School of Medicine and Health Management, Huazhong University of Science and Technology, Wuhan 430030, China.
Research Centre for Rural Health Service, Key Research Institute of Humanities & Social Sciences of Hubei Provincial Department of Education, Wuhan 430000, China.
Int J Environ Res Public Health. 2020 Jan 22;17(3):727. doi: 10.3390/ijerph17030727.
The health workers in rural primary care systems are at the increasing risk of job burnout. To explore the prevalence and associated factors of the job burnout among the primary healthcare worker in rural China, a cross-sectional survey was conducted among 15,627 participants in 459 township hospitals from six provinces. A combination of stratified multi-stage sampling and cluster sampling method, and a self-administrated questionnaire with the Chinese version of the Maslach Burnout Inventory-General Scale (MBI-GS) were used in the investigation. Multilevel regression analyses were used to examine the potential associated factors on both individual and organisational levels. 47.6% of respondents were experiencing moderate burnout, and 3.3% were in severe burnout. Professionals working for over 40 h per week, at young age, with a college degree, and with professional titles at medium or high rank reported a higher degree of job burnout. At the institutional level, the high ratio of performance-based salary was associated with a higher level of depersonalization. Burnout has become prevalent among the primary healthcare workers in rural China, and multiple strategies are needed to reduce the work stress and some high-risk groups' vulnerability to job burnout.
农村基层医疗系统的卫生工作者面临着日益增加的职业倦怠风险。为了探讨中国农村基层医疗工作者职业倦怠的流行程度及相关因素，采用分层多阶段抽样和整群抽样相结合的方法，对来自六个省份的 459 家乡镇医院的 15627 名参与者进行了横断面调查。采用中文版 Maslach 职业倦怠量表（MBI-GS）的自填式问卷进行调查。采用多水平回归分析方法，从个体和组织两个层面探讨潜在的相关因素。47.6%的受访者处于中度倦怠状态，3.3%处于重度倦怠状态。每周工作超过 40 小时、年龄较小、具有大专学历和中级或高级职称的专业人员报告的职业倦怠程度更高。在机构层面，基于绩效的高薪酬比例与去人格化程度较高有关。职业倦怠在中国农村基层医疗工作者中已经很普遍，需要采取多种策略来减轻工作压力和一些高风险群体对职业倦怠的脆弱性。
