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Contextual Factors Associated with Burnout among Chinese Primary Care Providers: A Multilevel Analysis

Burnout is a common and growing phenomenon in the health care setting. The objective of the present study is to examine contextual factors in the workplace associated with burnout among primary care providers (PCPs) in Shandong Province, China. A cross-sectional survey was conducted among 951 PCPs n...

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Autores principales: Li, Huiwen, Yuan, Beibei, Meng, Qingyue, Kawachi, Ichiro
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6801650/
https://www.ncbi.nlm.nih.gov/pubmed/31547533
http://dx.doi.org/10.3390/ijerph16193555
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author Li, Huiwen
Yuan, Beibei
Meng, Qingyue
Kawachi, Ichiro
author_facet Li, Huiwen
Yuan, Beibei
Meng, Qingyue
Kawachi, Ichiro
author_sort Li, Huiwen
collection PubMed
description Burnout is a common and growing phenomenon in the health care setting. The objective of the present study is to examine contextual factors in the workplace associated with burnout among primary care providers (PCPs) in Shandong Province, China. A cross-sectional survey was conducted among 951 PCPs nested within 48 primary health institutions (PHIs). Burnout was measured using the Maslach Burnout Inventory–Human Services Survey (MBI–HSS). We used two-level random intercept linear regression models to examine individual- versus workplace-level risk factors for burnout. The result revealed that 33.12%, 8.83% and 41.43% PCPs were experiencing a high degree of emotional exhaustion (EE), depersonalization (DP) and low personal accomplishment (PA). In multilevel analysis, the most significant and common individual-level predictors of burnout were lack of perceived work support and autonomy. At the institutional level, workload was positively related to EE (odds ratio (OR): 6.59; 95% confidence interval (CI): 3.46–9.72), while work support was related to higher PA (OR: 3.49; 95% CI: 0.81–6.17). Greater attention should be paid to the influence of the work environment factors (workload and work support) to prevent burnout. Strategies such as increasing human resources allocated to PHIs and establishing a supportive work environment are encouraged to prevent and reduce burnout among PCPs in China.
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spelling pubmed-68016502019-10-31 Contextual Factors Associated with Burnout among Chinese Primary Care Providers: A Multilevel Analysis Li, Huiwen Yuan, Beibei Meng, Qingyue Kawachi, Ichiro Int J Environ Res Public Health Article Burnout is a common and growing phenomenon in the health care setting. The objective of the present study is to examine contextual factors in the workplace associated with burnout among primary care providers (PCPs) in Shandong Province, China. A cross-sectional survey was conducted among 951 PCPs nested within 48 primary health institutions (PHIs). Burnout was measured using the Maslach Burnout Inventory–Human Services Survey (MBI–HSS). We used two-level random intercept linear regression models to examine individual- versus workplace-level risk factors for burnout. The result revealed that 33.12%, 8.83% and 41.43% PCPs were experiencing a high degree of emotional exhaustion (EE), depersonalization (DP) and low personal accomplishment (PA). In multilevel analysis, the most significant and common individual-level predictors of burnout were lack of perceived work support and autonomy. At the institutional level, workload was positively related to EE (odds ratio (OR): 6.59; 95% confidence interval (CI): 3.46–9.72), while work support was related to higher PA (OR: 3.49; 95% CI: 0.81–6.17). Greater attention should be paid to the influence of the work environment factors (workload and work support) to prevent burnout. Strategies such as increasing human resources allocated to PHIs and establishing a supportive work environment are encouraged to prevent and reduce burnout among PCPs in China. MDPI 2019-09-23 2019-10 /pmc/articles/PMC6801650/ /pubmed/31547533 http://dx.doi.org/10.3390/ijerph16193555 Text en © 2019 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (http://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Li, Huiwen
Yuan, Beibei
Meng, Qingyue
Kawachi, Ichiro
Contextual Factors Associated with Burnout among Chinese Primary Care Providers: A Multilevel Analysis
title Contextual Factors Associated with Burnout among Chinese Primary Care Providers: A Multilevel Analysis
title_full Contextual Factors Associated with Burnout among Chinese Primary Care Providers: A Multilevel Analysis
title_fullStr Contextual Factors Associated with Burnout among Chinese Primary Care Providers: A Multilevel Analysis
title_full_unstemmed Contextual Factors Associated with Burnout among Chinese Primary Care Providers: A Multilevel Analysis
title_short Contextual Factors Associated with Burnout among Chinese Primary Care Providers: A Multilevel Analysis
title_sort contextual factors associated with burnout among chinese primary care providers: a multilevel analysis
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6801650/
https://www.ncbi.nlm.nih.gov/pubmed/31547533
http://dx.doi.org/10.3390/ijerph16193555
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