PDF(Pubmed)
Abstract：
UNASSIGNED: A wide range in prevalence rates of burnout among general practitioners (GPs) has been reported in various regions, with an increasing trend. This nationwide cross-sectional study aimed to estimate the prevalence and associated determinants of burnout in Czech GPs.
UNASSIGNED: 1000 randomly selected physicians from the Czech Society of General Practitioners (through a pseudorandom number generator) were emailed an online survey based on the Maslach Burnout Inventory - Human Services Survey. Data collection was performed between January and February 2023.
UNASSIGNED: 331 questionnaires were obtained (227 females and 104 males, mean age - 49.9 years, the mean number of registered patients - 1951). 21.8 % of GPs scored a high level of burnout in all three of its dimensions and 23.9 % in no dimension at all. The most prevalent dimension was reduced personal accomplishment (PA, 56.2 %) followed by emotional exhaustion (EE, 50.2 %) and depersonalization (DP, 40.5 %). Reaching burnout in all three dimensions was significantly more frequent in males and in GPs registering a number of patients above the median. Increasing age and years of practice were protective factors for DP but risk factors for reduced PA. Employed GPs had lower EE scores than GP practice owners. The respondents\' basic characteristics reflected their presence among Czech GPs, which testifies against selection bias.
UNASSIGNED: The high rate of burnout (∼22 %) should be addressed by promoting personal resources along with the perception of the importance of GPs in society. A sufficiently dense network of GPs should allow them to register a lower number of patients.
UNASSIGNED: 1000 randomly selected physicians from the Czech Society of General Practitioners (through a pseudorandom number generator) were emailed an online survey based on the Maslach Burnout Inventory - Human Services Survey. Data collection was performed between January and February 2023.
UNASSIGNED: 331 questionnaires were obtained (227 females and 104 males, mean age - 49.9 years, the mean number of registered patients - 1951). 21.8 % of GPs scored a high level of burnout in all three of its dimensions and 23.9 % in no dimension at all. The most prevalent dimension was reduced personal accomplishment (PA, 56.2 %) followed by emotional exhaustion (EE, 50.2 %) and depersonalization (DP, 40.5 %). Reaching burnout in all three dimensions was significantly more frequent in males and in GPs registering a number of patients above the median. Increasing age and years of practice were protective factors for DP but risk factors for reduced PA. Employed GPs had lower EE scores than GP practice owners. The respondents\' basic characteristics reflected their presence among Czech GPs, which testifies against selection bias.
UNASSIGNED: The high rate of burnout (∼22 %) should be addressed by promoting personal resources along with the perception of the importance of GPs in society. A sufficiently dense network of GPs should allow them to register a lower number of patients.
摘要：
■据报道，在各个地区，全科医生（GP）的倦怠患病率范围很广，呈上升趋势。这项全国性的横断面研究旨在估计捷克全科医生职业倦怠的患病率和相关决定因素。
■从捷克全科医生协会（通过伪随机数生成器）随机选择的1000名医生通过电子邮件发送了基于Maslach倦怠清单-人类服务调查的在线调查。数据收集在2023年1月至2月之间进行。
■获得了331份问卷（227名女性和104名男性，平均年龄-49.9岁，登记患者的平均人数-1951年)。21.8％的全科医生在其所有三个维度上都获得了较高的倦怠水平，而在任何维度上都获得了23.9％的倦怠。最普遍的维度是个人成就降低(PA，56.2%)，其次是情绪衰竭(EE，50.2%)和去个性化(DP，40.5%）。在男性和全科医生中，在所有三个维度上达到倦怠的频率明显更高。年龄和执业年限的增加是DP的保护因素，但PA降低的危险因素。受雇的全科医生的EE分数低于全科医生执业所有者。受访者的基本特征反映了他们在捷克全科医生中的存在，这证明了选择偏见。
■应该通过促进个人资源以及对全科医生在社会中的重要性的认识来解决高倦怠率（〜22％）。足够密集的全科医生网络应该允许他们登记较少数量的患者。
■从捷克全科医生协会（通过伪随机数生成器）随机选择的1000名医生通过电子邮件发送了基于Maslach倦怠清单-人类服务调查的在线调查。数据收集在2023年1月至2月之间进行。
■获得了331份问卷（227名女性和104名男性，平均年龄-49.9岁，登记患者的平均人数-1951年)。21.8％的全科医生在其所有三个维度上都获得了较高的倦怠水平，而在任何维度上都获得了23.9％的倦怠。最普遍的维度是个人成就降低(PA，56.2%)，其次是情绪衰竭(EE，50.2%)和去个性化(DP，40.5%）。在男性和全科医生中，在所有三个维度上达到倦怠的频率明显更高。年龄和执业年限的增加是DP的保护因素，但PA降低的危险因素。受雇的全科医生的EE分数低于全科医生执业所有者。受访者的基本特征反映了他们在捷克全科医生中的存在，这证明了选择偏见。
■应该通过促进个人资源以及对全科医生在社会中的重要性的认识来解决高倦怠率（〜22％）。足够密集的全科医生网络应该允许他们登记较少数量的患者。
