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Potential correlates of burnout among general practitioners and residents in Hungary: the significant role of gender, age, dependant care and experience

BACKGROUND: Burnout is increasingly prevalent among general practitioners (GPs) in Hungary, which may lead to functional impairment and, subsequently, to poor quality of patient care. However, little is known about potential predictors of burnout among GPs. The aim of this study was to explore psych...

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Autores principales: Adam, Szilvia, Mohos, Andras, Kalabay, Laszlo, Torzsa, Peter
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2018
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6290496/
https://www.ncbi.nlm.nih.gov/pubmed/30541461
http://dx.doi.org/10.1186/s12875-018-0886-3
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author Adam, Szilvia
Mohos, Andras
Kalabay, Laszlo
Torzsa, Peter
author_facet Adam, Szilvia
Mohos, Andras
Kalabay, Laszlo
Torzsa, Peter
author_sort Adam, Szilvia
collection PubMed
description BACKGROUND: Burnout is increasingly prevalent among general practitioners (GPs) in Hungary, which may lead to functional impairment and, subsequently, to poor quality of patient care. However, little is known about potential predictors of burnout among GPs. The aim of this study was to explore psychosocial correlates of burnout among GPs and residents in Hungary. METHODS: We collected socio-demographic and work-related data with self-administered questionnaires in a cross-sectional study among GPs (N = 196) and residents (N = 154). We assessed burnout with the Maslach Burnout Inventory Human Services Survey (MBI-HSS) and calculated the mean level of burnout and the proportion of physicians suffering from low, intermediate and high degree of burnout. To identify potential socio-demographic and work-related correlates of burnout among physicians, we determined Spearman’s and Mann-Whitney U correlation coefficients and conducted stepwise linear regression analyses. We deployed Mann-Whitney U test to explore gender disparity in the level of burnout between female and male physicians and between general practitioners and residents. RESULTS: The prevalence of moderate to high level emotional exhaustion, depersonalisation, and impaired personal accomplishment was 34.7, 33.5 and 67.8% as well as 41.0, 43.1, and 71.1% among GPs and residents, respectively. Residents reported significantly lower level of personal accomplishment vs GPs. We identified a significantly higher level of depersonalization among male physicians compared to female physicians. Age correlated negatively with emotional exhaustion and depersonalization and positively with personal accomplishment among GPs. Dependant care was positively associated with burnout among female GPs. Female residents were more likely to report depersonalization. High workload was positively correlated with depersonalization among female GPs. Younger age emerged as the strongest predictor of emotional exhaustion. Male gender and fewer years of experience predicted depersonalization best, and male gender showed a significant predictive relationship with low personal accomplishment. CONCLUSION: We identified specific socio-demographic and work-related correlates of burnout, which may guide the development of specific and effective organizational decisions to attenuate occupational stress and subsequent burnout as well as functional impairment among GPs, and thus, may improve the quality of patient care.
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spelling pubmed-62904962018-12-17 Potential correlates of burnout among general practitioners and residents in Hungary: the significant role of gender, age, dependant care and experience Adam, Szilvia Mohos, Andras Kalabay, Laszlo Torzsa, Peter BMC Fam Pract Research Article BACKGROUND: Burnout is increasingly prevalent among general practitioners (GPs) in Hungary, which may lead to functional impairment and, subsequently, to poor quality of patient care. However, little is known about potential predictors of burnout among GPs. The aim of this study was to explore psychosocial correlates of burnout among GPs and residents in Hungary. METHODS: We collected socio-demographic and work-related data with self-administered questionnaires in a cross-sectional study among GPs (N = 196) and residents (N = 154). We assessed burnout with the Maslach Burnout Inventory Human Services Survey (MBI-HSS) and calculated the mean level of burnout and the proportion of physicians suffering from low, intermediate and high degree of burnout. To identify potential socio-demographic and work-related correlates of burnout among physicians, we determined Spearman’s and Mann-Whitney U correlation coefficients and conducted stepwise linear regression analyses. We deployed Mann-Whitney U test to explore gender disparity in the level of burnout between female and male physicians and between general practitioners and residents. RESULTS: The prevalence of moderate to high level emotional exhaustion, depersonalisation, and impaired personal accomplishment was 34.7, 33.5 and 67.8% as well as 41.0, 43.1, and 71.1% among GPs and residents, respectively. Residents reported significantly lower level of personal accomplishment vs GPs. We identified a significantly higher level of depersonalization among male physicians compared to female physicians. Age correlated negatively with emotional exhaustion and depersonalization and positively with personal accomplishment among GPs. Dependant care was positively associated with burnout among female GPs. Female residents were more likely to report depersonalization. High workload was positively correlated with depersonalization among female GPs. Younger age emerged as the strongest predictor of emotional exhaustion. Male gender and fewer years of experience predicted depersonalization best, and male gender showed a significant predictive relationship with low personal accomplishment. CONCLUSION: We identified specific socio-demographic and work-related correlates of burnout, which may guide the development of specific and effective organizational decisions to attenuate occupational stress and subsequent burnout as well as functional impairment among GPs, and thus, may improve the quality of patient care. BioMed Central 2018-12-12 /pmc/articles/PMC6290496/ /pubmed/30541461 http://dx.doi.org/10.1186/s12875-018-0886-3 Text en © The Author(s). 2018 Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.
spellingShingle Research Article
Adam, Szilvia
Mohos, Andras
Kalabay, Laszlo
Torzsa, Peter
Potential correlates of burnout among general practitioners and residents in Hungary: the significant role of gender, age, dependant care and experience
title Potential correlates of burnout among general practitioners and residents in Hungary: the significant role of gender, age, dependant care and experience
title_full Potential correlates of burnout among general practitioners and residents in Hungary: the significant role of gender, age, dependant care and experience
title_fullStr Potential correlates of burnout among general practitioners and residents in Hungary: the significant role of gender, age, dependant care and experience
title_full_unstemmed Potential correlates of burnout among general practitioners and residents in Hungary: the significant role of gender, age, dependant care and experience
title_short Potential correlates of burnout among general practitioners and residents in Hungary: the significant role of gender, age, dependant care and experience
title_sort potential correlates of burnout among general practitioners and residents in hungary: the significant role of gender, age, dependant care and experience
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6290496/
https://www.ncbi.nlm.nih.gov/pubmed/30541461
http://dx.doi.org/10.1186/s12875-018-0886-3
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