To analyze the current situation of job burnout among family doctors in primary medical and health institutions in Sichuan Province and its influencing factors.
From July to September 2024, through the stratified random cluster sampling method, 588 family doctors from 15 primary medical and health institutions in 5 counties (cities and districts) in Sichuan Province were selected as the survey subjects. The basic information and job burnout of family doctors were investigated by using maslach burnout inventory human service survey.The χ2 test or Fisher’s exact probability method was used to analyze the detection rates of job burnout amongfamily doctors with different characteristics, and the influencing factors of job burnout among family doctors were analyzed by using binary logistic regression.
The M-values of the scores of the three dimensions of emotional exhaustion, emotional alienation and personal achievement among family doctors in primary medical and health institutions in Sichuan Province were 25 points, 8 points and 41 points respectively. Job burnout was detected in 430 family doctors, with a detection rate of 73.13%.The detection rates of mild, moderate and severe were 34.69% (204 doctors), 35.88% (211 doctors) and 2.55% (15 doctors), respectively. Binary logistic regression analysis showed that compared with those aged 20-29, family doctors aged 40-49(OR=0.312,95% CI:0.178-0.548) and 50-59(OR=0.473,95% CI:0.242-0.926) had a lower risk of job burnout. Compared with those with contracted service numbers ≤2 000, family doctors with contracted service numbers ≥5 001 had a higher risk of job burnout(OR=2.345, 95% CI: 1.276-4.308). Frequent overtime work was a risk factor for job burnout in family doctors(OR=1.587, 95% CI: 1.042-2.418).Family doctors with an average annual total income of more than 50 001 yuan had a lower probability of being detected job burnout than those with an average annual total income of no more than 50 000 yuan (OR=0.558,95% CI:0.370-0.842).
The current situation of job burnout among family doctors in primary medical and health institutions in Sichuan Province is not optimistic. Effective measures should be taken from multiple dimensions to alleviate the job burnout of family doctors, and continuous dynamic monitoring should be carried out at the same time.
| 科 Family | 属数 Number of genus | 种数 Number of species | 占总种数比例 Percentage of total species (%) | 属 Genus | 种数 Number of species | 占总种数比例 Percentage of total species (%) |
|---|---|---|---|---|---|---|
| 鹅膏菌科Amanitaceae | 2 | 11 | 5.26 | 鹅膏菌属 Amanita | 10 | 4.78 |
| 小菇科 Mycenaceae | 2 | 12 | 5.74 | 丝盖伞属 Inocybe | 5 | 2.39 |
| 多孔菌科 Polyporaceae | 8 | 14 | 6.70 | 蜡蘑属 Laccaria | 5 | 2.39 |
| 红菇科 Russulaceae | 3 | 23 | 11.00 | 小皮伞属 Marasmius | 6 | 2.87 |
| 小菇属 Mycena | 11 | 5.26 | ||||
| 光柄菇属 Pluteus | 5 | 2.39 | ||||
| 红菇属 Russula | 17 | 8.13 | ||||
| 栓菌属 Trametes | 5 | 2.39 |