ArticleBMJ open2020
Prevalence and severity of burnout in Hong Kong doctors up to 20 years post-graduation: a cross-sectional study.
Article in BMJ open, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 1 of them a synthesis that pooled it.
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Who cites it
11 citing papers in PubMed, 1 synthesis or guideline pooled it, 21 citations in OpenAlex.
- Association Between Physical Activity and the Risk of Burnout in Health Care Workers: Systematic Review.JMIR public health and surveillance · 2024Pooled it
- Changes in working hours and burnout levels among physicians: a cohort study.Human resources for health · 2026Article
- Burnout and well-being in obstetricians and gynaecologists in Hong Kong: a territory-wide cross-sectional survey.Frontiers in public health · 2026Article
- Physician burnout and symptom of anxiety and depression: Burnout in Consultant Doctors in Ireland Study (BICDIS).PloS one · 2023Article
- Health-related quality of life in Hong Kong physicians up to 20 years post-graduation: A cross-sectional survey.PloS one · 2023Article
- Reliability and validity support for an abbreviated Copenhagen burnout inventory using exploratory and confirmatory factor analysis.Journal of the American College of Emergency Physicians open · 2022Article
- Association between sleep disturbance and mental health of healthcare workers: A systematic review and meta-analysis.Frontiers in psychiatry · 2022Review
- Enhancing Parental Well-being: Initial Efficacy of a 21-Day Online Self-help Mindfulness-Based Intervention for Parents.Mindfulness · 2022Article
- Burnout, lifestyle and relaxation among dentists in Lithuania: a cross-sectional study.BMC health services research · 2021Article
- Burnout in trauma and orthopaedic surgeons: can the UK military stress management model help?Orthopaedics and trauma · 2021Article
- Prevalence of depression and suicide ideation in Hong Kong doctors: a cross-sectional study.Scientific reports · 2021Article
Corrections and comments
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Authors and funding
5 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveTo estimate the prevalence and severity of burnout and explore the factors associated with burnout among Hong Kong medical graduates up to 20 years post-graduation.
designCross-sectional survey.
settingHong Kong.
participantsDoctors who graduated from the University of Hong Kong between 1995 and 2014. PRIMARY AND SECONDARY OUTCOME MEASURES: Burnout as measured by the Copenhagen Burnout Inventory (CBI), alcohol consumption as measured by the Alcohol Use Disorders Identification Test Version C, lifestyle behaviours (hours of sleep and work, exercise, smoking, substance use), career satisfaction and sociodemographic characteristics were obtained using paper or online questionnaires.
resultsResponse rate was 30.9% (496/1607). Prevalence of CBI burnout was 63.1% (personal), 55.9% (work-related) and 35.4% (patient-related). The mean CBI subscale scores were 57.4±21.4 (personal), 48.9±7.4 (work-related) and 41.5±21.8 (client-related). Factors associated with personal and patient-related burnout included age (coeff -0.437, 95% CI -0.779 to -0.095 and coeff -0.596, 95% CI -0.965 to -0.228, respectively), practice setting (coeff -5.759, 95% CI -10.665 to -0.853 and coeff -5.317, 95% CI -10.602 to -0.032, respectively) and regular exercise (coeff -6.855, 95% CI -11.102 to -2.608 and coeff -6.769, 95% CI -11.333 to -2.205, respectively). Gender (coeff 5.1, 95% CI 1.382 to 8.818), average hours of sleep per night (coeff -5.200, 95% CI -7.139 to -3.262) and work hours per week (coeff 0.226, 95% CI 0.099 to 0.353) were associated with personal burnout only. No factors were significantly associated with work-related burnout.
conclusionBurnout is highly prevalent among Hong Kong medical graduates. Younger doctors, women and those working in the public sector appear to be at higher risk for burnout and may benefit from targeted interventions. Policymakers and healthcare authorities should consider measures to help reduce burnout by enabling adequate sleep, reducing work hours and encouraging exercise.
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