Martínez de la Casa Muñoz A, del Castillo Comas C, Magaña Loarte E, Bru Espino I, Franco Moreno A, Segura Fragoso A
MIR de tercer año en MFyC, Centro de Salud La Estación, Unidad Docente, Talavera de la Reina, Toledo, España.
Aten Primaria. 2003 Oct 15;32(6):343-8. doi: 10.1016/s0212-6567(03)79294-4.
To determine the degree of burnout or professional wear-and-tear in doctors from the Talavera de la Reina Health Area and linked factors.
Transversal, descriptive study.
Doctors in primary care (PC) (n=106) and specialist care (SC) (n=129).
Maslach Burnout Inventory (MBI) questionnaire and a survey with social and demographic variables and suggestions. Both were anonymous and self-administered.
144 (61.27%) answered, 63 from PC and 81 SC. 72.2% were male, with a mean age of 45 (with little variability between PC and SC). Average years worked were 18.65. 102 (70.83%) worked cover. 85 (59.02%) had an indefinite contract, 49 (34.02%) a temporary one, and 10 (6.94%) other kinds. 76.4% of the professionals suffered burnout (moderate in 38.9% and high in 37.5%). The difference between PC and SC burnout (85.7% vs 69.1%) was statistically significant. In the remaining variables studied (age, sex, marital status, working of cover shifts.) we found no significant differences. Among suggestions to mitigate burnout were demands to support improvements in working conditions, greater personal and professional recognition, involvement of the government and management, economic remuneration, providing more training and research, etc.
Professional wear-and-tear or burnout is very high in our area, and is higher in PC than in SC.
确定塔拉韦拉德拉雷纳健康区医生的职业倦怠或职业损耗程度及其相关因素。
横断面描述性研究。
初级保健(PC)医生(n = 106)和专科护理(SC)医生(n = 129)。
采用马氏职业倦怠量表(MBI)问卷以及包含社会和人口统计学变量及建议的调查。两者均为匿名且自行填写。
144人(61.27%)作答,其中63人来自PC,81人来自SC。72.2%为男性,平均年龄45岁(PC和SC之间差异不大)。平均工作年限为18.65年。102人(70.83%)从事轮班工作。85人(59.02%)签订的是无固定期限合同,49人(34.02%)是临时合同,10人(6.94%)是其他类型合同。76.4%的专业人员存在职业倦怠(中度倦怠占38.9%,高度倦怠占37.5%)。PC和SC职业倦怠之间的差异(85.7%对69.1%)具有统计学意义。在研究的其他变量(年龄、性别、婚姻状况、轮班工作情况)中,我们未发现显著差异。在减轻职业倦怠的建议中,包括要求支持改善工作条件、给予更多个人和职业认可、政府和管理层的参与、经济报酬、提供更多培训和研究等。
我们所在地区的职业损耗或职业倦怠程度非常高,且PC医生的职业倦怠程度高于SC医生。