Evidence map›Paper›PMID 41709203›Full record

ArticleBMC health services research2026

Burnout among junior doctors in Spain: prevalence, associated working conditions, and implications for health workforce well-being.

Domingo Antonio Sánchez Martínez, Anais Cruz Núñez, Juan Pablo Carrasco, Jon Imanol Sanmiguel Zabala, Antonio Pujol de Castro, Pablo Estrella-Porter, Álvaro Cerame Del Campo

Abstract read
In one paragraph

Article in BMC health services research, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

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

1 citing paper in PubMed.

  1. 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

7 authors.

Domingo Antonio Sánchez MartínezConsejo General Colegios Oficiales de Médicos de España, Madrid, Spain.ORCID http://orcid.org/0000-0003-2073-0679
Anais Cruz NúñezSansomendi Primary Care Center, Vitoria-Gasteiz, Spain.ORCID http://orcid.org/0000-0003-1747-1231
Juan Pablo CarrascoPsychiatry Department, Consorcio Hospitalario Provincial de Castellón, Av. del Dr. Clarà, 19, 12002 Castellón de la Plana, Castellón, Spain. juanpablocarrascopicazo@gmail.com.ORCID http://orcid.org/0000-0001-9137-7775
Jon Imanol Sanmiguel ZabalaOrduña Primcary Care Center, Bizkaia, Spain.ORCID http://orcid.org/0000-0002-2208-7499
Antonio Pujol de CastroPreventive Medicine Department, , Hospital Clínico San Carlos, Madrid, Spain.ORCID http://orcid.org/0000-0003-1517-2086
Pablo Estrella-PorterPublic Health and Preventive Medicine Department, Ciencias de la Alimentación, Toxicología y Medicina Legal, Faculty of Medicine, University of Valencia, Valencia, Spain.ORCID http://orcid.org/0000-0003-4137-7691
Álvaro Cerame Del CampoMadrid Regional Health Service, Madrid, Spain.ORCID http://orcid.org/0000-0003-0469-8461

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundBurnout syndrome, a consequence of chronic workplace stress, poses a critical challenge for health workforce sustainability. Junior doctors in postgraduate training represent a strategic cohort of the health workforce, as they face multiple stressors, including extended working hours, emotional overload, and escalating responsibilities that compromise well-being and performance. Despite its relevance for workforce planning and retention, this population remains insufficiently studied. This study aims to estimate burnout prevalence among junior doctors in Spain and analyse associated factors with implications for human resources management.

methodsA cross-sectional nationwide survey was conducted among Spanish physicians who began their training between 2015 and 2024. Burnout was assessed using the Maslach Burnout Inventory–Human Services Survey (MBI-HSS). Additional variables included sociodemographic data, perceived quality of life, psychosocial impact and coping mechanisms.

resultsA total of 1,419 valid responses were obtained, covering all Autonomous Communities. Participants’ mean age was 31.4 years; 72% were women, and 93.7% worked in public healthcare. Burnout prevalence was high: 93.9% met criteria for at least one affected dimension, 81.4% for two, and 50.9% for all three. Burnout was significantly associated with female gender, on-call duties, and various psychosocial factors such as sleep disturbances, reduced sexual desire, lower perceived quality of life, and increased psychotropic use.

conclusionsThe extremely high prevalence of burnout among junior doctors in Spain signals a systemic risk for workforce stability and quality of care. These findings underscore the need for policy interventions to optimise working conditions, regulate workloads, and integrate mental health support within human resources strategies. Addressing burnout is essential to strengthen health workforce resilience and ensure sustainable health system performance.

Indexed as

Burnout, ProfessionalMedical Staff, HospitalAdaptation, PsychologicalAdultCross-Sectional StudiesFemaleHumansJob SatisfactionMalePrevalenceQuality of LifeSpainSurveys and QuestionnairesWorking ConditionsWorkloadBurnoutHealth workforceHuman resources managementJunior doctorsSpainWorkforce planning

Identifiers

PMID41709203
PMCPMC13020246

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

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.