Document Detail


Trend of burnout among Swiss doctors.
MedLine Citation:
PMID:  20809437     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
QUESTION UNDER STUDY: Over the last decade the Swiss health care system has undergone several changes, resulting in stronger economic constraints, a heavier administrative workload and limited work autonomy for doctors. In this context we examined the change in burnout prevalence over time among Swiss doctors surveyed during this period.
METHODS: Cross-sectional survey data collected by mail in 2002, 2004 and 2007 throughout the country were used. Measures included the Maslach Burnout Inventory (MBI), several socio-demographics (gender, living alone, having children), and work-related characteristics (number of years in current workplace, hours worked). Answers to the MBI were used to classify respondents into moderate (high score on either the emotional exhaustion or the depersonalisation/cynicism subscale) and high degree of burnout (scores in the range of burnout in all three scales).
RESULTS: Rates of moderate-degree burnout increased from 33% to 42% among general practitioners (p = 0.002) and from 19% to 34% among paediatricians (p = 0.001) (high degree of burnout: 4% to 6% [p = 0.17] and 2% to 4% [p = 0.42] respectively). After adjustment for significant socio-demographic and work-related characteristics, an increased risk of moderate burnout was found for doctors surveyed in 2004 and 2007 (OR 1.6, 95%CI 1.3 to 2.0), general practitioners (OR 1.6, 95%CI 1.3 to 2.0) and French-speaking doctors (OR 1.5, 95%CI 1.3 to 1.9). An increased risk of high-degree burnout was found only for general practitioners (OR 1.8, 95%CI 1.05 to 3.0).
CONCLUSIONS: Burnout levels among Swiss doctors have increased over the last decade, in particular among French-speaking doctors.
Authors:
F Arigoni; P A Bovier; A P Sappino
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't     Date:  2010-08-09
Journal Detail:
Title:  Swiss medical weekly     Volume:  140     ISSN:  1424-3997     ISO Abbreviation:  Swiss Med Wkly     Publication Date:  2010  
Date Detail:
Created Date:  2010-09-02     Completed Date:  2010-11-29     Revised Date:  2011-02-15    
Medline Journal Info:
Nlm Unique ID:  100970884     Medline TA:  Swiss Med Wkly     Country:  Switzerland    
Other Details:
Languages:  eng     Pagination:  w13070     Citation Subset:  IM    
Affiliation:
Department of General Internal Medicine, University Hospitals of Geneva, Switzerland. f.arigoni@bluewin.ch
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MeSH Terms
Descriptor/Qualifier:
Adult
Burnout, Professional / diagnosis,  epidemiology*,  psychology
Cost Control / trends
Cross-Sectional Studies
Family Characteristics
Female
General Practitioners / psychology,  statistics & numerical data
Health Care Reform / economics,  trends*
Health Surveys
Humans
Internal Medicine / statistics & numerical data,  trends
Male
Medical Oncology / statistics & numerical data,  trends
Middle Aged
National Health Programs / economics,  trends*
Pediatrics / statistics & numerical data,  trends
Personality Inventory / statistics & numerical data
Physician Impairment / psychology,  statistics & numerical data*
Professional Autonomy
Psychometrics
Risk Factors
Socioeconomic Factors
Switzerland
Workload / psychology,  statistics & numerical data

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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