Evidence map›Paper›PMID 39289606›Full record

ArticleBMC primary care2024

Prevalence and factors associated with burnout among primary health-care workers in China during COVID-19: a national survey.

Jiaoling Huang, Ping Zhu, Yuge Yan, Biao Xi, Shanzhu Zhu, Jiayi Ji, Jie Gu

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In one paragraph

Article in BMC primary care, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–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

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3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

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4 · The record

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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

7 authors.

Jiaoling Huang *School of Public Health, Shanghai Jiao Tong University School of Medicine, Shanghai, 200025, China.
Ping Zhu *School of Public Health, Shanghai Jiao Tong University School of Medicine, Shanghai, 200025, China.
Yuge YanSchool of Public Health, Shanghai Jiao Tong University School of Medicine, Shanghai, 200025, China.
Biao XiHebei Medical University, Hebei, 050017, China.
Shanzhu ZhuDepartment of General Practice, Zhongshan Hospital of Fudan University, Shanghai, 200032, China.
Jiayi JiSchool of Public Health, Shanghai Jiao Tong University School of Medicine, Shanghai, 200025, China. jjy2876@gmail.com.
Jie GuDepartment of General Practice, Zhongshan Hospital of Fudan University, Shanghai, 200032, China. gu.jie@zs-hospital.sh.cn.

Funding

National Natural Science Foundation of China 72274122Science and Technology Commission of Shanghai Municipality 23692113400Shanghai Municipal Education Commission C2021027Shanghai Municipal Three Year Action Plan for Strengthening the Construction of Public Health System - Excellent Youth Project GWVI-11.2-YQ54
6 · The paper itself

Abstract

backgroundPrimary health-care workers (PHWs) managed increased workloads and pressure during the COVID-19 pandemic. This study conducted a national survey examining burnout among PHWs at the end of the COVID-19 pandemic, and identifies related factors. By doing so, it addresses the gap in understanding the burnout situation among PHWs at a national level, taking into account urban-rural disparities.

methodsWe conducted a nationwide cross-sectional survey of PHWs in China from May to October 2022, covering 31 provinces. The MBI-HSS was used to measure overall burnout and emotional exhaustion (EE), depersonalization (DP), and reduced personal accomplishment (PA). We used multivariable logistic regression to identify risk factors, and subgroup analyses to identify differences between rural and urban areas.

results3769 PHWs from 44 primary health-care institutions completed the survey. Overall, 16.6% reported overall burnout, and the prevalence of EE, DP, and reduced PA was 29.7%, 28.0%, and 62.9%, respectively. The prevalence of overall burnout (17.6% vs. 13.7%, P = 0.004) and EE (31.5% vs. 24.8%, P < 0.001) was higher in urban than rural areas (AOR = 1.285; 95%CI, 1.021-1.617). Job satisfaction was a protective factor against burnout in both settings. The protective factors of overall burnout, EE and DP vary between urban and rural areas.

conclusionsThe Mental Health Status Questionnaire-Short Form (MSQ-SF) score functioned as a protective factor against burnout across both rural and urban locales, highlighting the intrinsic link between job satisfaction and burnout. Other influencing factors differed between urban and rural areas, so interventions should be tailored to local conditions. Rural married PHWs experienced the lower prevalence of burnout indicates the support structure may play a significant role. In urban settings, it is recommended to strategically pre-emptively stock essential supplies like PPE.

Indexed as

Burnout, ProfessionalCOVID-19Health PersonnelPrimary Health CareAdultChinaCross-Sectional StudiesDepersonalizationFemaleHumansJob SatisfactionMaleMiddle AgedPrevalenceRisk FactorsRural PopulationBurnoutChinaPrimary health-care workersRisk factorsUrban-rural disparities

Identifiers

PMID39289606
PMCPMC11406954

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LicenceCC BY-NC-ND
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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.