Abstract

Background: This study aimed to examine the degrees of job burnout and occupational stressors and their associations among healthcare professionals from county-level health alliances in Qinghai–Tibet Plateau, China. Methods: A cross-sectional study was conducted in county-level health alliances in Qinghai Province, China, in November 2018. The Maslach Burnout Inventory—General Survey and the 38-item Chinese version of the “Scale for occupational stressors on clinicians” were used. Medical staff in four health alliances from two counties were invited to complete the questionnaire. Results: A total of 1052 (age: 34.06 ± 9.22 years, 79.1% females) healthcare professionals were included, 68.2% (95% CI: 65.2–71.0%) of the participants had job burnout symptoms. Occupational stressors had positive associations with moderate (OR = 1.06, 95% CI: 1.05–1.07) and serious (OR = 1.15, 95% CI: 1.13–1.19) level of job burnout. Stressors from vocational interest produced the greatest magnitude of odds ratio (OR = 1.76, 95% CI: 1.62–1.92) for serious degree of burnout, followed by doctor–patient relationship, interpersonal relationship as well as other domains of occupational stressors. Conclusions: Job burnout was very common among healthcare professionals working in Chinese county-level health alliances, different occupational stressors had associations with job burnout. Appropriate and effective policies and measures should be developed and implemented.

Highlights

  • Job burnout is a common syndrome in healthcare workers [1], and it has become a sophisticated social issue and a sign of karoshi for exhausted physicians, especially in China [2].The prevalence of burnout among physicians varied greatly in studies [3], the overall burnout prevalence ranging from 0% to 80.5% among studies using the Maslach Burnout Inventory (MBI) [4]

  • Healthcare professionals from four county-level health alliances (2 general health alliances and 2 Chinese traditional health alliances) in Minhe county and Ledu district were invited to participate in this survey

  • CI: Confidence interval. * p < 0.05; *** p < 0.001. This is the first study examining the degree of job burnout, occupational stressors and their relationship among healthcare professionals from county-level health alliances in Qinghai–Tibet

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Summary

Introduction

Job burnout is a common syndrome in healthcare workers [1], and it has become a sophisticated social issue and a sign of karoshi (death by overwork) for exhausted physicians, especially in China [2].The prevalence of burnout among physicians varied greatly in studies [3], the overall burnout prevalence ranging from 0% to 80.5% among studies using the Maslach Burnout Inventory (MBI) [4]. Job burnout is a common syndrome in healthcare workers [1], and it has become a sophisticated social issue and a sign of karoshi (death by overwork) for exhausted physicians, especially in China [2]. According to the survey conducted by the Statistical Information Center of the Ministry of Health in China in. 2010, 52.4% of healthcare professionals have job burnout, of which 3.1% have a high degree. This study aimed to examine the degrees of job burnout and occupational stressors and their associations among healthcare professionals from county-level health alliances in Qinghai–Tibet Plateau, China. Methods: A cross-sectional study was conducted in county-level health alliances in Qinghai Province, China, in November 2018. Medical staff in four health alliances from two counties were invited to complete the questionnaire Survey and the 38-item Chinese version of the “Scale for occupational stressors on clinicians” were used.

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