Evidence map›Paper›PMID 29943596›Full record

ArticleAfrican journal of primary health care & family medicine2018

Burnout among rural hospital doctors in the Western Cape: Comparison with previous South African studies.

Andrew R Liebenberg, Johan F Coetzee Jnr, Hofmeyr H Conradie, Johan F Coetzee

Open access · goldAbstract read
In one paragraph

Article in African journal of primary health care & family medicine, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 30 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
30citing papers in PubMed, 1 pooled it
9.0field-weighted citation impact, top 2% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

30 citing papers in PubMed, 1 synthesis or guideline pooled it, 62 citations in OpenAlex.

  1. Pooled it
  2. Burnout in healthcare professionals.South African family practice : official journal of the South African Academy of Family Practice/Primary Care · 2026
    Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. A review of burnout among doctors in South Africa: Pre-, during and post-COVID-19 pandemic.South African family practice : official journal of the South African Academy of Family Practice/Primary Care · 2024
    Review
  8. Impact of burnout on depression among nurses at a private hospital in Johannesburg, South Africa.South African family practice : official journal of the South African Academy of Family Practice/Primary Care · 2024
    Article
  9. Burnout among community service doctors in South Africa.African journal of primary health care & family medicine · 2024
    Article
  10. The career pathways of new family physicians in South Africa from 2008 to 2022.South African family practice : official journal of the South African Academy of Family Practice/Primary Care · 2024
    Article
  11. A mindful approach to physician self-care.South African family practice : official journal of the South African Academy of Family Practice/Primary Care · 2024
    Article
  12. Prevalence and determinants of burnout among South African doctors during the COVID-19 pandemic.The South African journal of psychiatry : SAJP : the journal of the Society of Psychiatrists of South Africa · 2024
    Article
  13. The psychological impact of COVID-19 on frontline doctors in Tshwane public hospitals.South African family practice : official journal of the South African Academy of Family Practice/Primary Care · 2023
    Observational
  14. Occupational burnout among doctors at Mankweng and Pietersburg hospitals, Limpopo province.South African family practice : official journal of the South African Academy of Family Practice/Primary Care · 2023
    Observational
  15. Article
  16. Comprehensive patient education and counselling for non-communicable diseases in primary care, Western Cape.South African family practice : official journal of the South African Academy of Family Practice/Primary Care · 2023
    Article
  17. Article
  18. Study of burnout and depressive symptoms in doctors at a central level, state hospital.The South African journal of psychiatry : SAJP : the journal of the Society of Psychiatrists of South Africa · 2023
    Article
  19. Burnout in emergency department staff: The prevalence and barriers to intervention.The South African journal of psychiatry : SAJP : the journal of the Society of Psychiatrists of South Africa · 2023
    Article
  20. Retention of medical officers in the district health services of the Western Cape, South Africa: An exploratory descriptive qualitative study.South African family practice : official journal of the South African Academy of Family Practice/Primary Care · 2022
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors at 1 institution in 1 country.

Andrew R LiebenbergDivision of Family Medicine, Faculty of Medicine and Health Sciences, Stellenbosch University. andyliebenberg@gmail.com.
Johan F Coetzee Jnr
Hofmeyr H Conradie
Johan F Coetzee
Stellenbosch University · ZA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundBurnout among doctors negatively affects health systems and, ultimately,patient care.

aimTo determine the prevalence of burnout among doctors working in the district health system in the Overberg and Cape Winelands districts of the Western Cape Province and to compare the findings with those of previous South African studies.

settingRural district hospitals.

methodsDuring 2013, a validated questionnaire (Maslach Burnout Inventory) was sent to 42 doctors working in the district health system within the referral area of the Worcester Hospital, consisting of the Overberg health district and the eastern half of the Cape Winelands.

resultsResponse rate was 85.7%. Clinically significant burnout was found among 81% of respondents. High levels of burnout on all three subscales were present in 31% of participants.Burnout rates were similar to those of a previous study conducted among doctors working in the Cape Town Metropolitan Municipality primary health care facilities. Scores for emotional exhaustion (EE) and depersonalisation (DP) were greater than those of a national survey;however, the score for personal accomplishment (PA) was greater. EE and PA scores weresimilar to that of a study of junior doctors working in the Red Cross Children's Hospital;however, EE was smaller.

conclusionThis study demonstrates high burnout rates among doctors working at district level hospitals, similar to the prevalence thereof in the Cape Town Metropolitan primary health care facilities. Health services planning should include strategies to address and prevent burnout of which adequate staffing and improved work environment are of prime importance.

Indexed as

Hospitals, RuralJob SatisfactionAchievementAdultAttitude of Health PersonnelBurnout, ProfessionalCross-Sectional StudiesDepersonalizationEmotionsFemaleHumansMaleMedical Staff, HospitalOccupational StressPhysiciansRural PopulationBurnoutComparative studyHealth surveysprofessionalPsychology clinical, industrial, aspirations, behavioural medicine

Identifiers

PMID29943596
PMCPMC6018597
OpenAlexW2804409198

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.