Antonio Pujol-de Castro , Grecia Valerio-Rao , Pablo Vaquero-Cepeda , Ferrán Catalá-López
{"title":"[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]。","authors":"Antonio Pujol-de Castro , Grecia Valerio-Rao , Pablo Vaquero-Cepeda , Ferrán Catalá-López","doi":"10.1016/j.gaceta.2024.102384","DOIUrl":null,"url":null,"abstract":"<div><h3>Objective</h3><div>To analyze the prevalence of burnout syndrome in physicians working in Spain through a systematic review with meta-analysis</div></div><div><h3>Method</h3><div>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.</div></div><div><h3>Results</h3><div>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%<span>C</span>I: 19%-29%; 46 studies; 8821 participants; I<sup>2</sup> <!-->=<!--> <!-->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).</div></div><div><h3>Conclusions</h3><div>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.</div></div><div><h3>Protocol registration</h3><div>Open Science Framework: <span><span>https://osf.io/b2h4m/</span><svg><path></path></svg></span></div></div>","PeriodicalId":12494,"journal":{"name":"Gaceta Sanitaria","volume":"38 ","pages":"Article 102384"},"PeriodicalIF":1.5000,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Prevalencia del síndrome de burnout en médicos que trabajan en España: revisión sistemática y metaanálisis\",\"authors\":\"Antonio Pujol-de Castro , Grecia Valerio-Rao , Pablo Vaquero-Cepeda , Ferrán Catalá-López\",\"doi\":\"10.1016/j.gaceta.2024.102384\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<div><h3>Objective</h3><div>To analyze the prevalence of burnout syndrome in physicians working in Spain through a systematic review with meta-analysis</div></div><div><h3>Method</h3><div>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.</div></div><div><h3>Results</h3><div>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%<span>C</span>I: 19%-29%; 46 studies; 8821 participants; I<sup>2</sup> <!-->=<!--> <!-->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).</div></div><div><h3>Conclusions</h3><div>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.</div></div><div><h3>Protocol registration</h3><div>Open Science Framework: <span><span>https://osf.io/b2h4m/</span><svg><path></path></svg></span></div></div>\",\"PeriodicalId\":12494,\"journal\":{\"name\":\"Gaceta Sanitaria\",\"volume\":\"38 \",\"pages\":\"Article 102384\"},\"PeriodicalIF\":1.5000,\"publicationDate\":\"2024-01-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Gaceta Sanitaria\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://www.sciencedirect.com/science/article/pii/S0213911124000311\",\"RegionNum\":4,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q3\",\"JCRName\":\"HEALTH CARE SCIENCES & SERVICES\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Gaceta Sanitaria","FirstCategoryId":"3","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S0213911124000311","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q3","JCRName":"HEALTH CARE SCIENCES & SERVICES","Score":null,"Total":0}
Prevalencia del síndrome de burnout en médicos que trabajan en España: revisión sistemática y metaanálisis
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.
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.