Liebenberg Andrew R, Coetzee Jnr Johan F, Conradie Hofmeyr H, Coetzee Johan F
Division of Family Medicine, Faculty of Medicine and Health Sciences, Stellenbosch University.
Afr J Prim Health Care Fam Med. 2018 May 24;10(1):e1-e7. doi: 10.4102/phcfm.v10i1.1568.
Burnout among doctors negatively affects health systems and, ultimately,patient care.
To determine the prevalence of burnout among doctors working in the district health system in the Overberg and Cape Winelands districts of the Western Cape Province and to compare the findings with those of previous South African studies.
Rural district hospitals.
During 2013, a validated questionnaire (Maslach Burnout Inventory) was sent to 42 doctors working in the district health system within the referral area of the Worcester Hospital, consisting of the Overberg health district and the eastern half of the Cape Winelands.
Response rate was 85.7%. Clinically significant burnout was found among 81% of respondents. High levels of burnout on all three subscales were present in 31% of participants.Burnout rates were similar to those of a previous study conducted among doctors working in the Cape Town Metropolitan Municipality primary health care facilities. Scores for emotional exhaustion (EE) and depersonalisation (DP) were greater than those of a national survey;however, the score for personal accomplishment (PA) was greater. EE and PA scores weresimilar to that of a study of junior doctors working in the Red Cross Children's Hospital;however, EE was smaller.
This study demonstrates high burnout rates among doctors working at district level hospitals, similar to the prevalence thereof in the Cape Town Metropolitan primary health care facilities. Health services planning should include strategies to address and prevent burnout of which adequate staffing and improved work environment are of prime importance.
医生职业倦怠对卫生系统产生负面影响，最终影响患者护理。
确定西开普省奥弗贝格和开普葡萄酒产区地区卫生系统中医生职业倦怠的患病率，并将研究结果与南非以往的研究结果进行比较。
农村地区医院。
2013年期间，向在伍斯特医院转诊区域内地区卫生系统工作的42名医生发放了一份经过验证的问卷（马氏职业倦怠量表），该区域包括奥弗贝格卫生区和开普葡萄酒产区的东半部。
回复率为85.7%。81%的受访者存在具有临床意义的职业倦怠。31%的参与者在所有三个子量表上都表现出高水平的职业倦怠。职业倦怠率与之前在开普敦市初级卫生保健机构工作的医生中进行的一项研究相似。情感耗竭（EE）和去个性化（DP）得分高于全国调查；然而，个人成就感（PA）得分更高。EE和PA得分与在红十字会儿童医院工作的初级医生的一项研究相似；然而，EE得分更低。
本研究表明，地区级医院医生的职业倦怠率较高，与开普敦市初级卫生保健机构的患病率相似。卫生服务规划应包括应对和预防职业倦怠的策略，其中充足的人员配备和改善工作环境至关重要。
