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Abstract
Aim: To estimate the prevalence and severity of burnout syndrome among primary care team professionals and its association with work and demographic variables.
Methods: Cross-sectional, observational, descriptive, and multicenter study. The sample was made up of healthcare workers in all professional categories in central Catalonia (Barcelona). The study was conducted using the self-administered and anonymous Maslach Burnout Inventory questionnaire, adapted to the Spanish population, with three scales that assess emotional exhaustion, depersonalization, and personal accomplishment. Quantitative variables were summarized with mean and standard deviation, and qualitative variables with percentages. We used the tStudent t-test for quantitative variables, Pearson's chi-square for categorical variables with Fisher's correction and Mann-Whitney for continuous variables. Results included 95% confidence intervals and a significance level of p<0.05.
Results: A total of 614 professionals participated; mean age, 45.6 years, and 84.9% were women. Overall, 54.7% had no affected scales, and 30.4% had at least one affected scale; Burnout involving two or more scales was 14.3%, of which 3.7% presented severe Burnout with alteration of all three scales. High levels of emotional exhaustion and depersonalization, and low personal accomplishment were mostly found in physicians seniors and residents.
Conclusions: Burnout syndrome among primary care professionals mainly affects physicians, with little association to the occupational and socio-demographic variables we studied, and represents a psychosocial risk factor for the health of these professionals.
References
Maslach C, Jackson SE. The measurement of experienced burnout. Journal of Occupational Behaviour. 1981; 2(2):99-113.
Atance-Martínez JC. Aspectos epidemiológicos del síndrome de "burnout" en personal sanitario. Rev Esp Salud Pública. 1997; 71(3):293-303.
Maslach C, Jackson SE, Leiter MP. Maslach Burnout Inventory: Manual (3rd ed.). Palo Alto: Consulting Psycologists Press, 1996.
Simó-Miñana J, Chinchilla-Albiol N. Motivación y médicos de familia (II) Aten Primaria. 2001; 28(10):668-73
Martínez Melero, M. Síndrome de Burnout en profesiones sanitarias. Enfermería y medicina como población diana. Rev. sanit. investig. 2021;12(2).
García-Iglesias JJ, Gómez-Salgado et al. Factores predictores de los niveles de burnout y work engagement en médicos y enfermeras:. una revisión sistemática. Rev Esp Salud Pública. 2021; 95: 5 de abril e202104046.
Agarwal SD, Pabo E, Rozenblum R, Sherritt KM. Professional Dissonance and Burnout in Primary Care: A Qualitative Study. JAMA Intern Med. 2020; 180(3):395-401
Molina-Siguero A, García-Pérez MA, Alonso González M, Cecilia-Cermeño P. Prevalencia de desgaste profesional y psicomorbilidad en médicos de atención primaria de un área sanitaria de Madrid. Atención Primaria. 2003; 31(9):564-74
Escola Galega de Administración Sanitaria Ed. [Santiago de Compostela]. Atención Sanitaria y nuevas necesidades poblacionales: inmigración y demanda, D.L.2008.
Sobrequés J, Cebrià J, Segura J, Rodríguez C, García M, Juncosa S. La satisfacción laboral y el desgaste profesional de los médicos de atención primaria. Aten Primaria. 2003; 31(4):227-33.
Frutos-Llanes R, Jiménez-Blanco S, Blanco-Montagut LE. Síndrome de desgaste profesional en los médicos de atención primaria de Ávila. Semergen. 2014; 40(7):357-65.
Matía-Cubillo AC, Cordero-Guevara J, Mediavilla-Bravo J, Pereda-Riguera. MJ. Prevalencia de Burnout y variables asociadas en los médicos de atención primaria de Burgos. Aten Primaria. 2006; 38(1):58-60.
Vilà-Falgueras M, Cruzate-Muñoz C, Orfila-Pernas F, Creixell-Sureda J, González-López MP, Davins-Miralles J. Burnout y trabajo en equipo en los profesionales de Atención Primaria. Aten Primaria. 2015; 47(1):25-31.
Domínguez Fernández JM. Síndrome de desgaste profesional en trabajadores de atención a la salud en el área sanitaria de Ceuta. Aten Primaria. 2012; 44(1):30-35.
Navarro-González D, Ayechu-Díaz A, Huarte-Labiano I. Prevalencia del síndrome de burnout y factores asociados a dicho síndrome en los profesionales sanitarios de Atención Primaria. Semergen. 2015; 41(4):191-98.
Grau Martín A, Flichtentrei D, Suñer R, Prats M, Braga F. Influencia de factores personales, profesionales y transnacionales en el síndrome de burnout en personal sanitario hispanoamericano y español (2007). Rev. Esp. Salud Pública. 2009; 83(2):215-30.
Seisdedos N. MBI. Inventario “Burnout” de Maslach: manual. Madrid: TEA, Palo Alto: Consulting Psycologists Press, 1997.
Cañadas-de la Fuente GA, San Luis C, Lozano LM, Vargas C, García I, de la Fuente EI. Evidencia de validez factorial del Maslach Burnout Inventory y estudio de los niveles de burnout en profesionales sanitarios. Rev Latinoam Psicologia. 2014; 46(1):44-52
Prieto-Albino L, Robles-Agüero E, Salazar-Martínez LM, Daniel-Vega E. Burnout en médicos de atención primaria de la provincia de Cáceres. Aten Primaria. 2002; 29(5):294-302.
Cebriá J, Palma C, Sobrequés J, Ger S, Ferrer M, Segura J. Evolución del síndrome de desgaste profesional en médicos de familia: estudio longitudinal a los 5 años. Semergen. 2008; 34:107-12
Albaladejo R, Villanueva R, Ortega P, Astasio P, Calle ME, Domínguez V. Síndrome de Burnout en el personal de enfermería de un hospital de Madrid. Rev Esp Salud Pública.2004; 78:505-51
Sos-Tena P, Sobrequés-Soriano J, Segura-Bernal J, Manzano-Mulet E, Rodríguez-Muñoz C, García-García M. et al. Desgaste profesional en los médicos de Atención Primaria de Barcelona. Medifam 2002; 12(10):613-19.
Gómez-Urquiza JL, Monsalve-Reyes CS, San Luis-Costas C, Fernández-Castillo R, Aguayo-Estremera R, Cañadas-de la Fuente GA. Factores de riesgo y niveles de Burnout en enfermeras de atención primaria: una revisión sistemática. Aten Primaria. 2017; 49(2):77-85.
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