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Effect of job satisfaction on burnout among physicians: A survey study in urban public medical institutions in Hubei province, China

机译：工作满意度对医生职业倦怠的影响：基于湖北省城市公共医疗机构的调查研究

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Objectives: Chinese physicians are being loaded with the enormous psychological pressure and so tend to be susceptible to burnout. Little is known on the relationship between job satisfaction and burnout for physicians from urban public medical institutions. We aim to describe the degree of burnout and evaluate the impact of job satisfaction on burnout. Methods: A cross-sectional survey was conducted in March 2010 in Hubei province, central China. The job satisfaction and burnout instruments were obtained by modifying the Chinese Physicians’ Job Satisfaction Questionnaire and the Chinese Maslach Burnout Inventory, respectively. Such statistical methods as one-way ANOVA, Pearson correlation coefficient and GLM-univariate were employed. Results: The observed mean and burnout incidence on emotional exhaustion (3.45 ± 0.75, 66.99%) and depersonalization (3.56 ± 0.76, 68.64%) were high, but reduced personal accomplishment (2.18 ± 0.56, 5.79%) was low. The distribution of the degree of overall burnout was: 3.2% (severe), 48.2% (moderate), 35.4% (mild) and 13.2% (zero). Less the development level of urban area and higher the grade of medical institution was, more severe physicians’ burnout was. Job-itself satisfaction (b1 = -0.166, b2 = -0.056), job rewards satisfaction (b1 = -0.084, b2 = -0.150) and medical practicing environment satisfaction (b1 = -0.096, b2 = -0.319) were identified as significant negative predictors of emotional exhaustion (R2 = 0.35) and also of depersonalization (R2 = 0.46). Only the job-itself satisfaction (b3 = -0.355) contributed to reduced personal accomplishment (R2 = 0.40). significantly Conclusions: Occupational burnout, especially emotional exhaustion and depersonalization, is common and serious among Chinese physicians. Several, but not all dimensions of job satisfaction, which prove to have predictive effects on burnout, should be paid more attention to in order to improve physicians’ psychological health.
机译：目的：中国医师承受着巨大的心理压力，因此容易出现倦怠感。城市公共医疗机构的医生对工作满意度和倦怠之间的关系知之甚少。我们旨在描述职业倦怠的程度，并评估工作满意度对职业倦怠的影响。方法：2010年3月在中国中部湖北省进行了横断面调查。通过分别修改《中国医师工作满意度调查表》和《中国Maslach倦怠量表》，获得了工作满意度和倦怠工具。采用单向方差分析，皮尔逊相关系数和GLM-单变量等统计方法。结果：观察到的情绪衰竭（3.45±0.75，66.99 ％）和人格解体（3.56±0.76，68.64 ％）的平均和倦怠发生率较高，但个人成就感降低（2.18±0.56，5.79 ％）较低。总体倦怠程度的分布为：3.2％（严重），48.2％（中度），35.4％（轻度）和13.2％（零）。市区的发展水平越低，医疗机构的等级越高，医生的职业倦怠就越严重。工作自我满意度（b1 = -0.166，b2 = -0.056），工作报酬满意度（b1 = -0.084，b2 = -0.150）和医疗实践环境满意度（b1 = -0.096，b2 = -0.319）被确定为显着情绪疲惫（R2 = 0.35）和人格解体（R2 = 0.46）的阴性预测指标。只有工作本身的满意度（b3 = -0.355）有助于个人成就感的降低（R2 = 0.40）。显着的结论：职业倦怠，尤其是情绪疲惫和人格解体，在中国医师中是普遍且严重的。事实证明，对工作倦怠有几个但不是全部方面的工作，可以证明对倦怠有预测作用，因此，应提高工作医生的心理健康水平，这应该引起更多关注。

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