Prevalencia del síndrome de burnout en médicos que trabajan en España: revisión sistemática y metaanálisis

IF 1.5 4区医学 Q3 HEALTH CARE SCIENCES & SERVICES Gaceta Sanitaria Pub Date : 2024-01-01 DOI:10.1016/j.gaceta.2024.102384

Antonio Pujol-de Castro , Grecia Valerio-Rao , Pablo Vaquero-Cepeda , Ferrán Catalá-López

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引用次数: 0

Abstract

Objective

To analyze the prevalence of burnout syndrome in physicians working in Spain through a systematic review with meta-analysis

Method

We searched PubMed/MEDLINE, Embase, and PsycINFO (up to June 2023). Observational studies conducted in Spain reporting the prevalence of burnout in physicians were included. From each study, methodological characteristics and results were extracted, and their quality was evaluated. We performed a narrative synthesis with random effects meta-analysis to calculate proportions.

Results

Sixty-seven studies with 16,076 participants were included. For the primary outcome, the meta-analysis revealed a global prevalence of burnout in physicians of 24% (95%CI: 19%-29%; 46 studies; 8821 participants; I² = 97%). From subgroup analysis, differences were observed depending on the diagnostic criteria used: 18% (95%CI: 13%-23%) for three dimensions of burnout, 29% (95%CI: 24%-34%) for two dimensions and 51% (95%CI: 42%-60%) for one dimension. The heterogeneity between studies could not be fully explained through additional analyses where non-statistically significant differences were found with other variables (e.g., study quality, setting, professional category or medical specialty).

Conclusions

A high prevalence of burnout syndrome was found in physicians working in Spain. These results can contribute to estimating the burden associated with burnout in physicians at a national level and to the design of future studies. Strategies appear to be necessary to prevent and mitigate this situation.

Protocol registration

Open Science Framework: https://osf.io/b2h4m/

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[在西班牙工作的医生的职业倦怠综合征患病率：系统回顾和荟萃分析]。

目的通过荟萃分析的系统评价，分析西班牙医生职业倦怠综合征的患病率。方法检索PubMed/MEDLINE、Embase和PsycINFO（截至2023年6月）。在西班牙进行的观察性研究报告了医生职业倦怠的患病率。从每项研究中提取方法学特征和结果，并对其质量进行评价。我们使用随机效应荟萃分析进行叙事综合来计算比例。结果纳入67项研究，共16076名受试者。对于主要结局，荟萃分析显示，全球医生的职业倦怠患病率为24% (95%CI: 19%-29%；46岁的研究;8821名参与者;i2 = 97%)。从亚组分析中，根据所使用的诊断标准，观察到差异：三个维度的倦怠为18% (95%CI: 13%-23%)，两个维度为29% (95%CI: 24%-34%)，一个维度为51% （95%CI: 42%-60%）。如果发现与其他变量（如研究质量、环境、专业类别或医学专业）存在非统计显著差异，则无法通过额外分析完全解释研究之间的异质性。结论西班牙医师职业倦怠综合征患病率较高。这些结果有助于在全国范围内估计与医生职业倦怠相关的负担，并有助于未来研究的设计。似乎有必要采取战略来预防和减轻这种情况。协议注册开放科学框架：https://osf.io/b2h4m/

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来源期刊

Gaceta Sanitaria 医学-公共卫生、环境卫生与职业卫生

CiteScore

4.10

自引率

5.30%

发文量

审稿时长

29 days

期刊介绍： Gaceta Sanitaria (Health Gazette) is an international journal that accepts articles in Spanish and in English. It is the official scientific journal of the Sociedad Española de Salud Publica y Administración Sanitaria (Spanish Society of Public Health and Health Administration) (SESPAS). The Journal publishes 6 issues per year on different areas of Public Health and Health Administration, including: -Applied epidemiology- Health prevention and promotion- Environmental health- International health- Management and assessment of policies and services- Health technology assessments- Health economics. The editorial process is regulated by a peer review system. It publishes original works, reviews, opinion articles, field and methodology notes, protocols, letters to the editor, editorials, and debates.