ArticleHuman resources for health2020
More public health service providers are experiencing job burnout than clinical care providers in primary care facilities in China.
Article in Human resources for health, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 28 papers, 2 of them syntheses that pooled it.
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Who cites it
28 citing papers in PubMed, 2 syntheses or guidelines pooled it, 51 citations in OpenAlex.
- Global estimate of burnout among the public health workforce: a systematic review and meta-analysis.Human resources for health · 2024Pooled it
- Burnout among primary health-care professionals in low- and middle-income countries: systematic review and meta-analysis.Bulletin of the World Health Organization · 2022Pooled it
- Association between spiritual care competence and professional attitude among community nurses in China: insights from a cross-sectional study.BMC nursing · 2026Article
- Computer self-efficacy and technostress as independent predictors of job burnout among community healthcare professionals: a cross-sectional study.Frontiers in public health · 2026Article
- Psychological safety and primary care physicians' well-being, work conditions and guideline adherence behavior: a cross-sectional study in China.Global health action · 2025Article
- Work experiences, burnout, and psychological distress of frontline health professionals during the COVID-19 omicron epidemic: a multicenter cross-sectional study in Southern China.Human resources for health · 2025Article
- Factors Associated with Burnout Syndrome in Serbian Healthcare Workers During the COVID-19 Pandemic.Healthcare (Basel, Switzerland) · 2025Article
- Burnout among public health physicians and residents in Canada following the COVID-19 pandemic: A cross-sectional study.PLOS mental health · 2025Article
- Job burnout among public health practitioners in urban China: insights from the post-COVID-19 pandemic context.Frontiers in public health · 2025Article
- Changes in primary healthcare workforce burnout during and after the termination of COVID-19 emergency response: A one-and-half-year observational study.Journal of family medicine and primary care · 2025Article
- Social support, psychological capital, multidimensional job burnout, and turnover intention of primary medical staff: a path analysis drawing on conservation of resources theory.Human resources for health · 2024Article
- Article
- Burnout among public health workers in Canada: a cross-sectional study.BMC public health · 2024Article
- Preventing Job Burnout: Could Workplace Support Protect Maternal and Child Health Professionals Who Are Doing Public Health Equity Work?Maternal and child health journal · 2024Article
- Use of the Maslach Burnout Inventory Among Public Health Care Professionals: Scoping Review.JMIR mental health · 2023Article
- Patient views of the good doctor in primary care: a qualitative study in six provinces in China.Global health research and policy · 2023Article
- The Association between Burnout, Social Support, and Psychological Capital among Primary Care Providers in Togo: A Cross-Sectional Study.Medicina (Kaunas, Lithuania) · 2023Article
- Workplace wellbeing among health care workers providing HIV services in primary care in Johannesburg: a mixed methods study.Frontiers in public health · 2023Article
- Associated factors of burnout among Chinese vaccination staff during COVID-19 epidemic: A cross-sectional study.Frontiers in public health · 2023Article
- Association of Job Characteristics and Burnout of Healthcare Workers in Different Positions in Rural China: A Cross-Sectional Study.International journal of public health · 2023Article
Corrections and comments
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Authors and funding
4 authors at 3 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundHealth workers are at high risk of job burnout. Primary care in China has recently expanded its scope of services to a broader range of public health services in addition to clinical care. This study aims to measure the prevalence of burnout and identify its associated factors among clinical care and public health service providers at primary care facilities.
methodsA cross-sectional survey (2018) was conducted among 17,816 clinical care and public health service providers at 701 primary care facilities from six provinces. Burnout was measured by the Chinese version of the Maslach Burnout Inventory-General Scale, and multilevel linear regression analysis was conducted to identify burnout's association with demographics, as well as occupational and organisational factors.
resultsOverall, half of the providers (50.09%) suffered from burnout. Both the presence of burnout and the proportion of severe burnout among public health service providers (58.06% and 5.25%) were higher than among clinical care providers (47.55% and 2.26%, respectively). Similar factors were associated with burnout between clinical care and public health service providers. Younger, male, lower-educated providers and providers with intermediate professional title, permanent contract or higher working hours were related to a higher level of burnout. Organisational environment, such as the presence of a performance-based salary system, affected job burnout.
conclusionsJob burnout is prevalent among different types of primary care providers in China, indicating the need for actions that encompass the entirety of primary care. We recommend strengthening the synergy between clinical care and public health services and transforming the performance-based salary system into a more quality-based system that includes teamwork incentives.
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