE Test or the Chemotechnique Diagnostics series, a greater share compared with 2006. Most (92.8%) performed only one single reading, more than 2006. About two‐thirds offered patient education after patch testing, but only 27% were executed by trained dermatologists. Dermatologists from regional hospitals more likely performed patch testing and had better perception of patch testing. The majority (88.1%) had received patch testing training, which however did not significantly improve dermatologists' perception. Conclusions There was an insignificant improvement in practice and perception of dermatologists compared with 2006. Further education and studies should be conducted. Similar surveys in other countries would be of interest.

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Burnout Among Doctors in China Through 2018: A Systematic Review and Meta-Analysis

Cited by 6 publications

References 0 publications

Burnout, anxiety and depression risk in medical doctors working in KwaZulu-Natal Province, South Africa: Evidence from a multi-site study of resource-constrained government hospitals in a generalised HIV epidemic setting

Burnout, anxiety and depression risk in medical doctors working in KwaZulu-Natal Province, South Africa: Evidence from a multi-site study of resource-constrained government hospitals in a generalised HIV epidemic setting

Anestezi Uygulayıcılarında Tükenmişlik Sendromu Sıklığının Araştırılması

Changes in Chinese patch testing practices over 13 years: Updated cross‐sectional survey and possible international implications

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