More public health service providers are experiencing job burnout than clinical care providers in primary care facilitie
- PDF / 928,108 Bytes
- 11 Pages / 595.276 x 790.866 pts Page_size
- 26 Downloads / 226 Views
Open Access
RESEARCH
More public health service providers are experiencing job burnout than clinical care providers in primary care facilities in China Shan Lu1,2,3, Liang Zhang1,2* , Niek Klazinga3 and Dionne Kringos3
Abstract Background: Health workers are at high risk of job burnout. Primary care in China has recently expanded its scope of services to a broader range of public health services in addition to clinical care. This study aims to measure the prevalence of burnout and identify its associated factors among clinical care and public health service providers at primary care facilities. Methods: A cross-sectional survey (2018) was conducted among 17,816 clinical care and public health service providers at 701 primary care facilities from six provinces. Burnout was measured by the Chinese version of the Maslach Burnout Inventory-General Scale, and multilevel linear regression analysis was conducted to identify burnout’s association with demographics, as well as occupational and organisational factors. Results: Overall, half of the providers (50.09%) suffered from burnout. Both the presence of burnout and the proportion of severe burnout among public health service providers (58.06% and 5.25%) were higher than among clinical care providers (47.55% and 2.26%, respectively). Similar factors were associated with burnout between clinical care and public health service providers. Younger, male, lower-educated providers and providers with intermediate professional title, permanent contract or higher working hours were related to a higher level of burnout. Organisational environment, such as the presence of a performance-based salary system, affected job burnout. Conclusions: Job burnout is prevalent among different types of primary care providers in China, indicating the need for actions that encompass the entirety of primary care. We recommend strengthening the synergy between clinical care and public health services and transforming the performance-based salary system into a more quality-based system that includes teamwork incentives. Keywords: Burnout, Primary care, Clinical care providers, Public health service providers Background Strengthening primary care (PC) to improve health system outcomes is high on the health policy agenda of most countries, and this is expected to be further reinforced in the aftermath of the current COVID-19 pandemic [1– 3]. This is also true for China. The Chinese government *Correspondence: [email protected] 1 School of Medicine and Health Management, Tongji Medical College, Huazhong University of Science and Technology, Wuhan 430030, China Full list of author information is available at the end of the article
launched a new round of healthcare reform in 2009, with priority given to the strengthening of PC. Two out of five major reform programmes were directly related to PC. One of the programmes involved activities to construct PC facilities and to strengthen its workforce, and the other one re-established the importance of public health services within PC via the is
Data Loading...
