Department of Health Management, School of Health Management, Harbin Medical University, Harbin, 150081, China.
Student Grade department, College of Bioinformatics Science and Technology, Harbin Medical University, Harbin, 150081, China.
BMC Health Serv Res. 2020 Mar 12;20(1):193. doi: 10.1186/s12913-020-4996-y.
The main objectives of this study were as follows: (1) evaluate the prevalence of burnout syndrome among doctors, (2) establish associations with demographic factors in China, and (3) examine the mediating role of psychological attachment in the relationship between job burnout and career calling.
This cross-sectional survey was conducted by administering an online questionnaire in May 2016. The survey was performed across Thirty provinces. In total, A total of 3016 Chinese doctors were selected as participants, of which 2617 completed valid questionnaires (effective response rate: 86.77%).
The overall prevalence of burnout symptoms among Chinese doctors was 85.79%. Little variance was reported for burnout symptoms according to age (Waldχ = 6.843, P < 0.05, OR < 1), professional title (Waldχ = 13.110, P < 0.05, OR > 1), and daily working hours (Waldχ = 7.226, P < 0.05, OR > 1). However, the burnout of Chinese doctors was found to be associated with psychological attachment (B = - 0.6433, P < 0.0001) and career calling (B = 0.3653, P < 0.0001); furthermore, psychological attachment (B = 0.2350, P < 0.001) mediated the relationship between job burnout and career calling.
Burnout symptoms among Chinese doctors were prevalent and associated with age, professional title, and long working hours. Chinese doctors aged 20-30 experienced a much higher level of burnout symptoms. The longer hours doctors worked, the more likely they were at risk of burnout symptoms, especially among attending physicians. Doctors who endured high-level burnout tended to exhibit decreasing psychological attachment, which threatened their sense of career calling. Finally, this paper proposed related explanations for the function mechanisms based on both theoretical and practical perspectives.
本研究的主要目的如下：（1）评估中国医生职业倦怠综合征的流行情况，（2）建立与人口统计学因素的关联，（3）检验工作倦怠与职业召唤之间关系的心理依恋的中介作用。
本横断面调查于 2016 年 5 月通过在线问卷进行。调查在 30 个省进行。共有 3016 名中国医生被选为参与者，其中 2617 人完成了有效问卷（有效响应率：86.77%）。
中国医生职业倦怠症状的总体患病率为 85.79%。根据年龄（Waldχ=6.843，P<0.05，OR<1）、职称（Waldχ=13.110，P<0.05，OR>1）和每日工作时间（Waldχ=7.226，P<0.05，OR>1），倦怠症状的差异不大。然而，中国医生的倦怠与心理依恋（B=-0.6433，P<0.0001）和职业召唤（B=0.3653，P<0.0001）有关；此外，心理依恋（B=0.2350，P<0.001）中介了工作倦怠与职业召唤之间的关系。
中国医生的倦怠症状普遍存在，并与年龄、职称和工作时间长有关。20-30 岁的中国医生经历了更高水平的倦怠症状。医生工作时间越长，出现倦怠症状的风险就越高，尤其是主治医生。承受高水平倦怠的医生往往表现出心理依恋程度降低，这威胁到他们的职业召唤感。最后，本文从理论和实践的角度对功能机制提出了相关解释。
