SynthesisInternational archives of occupational and environmental health2022
Meta-analysis of effort-reward imbalance prevalence among physicians.
Synthesis in International archives of occupational and environmental health, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.
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Who cites it
11 citing papers in PubMed.
- Hypnosis reshapes multilevel stress response and enhances executive performance in stressed medical students.Scientific reports · 2026Trial
- Effort-reward imbalance and self-rated health with the mediating role of sleep quality and physical activity among healthcare workers.Scientific reports · 2026Article
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- Article
- The effect of Effort-Reward imbalance on job performance among primary healthcare professionals: the mediating roles of social support and resilience.Scientific reports · 2025Article
- Article
- Associations between effort-reward imbalance and risk of burnout among Swedish physicians.Occupational medicine (Oxford, England) · 2024Article
- Associations between COVID-19 Pandemic-Related Overtime, Perceived Chronic Stress and Burnout Symptoms in German General Practitioners and Practice Personnel-A Prospective Study.Healthcare (Basel, Switzerland) · 2024Article
- Turnover behavior and intention among dentists and medical doctors: a cross-sectional study in China.BMC oral health · 2024Article
- Article
- Coronary microvascular function in male physicians with burnout and job stress: an observational study.BMC medicine · 2023Observational
Corrections and comments
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Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveEstimate the effort-reward imbalance prevalence (ERI) among physicians.
methodsA systematic review was conducted from 2005 to 2019 using PRISMA guidelines on the PubMed and EBSCOhost search engines. Data were classified according to the ERI definition used by the authors. A meta-analysis was performed on effort and reward scores and on ERI prevalence rates.
resultsOut of 3787 results, we selected 41 studies. The physicians' ERI prevalence rate ranged from 3.50 to 96.9%. The standardized pooled effort mean score was 58.5 for effort and 48.9 for a reward out of 100, respectively. The overall combined ERI rate (when the ratio between effort and reward scores was above 1) was 40.2% among 21,939 practitioners (31.7% in the working European population). ERI rate was 70.2% using a four-point Likert scale and 21.1% using a five-point Likert scale. The highest rate (96.9%) was observed among German rural general practitioners and the lowest rate (3.50%) among Swiss hospital practitioners. The low percentage of variability (I
conclusionPhysician job ERI appeared to be higher than in the working population. Studying each dimension and item indicators could help improve psychosocial risk prevention.
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Registered trials
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