Evidence map›Paper›PMID 38832374›Full record

ArticleAfrican journal of primary health care & family medicine2024

Burnout among community service doctors in South Africa.

Gemma M Purbrick, Tejil Morar, Jasmin Kooverjee

Abstract read
In one paragraph

Article in African journal of primary health care & family medicine, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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

6 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Pandemic preparedness: The case for sentinel surveillance of doctors' burnout.Journal of the colleges of medicine of South Africa · 2026
    Article
  4. Article
  5. Managing mental health disorders: Experiences of primary care providers in rural South Africa.African journal of primary health care & family medicine · 2025
    Observational
  6. 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

3 authors.

Gemma M PurbrickDepartment of Psychiatry, Faculty of Health Sciences, University of the Witwatersrand, Johannesburg. gemma.purbrick@wits.ac.za.
Tejil Morar
Jasmin Kooverjee

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundBurnout in doctors is an important issue with far-reaching consequences. Community service doctors may be particularly vulnerable because of their specific roles (rural settings, junior positions and reduced supervision).

aimThis study aimed to determine the prevalence of burnout among community service doctors in South Africa (SA), the potential contributory and protective factors and the consequences thereof.

settingThis was a national study of community service doctors in SA.

methodsA quantitative, descriptive cross-sectional study was performed. The Maslach Burnout Inventory was used to measure burnout. The online questionnaire also included demographic data, workplace and individual characteristics.

resultsOf the 208 community service doctors analysed, 89% and 94% had high emotional exhaustion and depersonalisation, respectively, while 97% had a low personal accomplishment. Mental illness, financial difficulties, unmanageable volume of patients and female gender were found to be potential contributory factors. Having manageable patient volumes, satisfaction with their decision to study medicine, talking to colleagues and feeling supported by healthcare facility management were among the significant potential protective factors. Significant potential consequences of burnout included: leaving the government sector, ever being diagnosed with a mental illness, using alcohol as a coping mechanism and possible current major depression.

conclusionBurnout among community service doctors in SA is highly prevalent with significant potential consequences. There are a number of modifiable possible contributory and protective factors identified that may be targets for mental health interventions.Contribution: Healthcare burnout research is lacking in the African and specifically SA context. This void includes community service doctors.

Indexed as

Burnout, ProfessionalPhysiciansAdultCommunity Health ServicesCross-Sectional StudiesFemaleHumansJob SatisfactionMaleMiddle AgedPrevalenceSouth AfricaSurveys and Questionnairesburnoutcommunity servicejunior doctorsMBI.South Africa

Identifiers

PMID38832374
PMCPMC11151387

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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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.