Journal article
Effects of organisational and patient factors on doctors’ burnout: a national survey in China
BMJ open, Vol.9(7), pp.e024531-e024531
07/2019
DOI: 10.1136/bmjopen-2018-024531
PMCID: PMC6609055
PMID: 31266834
Abstract
ObjectivesTo measure the burnout of doctors affiliated with western medicine (WM) and traditional Chinese medicine (TCM) hospitals and to evaluate its relationships with organisational and patient factors.DesignA national cross-sectional study in China.SettingBy convenience sampling, this study was conducted in 64 general hospitals from six provinces and Beijing between July 2014 and April 2015. There were a total of 2576 eligible participants, including 1766 WM doctors and 810 TCM doctors in this study.Primary outcome measuresBurnout symptoms of emotional exhaustion, job involvement and personal accomplishment were measured.ResultsIn total, 73.6% of doctors reported emotional exhaustion, the core component of burnout. In multivariable models, emotional exhaustion was significantly associated with organisational factors, including salary fairness [WM: odds ratio (OR)=2.36, 95% confidence interval (CI): 1.80 to 3.09; TCM: OR=1.59, 95% CI: 1.08 to 2.33], participation in organisational decision-making (WM: OR=1.58, 95% CI: 1.21 to 2.08; TCM: OR=1.84, 95% CI: 1.23 to 2.74), professional value (WM: OR=1.74, 95% CI: 1.35 to 2.25), frequency of participation in full-time training (TCM: OR=1.48, 95% CI: 1.01 to 2.16) and frequency of participation in clinical meetings (WM: OR=1.53, 95% CI: 1.11 to 2.10; TCM: OR=2.48, 95% CI: 1.57 to 3.92). Patient factors are also associated with burnout among both WM and TCM doctors, including respect (WM: OR=1.73, 95% CI: 1.31 to 2.28; TCM: OR=1.65, 95% CI: 1.10 to 2.45) and unreasonable demands (WM: OR=2.31, 95% CI: 1.68 to 3.20; TCM: OR=3.44, 95% CI: 2.15 to 5.49). Moreover, job involvement and personal accomplishment among both WM and TCM doctors were significantly associated with organisational and patient factors.ConclusionsOur results suggest that improving organisational management and patient behaviours may be beneficial to reduce doctors’ burnout. Our findings require further validation in different organisational settings.
Details
- Title: Subtitle
- Effects of organisational and patient factors on doctors’ burnout: a national survey in China
- Creators
- Yao Cheng - Huazhong University of Science and TechnologyFang Wang - Huazhong University of Science and TechnologyLiuyi Zhang - Huazhong University of Science and TechnologyPing Zhang - Huazhong University of Science and TechnologyBeizhu Ye - Huazhong University of Science and TechnologyYi Sun - Huazhong University of Science and TechnologyXi Zhu - Health Management and Policy, College of Public Health, The University of Lowa, Lowa City, Lowa, USA.Naixing Zhang - Planning Commission (India)Yuan Liang - Huazhong University of Science and Technology
- Resource Type
- Journal article
- Publication Details
- BMJ open, Vol.9(7), pp.e024531-e024531
- DOI
- 10.1136/bmjopen-2018-024531
- PMID
- 31266834
- PMCID
- PMC6609055
- NLM abbreviation
- BMJ Open
- ISSN
- 2044-6055
- eISSN
- 2044-6055
- Grant note
- DOI: 10.13039/501100001809, name: National Natural Science Foundation of China
- Language
- English
- Date published
- 07/2019
- Academic Unit
- Health Management and Policy
- Record Identifier
- 9984364452202771
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