Job Stress Factors Affect Workplace Resignation and Burnout among Japanese Rural Physicians

Abstract

Shortage of healthcare workers is a global problem. It is important to clarify factors, including job stress, that influence workplace resignation and factors that cause burnout among rural physicians. The study was designed as a cross-sectional questionnaire survey. We sent questionnaires to town or village hospitals and clinics (n = 1,898) in Hokkaido, Tohoku, Shikoku, and Kyushu and Okinawa. The number of participants was 509. Of these 7.7% were female and 21.6% were< 50 years. Internal or general medicine physicians were asked about personal and job factors, job stress based on the demand-control-support model, intention to resign from current position, and burnout evaluated using the Maslach Burnout Inventory-General Survey. Overall, 10.4% of the participants intended to resign, and 21.8% was defined as burnout positive. In the multivariate logistic regression analysis, dissatisfaction with income (OR, 3.63; 95% CI, 1.63-8.10), having one's hometown in another town or village in the same prefecture (OR, 3.53; 95% CI, 1.18-10.62) were significantly related to intention to resign, while high job control (OR, 0.72; 95% CI, 0.58-0.88) had a significantly protective effect. In the multivariate analysis, high job demand (OR, 1.48; 95% CI, 1.28-1.72) was significantly related to burnout, and high job control (OR, 0.66; 95% CI, 0.55-0.78) and high support from co-workers (OR 0.88, 95% CI, 0.78-1.00) had a significantly protective effect. Improving job stress factors, especially job control, and taking into consideration physicians' hometown and income may be important factors to prevent resignation from a current position and burnout among Japanese rural physicians.

Translation, Cultural Adaptation, and Validation of the Mini-Z 2.0 Survey among Japanese Physicians and Residents

“…However, the MBI was not measured in this study; therefore, evaluating the validity of the Japanese version of the single-item measure on the Mini-Z 2.0 was not possible. The data from this study showed a burnout rate of 34.6%, which was comparable to that in several previous burnout studies of primary care physicians, internists, and postgraduate residents in Japan ( 8 - 10 ), suggesting sufficient criterion-related validity. However, additional studies using the MBI are needed to improve the validity of the Japanese version of the Mini-Z 2.0 survey.…”

“…In recent years, interest in physician burnout has increased in Japan (8)(9)(10). The Japan Chapter of the American College of Physicians' (ACP) Physician Well-Being Committee (PWC) was established in June 2019 to address the issue of physician burnout in Japan.…”

«Как В Тайге Или Глубоком Космосе»: Тематический Анализ Смыслов Работы И Повседневности Молодых Сельских Врачей В Период Пандемии COVID-19

“…Одним из важных факторов успешности для сельских врачей оказывается их вовлеченность в местное сообщество, которая выступает одновременно возможностью для построения успешной «сельской» карьеры и защитой от возможного профессионального выгорания. Этот фактор влияет как на удовлетворенность молодых врачей работой, так и на мотивацию к ее продолжению [Saijo, Yoshioka et al, 2018;Кобякова и др., 2017].…”

Could the connectedness of primary health care workers involved in social networks affect their job burnout? A cross-sectional study in six counties, Central China

“…Degree centrality index was calculated using Formula (1). Standardizing the values for comparing degree centrality (Formula [2]) is necessary.…”

“…Healthcare workers are the first resource for PHC services [1]. However, the shortage of PHC workers is a global problem, and such concern is especially serious in rural areas [2]. In China, only 1.8 physicians per 1000 people were available in rural areas in 2018, a figure equivalent to only 45% of their counterparts for urban areas [3].…”