The Research Center of National Drug Policy and Ecosystem, China Pharmaceutical University, Nanjing, China.
BMC Health Serv Res. 2020 Aug 3;20(1):715. doi: 10.1186/s12913-020-05593-9.
It is necessary to examine doctors working with illness from a professional point of view, because it is not only related to their occupational health, but more importantly, will affect the treatment effect of patients and the overall medical level of the hospital. The purpose of this study was to explore the relationship between doctors' presenteeism and job burnout, and to identify other factors that are associated with presenteeism.
A cross-sectional survey involving doctors (except for primary doctors) was conducted in China. Using one item measure about presenteeism and a 15-item Chinese version of the BMI-GS questionnaire, this study investigated prevalence of doctors' presenteeism and job burnout, and determined the relationship between presenteeism and job burnout by logistical model.
Relationship between presenteeism and job burnout were explored, and the influence of work factors were evaluated. The survey was completed by 1376/1547 hospital doctors, with a response rate of 88.9%. Presenteeism was reported by 30.7% of participants. Using MBI-GS, 86.8% of all doctors had moderate job burnout and 6.0%(n = 82) were severe job burnout. Logistic regression analysis showed that doctors with medium, high degree of emotional exhaustion and high degree of cynicism were more likely to practice presenteeism (all p < 0.05). In addition, two other work-related factors, including the doctors' department and position, were also likely to relate with presenteeism (all p < 0.05).
By examining the relationship between presenteeism and job burnout, this study determined that there is indeed a significant correlation between the two. This result has a certain reference value for the development of work health, especially presenteeism and job burnout theory, and also makes a certain contribution to the relevant research literature.
从职业角度审视医生带病工作十分必要，因为这不仅关乎其职业健康，更重要的是，会影响患者的治疗效果和医院的整体医疗水平。本研究旨在探讨医生的出勤主义与职业倦怠的关系，并识别与出勤主义相关的其他因素。
在中国，采用横断面调查的方法对医生（不包括基层医生）进行调查。使用出勤主义的单项测量和中文版 BMI-GS 问卷的 15 项条目，本研究调查了医生出勤主义和职业倦怠的流行情况，并通过逻辑回归模型确定了出勤主义与职业倦怠的关系。
探索了出勤主义与职业倦怠的关系，并评估了工作因素的影响。共有 1547 名医院医生完成了调查，其中 1376 名医生完成了调查，应答率为 88.9%。30.7%的参与者报告了出勤主义。使用 MBI-GS，所有医生中有 86.8%有中度职业倦怠，6.0%（n=82）有重度职业倦怠。Logistic 回归分析显示，情绪耗竭程度中、高度和玩世不恭程度高的医生更有可能出现出勤主义（均 P<0.05）。此外，医生的科室和职位这两个其他工作相关因素也与出勤主义相关（均 P<0.05）。
通过考察出勤主义与职业倦怠的关系，本研究确定两者之间确实存在显著相关性。该结果对工作健康，特别是出勤主义和职业倦怠理论的发展具有一定的参考价值，也为相关研究文献做出了一定贡献。
