Burnout and Well-Being Among Medical Professionals in China: A National Cross-Sectional Study

ObjectiveTo determine the profile of Chinese medical professionals with burnout symptoms at the national level and identify the association between capability well-being and burnout.Design and SettingA cross-sectional study in a nonrandom national sample of medical staff from 6 provinces across west...

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Main Authors: Ying Xiao, Dong Dong, Huanyu Zhang, Peipei Chen, Xiangyan Li, Zhuang Tian, Zhicheng Jing, Shuyang Zhang
Format: Article
Language:English
Published: Frontiers Media S.A. 2022-01-01
Series:Frontiers in Public Health
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fpubh.2021.761706/full
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author Ying Xiao
Dong Dong
Dong Dong
Huanyu Zhang
Peipei Chen
Xiangyan Li
Zhuang Tian
Zhicheng Jing
Shuyang Zhang
author_facet Ying Xiao
Dong Dong
Dong Dong
Huanyu Zhang
Peipei Chen
Xiangyan Li
Zhuang Tian
Zhicheng Jing
Shuyang Zhang
author_sort Ying Xiao
collection DOAJ
description ObjectiveTo determine the profile of Chinese medical professionals with burnout symptoms at the national level and identify the association between capability well-being and burnout.Design and SettingA cross-sectional study in a nonrandom national sample of medical staff from 6 provinces across western, central and eastern China.ParticipantsPhysicians, medical laboratory scientists, nurses, and general practitioners aged 18 years or above who submitted a completed online questionnaire from June 2019 to January 2020 successfully (N = 25,120).Main Outcome MeasuresThe prevalence of burnout symptoms was assessed by the 22-item Maslach Burnout Inventory-Human Services Survey (MBI-HSS), which consists of three domains: emotional exhaustion (EE), depersonalization (DP), and personal achievement (PA). The overall high burnout was defined as EE score ≥27 or DP score ≥10. The capability well-being was measured by the Investigating Choice Experiments Capability Measure for Adults (ICECAP-A) and the overall ICECAP-A score was calculated using the UK value set, ranging from a score of 0–1. Multivariable logistic regression analysis was used to identify the association between well-being and the overall high burnout.ResultsAmong the 25,120 participants, 60.8% of the participants reported at least one symptom of burnout, whereas 11.2% reported all three symptoms of burnout. In the adjusted model, ICECAP-A score was independently associated with high burnout (AOR = 0.018, 95% CI = 0.015–0.022). Medical staff who were males, with shorter working years, working in tertiary hospitals, and those with the specialties of psychiatry, intensive care, emergency medicine, internal medicine, oncology, and pediatrics were at higher risk of reporting burnout symptoms.ConclusionThe burnout symptoms were relatively common among Chinese medical staff and they were found to be independently associated with capability well-being in health professionals. Interventions should be enhanced on vulnerable groups to reduce burnout and promote well-being in future studies.
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spelling doaj.art-9d438851cc6b498bbb9b0ec69a8744982022-12-22T04:09:47ZengFrontiers Media S.A.Frontiers in Public Health2296-25652022-01-01910.3389/fpubh.2021.761706761706Burnout and Well-Being Among Medical Professionals in China: A National Cross-Sectional StudyYing Xiao0Dong Dong1Dong Dong2Huanyu Zhang3Peipei Chen4Xiangyan Li5Zhuang Tian6Zhicheng Jing7Shuyang Zhang8State Key Laboratory of Complex Severe and Rare Diseases, Department of Cardiology, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, ChinaShenzhen Research Institute, The Chinese University of Hong Kong, Shenzhen, ChinaFaculty of Medicine, JC School of Public Health and Primary Care, The Chinese University of Hong Kong, Shatin, Hong Kong SAR, ChinaShenzhen Research Institute, The Chinese University of Hong Kong, Shenzhen, ChinaState Key Laboratory of Complex Severe and Rare Diseases, Department of Cardiology, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, ChinaMedical Science Research Center, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, ChinaState Key Laboratory of Complex Severe and Rare Diseases, Department of Cardiology, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, ChinaState Key Laboratory of Complex Severe and Rare Diseases, Department of Cardiology, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, ChinaState Key Laboratory of Complex Severe and Rare Diseases, Department of Cardiology, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, ChinaObjectiveTo determine the profile of Chinese medical professionals with burnout symptoms at the national level and identify the association between capability well-being and burnout.Design and SettingA cross-sectional study in a nonrandom national sample of medical staff from 6 provinces across western, central and eastern China.ParticipantsPhysicians, medical laboratory scientists, nurses, and general practitioners aged 18 years or above who submitted a completed online questionnaire from June 2019 to January 2020 successfully (N = 25,120).Main Outcome MeasuresThe prevalence of burnout symptoms was assessed by the 22-item Maslach Burnout Inventory-Human Services Survey (MBI-HSS), which consists of three domains: emotional exhaustion (EE), depersonalization (DP), and personal achievement (PA). The overall high burnout was defined as EE score ≥27 or DP score ≥10. The capability well-being was measured by the Investigating Choice Experiments Capability Measure for Adults (ICECAP-A) and the overall ICECAP-A score was calculated using the UK value set, ranging from a score of 0–1. Multivariable logistic regression analysis was used to identify the association between well-being and the overall high burnout.ResultsAmong the 25,120 participants, 60.8% of the participants reported at least one symptom of burnout, whereas 11.2% reported all three symptoms of burnout. In the adjusted model, ICECAP-A score was independently associated with high burnout (AOR = 0.018, 95% CI = 0.015–0.022). Medical staff who were males, with shorter working years, working in tertiary hospitals, and those with the specialties of psychiatry, intensive care, emergency medicine, internal medicine, oncology, and pediatrics were at higher risk of reporting burnout symptoms.ConclusionThe burnout symptoms were relatively common among Chinese medical staff and they were found to be independently associated with capability well-being in health professionals. Interventions should be enhanced on vulnerable groups to reduce burnout and promote well-being in future studies.https://www.frontiersin.org/articles/10.3389/fpubh.2021.761706/fullburnoutcapability well-beingmedical professionalsChinanational-level
spellingShingle Ying Xiao
Dong Dong
Dong Dong
Huanyu Zhang
Peipei Chen
Xiangyan Li
Zhuang Tian
Zhicheng Jing
Shuyang Zhang
Burnout and Well-Being Among Medical Professionals in China: A National Cross-Sectional Study
Frontiers in Public Health
burnout
capability well-being
medical professionals
China
national-level
title Burnout and Well-Being Among Medical Professionals in China: A National Cross-Sectional Study
title_full Burnout and Well-Being Among Medical Professionals in China: A National Cross-Sectional Study
title_fullStr Burnout and Well-Being Among Medical Professionals in China: A National Cross-Sectional Study
title_full_unstemmed Burnout and Well-Being Among Medical Professionals in China: A National Cross-Sectional Study
title_short Burnout and Well-Being Among Medical Professionals in China: A National Cross-Sectional Study
title_sort burnout and well being among medical professionals in china a national cross sectional study
topic burnout
capability well-being
medical professionals
China
national-level
url https://www.frontiersin.org/articles/10.3389/fpubh.2021.761706/full
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AT dongdong burnoutandwellbeingamongmedicalprofessionalsinchinaanationalcrosssectionalstudy
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AT huanyuzhang burnoutandwellbeingamongmedicalprofessionalsinchinaanationalcrosssectionalstudy
AT peipeichen burnoutandwellbeingamongmedicalprofessionalsinchinaanationalcrosssectionalstudy
AT xiangyanli burnoutandwellbeingamongmedicalprofessionalsinchinaanationalcrosssectionalstudy
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