Burnout syndrome among general practitioners in the Czech Republic: a repeated survey study

. 2024 Dec 19 ; 25 (1) : 421. [epub] 20241219

Jazyk angličtina Země Velká Británie, Anglie Médium electronic

Typ dokumentu časopisecké články

Perzistentní odkaz   https://www.medvik.cz/link/pmid39702129

Grantová podpora
RVO 61989592 Palacký University Olomouc Fund
RVO 61989592 Palacký University Olomouc Fund

Odkazy

PubMed 39702129
PubMed Central PMC11657110
DOI 10.1186/s12875-024-02675-z
PII: 10.1186/s12875-024-02675-z
Knihovny.cz E-zdroje

BACKGROUND: Given the critical role of general practitioners (GPs), their insufficient medical density and the adverse effects of burnout on both practitioners and the quality of care provided, the prevalence estimates of GP burnout reported in the literature are highly concerning. This nationwide study builds on a 2023 survey that revealed a significant burden of burnout among Czech GPs. The primary objectives were to analyse the prevalence and determinants of burnout and to examine potential trends over time. METHODS: In April 2024, 2,500 randomly selected GPs were emailed the Maslach Burnout Inventory - Human Services Survey for Medical Personnel, supplemented with sociodemographic and job-related questions. The statistical analysis included a comparison with an identical study conducted a year earlier. RESULTS: Of the 765 completed responses (542 females, 223 males; mean age 55.5 years), 19.7% of the GPs experienced burnout in all three dimensions, 23% in two, 28.5% in one, and 28.8% in no dimension. Similar to 2023, the most common burnout dimension was a lack of personal accomplishment (PA, 52.2%), followed by emotional exhaustion (EE, 45.9%) and depersonalization (DP, 35.7%). Male and employed GPs experienced greater degrees of DP, while practice owners were more susceptible to EE. A positive dependence of burnout on the number of listed patients was identified. The proportion of GPs experiencing burnout across all dimensions decreased by 2.1% from 2023 to 2024 (p = 0.232), primarily in DP. Additionally, a 6.7% increase in GPs showing no signs of burnout in all dimensions (p = 0.002) further supported this positive trend. CONCLUSIONS: Between 2023 and 2024, the prevalence of burnout among GPs exhibited a modest decline. Nonetheless, it persists at almost 20%. Ensuring a sufficiently dense network of GPs, providing adequate resource allocation, and raising awareness of their importance are essential measures.

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Sigurdsson EL. The wellbeing of health care workers. Scand J Prim Health Care. 2021;39(4):389–90. 10.1080/02813432.2021.2012352 PubMed PMC

World Health Organization. Burn-out an occupational phenomenon. 11th Revision of the International Classification of Diseases. https://www.who.int/news/item/28-05-2019-burn-out-an-occupational-phenomenon-international-classification-of-diseases. Accessed 10 Jul 2024.

Maslach C, Jackson SE, Leiter MP, Schaufeli WB, Schwab RL. Maslach Burnout Inventory Manual. 4th ed. California: Mind Garden, Inc.; 2016.

Izdebski Z, Kozakiewicz A, Białorudzki M, Dec-Pietrowska J, Mazur J. Occupational Burnout in Healthcare Workers, stress and other symptoms of work overload during the COVID-19 pandemic in Poland. Int J Environ Res Public Health. 2023;20(3):2428. 10.3390/ijerph20032428 PubMed PMC

De Hert S. Burnout in Healthcare Workers: prevalence, impact and preventative strategies. Local Reg Anesth. 2020;13:171–83. 10.2147/LRA.S240564 PubMed PMC

Allen LN, Pettigrew LM, Exley J, Nugent R, Balabanova D, Villar-Uribe M, et al. The role of Primary Health Care, primary care and hospitals in advancing Universal Health Coverage. BMJ Glob Health. 2023;8(12):e014442. 10.1136/bmjgh-2023-014442 PubMed PMC

Karuna C, Palmer V, Scott A, Gunn J. Prevalence of burnout among GPs: a systematic review and meta-analysis. Br J Gen Pract. 2022;72(718):e316–24. 10.3399/BJGP.2021.0441 PubMed PMC

Ortega MV, Hidrue MK, Lehrhoff SR, Ellis DB, Sisodia RC, Curry WT, et al. Patterns in Physician Burnout in a stable-linked cohort. JAMA Netw Open. 2023;6(10):e2336745. 10.1001/jamanetworkopen.2023.36745 PubMed PMC

Dumesnil H, Lutaud R, Bellon-Curutchet J, Deffontaines A, Verger P. Dealing with the doctor shortage: a qualitative study exploring French general practitioners’ lived experiences, difficulties, and adaptive behaviours. Fam Pract. 2024;cmae017. 10.1093/fampra/cmae017 PubMed

Štěpánek L, Patel MS, Horáková D, Juríčková L, Býma S. High prevalence of burnout syndrome in Czech general practitioners: a cross-sectional survey. Prev Med Rep. 2023;36:102502. 10.1016/j.pmedr.2023.102502 PubMed PMC

Windak A, Oleszczyk M, Seifert B et al. Czech Republic. In: Kringos DS, Boerma WGW, Hutchinson A, editorsJul. Building primary care in a changing Europe: Case studies. Copenhagen (Denmark): European Observatory on Health Systems and Policies. https://www.ncbi.nlm.nih.gov/books/NBK459013. Accessed 10 2024.

Maslach C, Jackson SE, Leiter MP. Maslach Burnout Inventory. 3rd ed. Maryland: Scarecrow Education; 1997.

Soler JK, Yaman H, Esteva M, Dobbs F, Asenova RS, Katic M, et al. Burnout in European family doctors: the EGPRN study. Fam Pract. 2008;25(4):245–65. 10.1093/fampra/cmn038 PubMed

Maslach C, Jackson SE. MBI: Human Services Survey for Medical Personnel. https://www.mindgarden.com/315-mbi-human-services-survey-medical-personnel. Accessed 27 Nov 2024.

McCammon LC, Gillen P, Kernohan WG. Explaining and addressing the limitations in usefulness of available estimated prevalence figures relating to burnout in family doctors: evidence from a systematic scoping literature review. J Psychiatr Res. 2023;158:261–72. 10.1016/j.jpsychires.2022.12.013 PubMed

Ge MW, Hu FH, Jia YJ, Tang W, Zhang WQ, Chen HL. Global prevalence of nursing burnout syndrome and temporal trends for the last 10 years: a meta-analysis of 94 studies covering over 30 countries. J Clin Nurs. 2023;32(17–18):5836–54. 10.1111/jocn.16708 PubMed

Rotenstein LS, Torre M, Ramos MA, Rosales RC, Guille C, Sen S, et al. Prevalence of Burnout among Physicians: a systematic review. JAMA. 2018;320(11):1131–50. 10.1001/jama.2018.12777 PubMed PMC

Di Monte C, Monaco S, Mariani R, Di Trani M. From resilience to Burnout: psychological features of Italian General practitioners during COVID-19 emergency. Front Psychol. 2020;11:567201. 10.3389/fpsyg.2020.567201 PubMed PMC

Adam S, Mohos A, Kalabay L, Torzsa P. Potential correlates of burnout among general practitioners and residents in Hungary: the significant role of gender, age, dependant care and experience. BMC Fam Pract. 2018;19(1):193. 10.1186/s12875-018-0886-3 PubMed PMC

Dreher A, Theune M, Kersting C, Geiser F, Weltermann B. Prevalence of burnout among German general practitioners: comparison of physicians working in solo and group practices. PLoS ONE. 2019;14(2):e0211223. 10.1371/journal.pone.0211223 PubMed PMC

Meléndez JC, Mayordomo T, Sancho P, Tomás JM. Coping strategies: gender differences and development throughout life span. Span J Psychol. 2012;15(3):1089–98. 10.5209/rev_sjop.2012.v15.n3.39399 PubMed

Creager J, Coutinho AJ, Peterson LE. Associations between Burnout and Practice Organization in Family Physicians. Ann Fam Med. 2019;17(6):502–9. 10.1370/afm.2448 PubMed PMC

Verhoef NC, Blomme RJ. Burnout among general practitioners, a systematic quantitative review of the literature on determinants of burnout and their ecological value. Front Psychol. 2022;13:1064889. 10.3389/fpsyg.2022.1064889 PubMed PMC

Pedersen AF, Vedsted P. Burnout, coping strategies and help-seeking in general practitioners: a two-wave survey study in Denmark. BMJ Open. 2022;12(2):e051867. 10.1136/bmjopen-2021-051867 PubMed PMC

Akinleye D, Wu M, Efferen LS, McCauley S, Allen A, Bennett H, et al. Newly acquired Burnout during the Coronavirus Disease 2019 (COVID-19) pandemic: a retrospective cohort study on the experiences of New York State Primary Care clinicians. J Community Health. 2024;49(1):34–45. 10.1007/s10900-023-01247-z PubMed

Awa WL, Plaumann M, Walter U. Burnout prevention: a review of intervention programs. Patient Educ Couns. 2010;78(2):184–90. 10.1016/j.pec.2009.04.008 PubMed

Ministry of Health of the Czech Republic. Strategic framework for the development of health care in the Czech Republic until 2030. https://zdravi2030.mzcr.cz/zdravi-2030-strategicky-ramec.pdf. Accessed 12 Jul 2024.

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