Burnout in European family doctors: the EGPRN study

Jean-Karl Soler, Hakan Yaman, Magdalena Esteva, Frank Dobbs, Radost Spiridonova Asenova, Milica Katic, Zlata Ozvacic, Jean Pierre Desgranges, Alain Moreau, Christos Lionis, Péter Kotányi, Francesco Carelli, Pawel R. Nowak, Zaida de Aguiar Sá Azeredo, Eva Marklund, Dick Churchill, Mehmet Ungan, European General Practice Research Network Burnout Study Group European General Practice Research Network Burnout Study Group

    Research output: Contribution to journalArticle

    168 Citations (Scopus)

    Abstract

    Introduction. The aim of this study was to determine the prevalence of burnout, and of associatedfactors, amongst family doctors (FDs) in European countries.Methodology. A cross-sectional survey of FDs was conducted using a custom-designed andvalidated questionnaire which incorporated the Maslach Burnout Inventory Human ServicesSurvey (MBI-HSS) as well as questions about demographic factors, working experience, health,lifestyle and job satisfaction. MBI-HSS scores were analysed in the three dimensions of emotionalexhaustion (EE), depersonalization (DP) and personal accomplishment (PA).Results. Almost 3500 questionnaires were distributed in 12 European countries, and 1393 werereturned to give a response rate of 41%. In terms of burnout, 43% of respondents scored high forEE burnout, 35% for DP and 32% for PA, with 12% scoring high burnout in all three dimensions.Just over one-third of doctors did not score high for burnout in any dimension. High burnout wasfound to be strongly associated with several of the variables under study, especially those relativeto respondents’ country of residence and European region, job satisfaction, intention tochange job, sick leave utilization, the (ab)use of alcohol, tobacco and psychotropic medication,younger age and male sex.Conclusions. Burnout seems to be a common problem in FDs across Europe and is associatedwith personal and workload indicators, and especially job satisfaction, intention to change joband the (ab)use of alcohol, tobacco and medication. The study questionnaire appears to bea valid tool to measure burnout in FDs. Recommendations for employment conditions of FDsand future research are made, and suggestions for improving the instrument are listed.Keywords. Burnout, Europe, general practice, job satisfaction, job stress.
    LanguageEnglish
    Pages245-265
    JournalFamily Practice
    Volume25
    Issue number4
    DOIs
    Publication statusPublished - Aug 2008

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    Job Satisfaction
    Depersonalization
    Tobacco Use
    Alcohols
    Equipment and Supplies
    Sick Leave
    Workload
    General Practice
    Life Style
    Cross-Sectional Studies
    Demography
    Surveys and Questionnaires
    Health

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    Soler, J-K., Yaman, H., Esteva, M., Dobbs, F., Spiridonova Asenova, R., Katic, M., ... European General Practice Research Network Burnout Study Group, E. G. P. R. N. B. S. G. (2008). Burnout in European family doctors: the EGPRN study. Family Practice, 25(4), 245-265. https://doi.org/10.1093/fampra/cmn038
    Soler, Jean-Karl ; Yaman, Hakan ; Esteva, Magdalena ; Dobbs, Frank ; Spiridonova Asenova, Radost ; Katic, Milica ; Ozvacic, Zlata ; Desgranges, Jean Pierre ; Moreau, Alain ; Lionis, Christos ; Kotányi, Péter ; Carelli, Francesco ; Nowak, Pawel R. ; Sá Azeredo, Zaida de Aguiar ; Marklund, Eva ; Churchill, Dick ; Ungan, Mehmet ; European General Practice Research Network Burnout Study Group, European General Practice Research Network Burnout Study Group. / Burnout in European family doctors: the EGPRN study. In: Family Practice. 2008 ; Vol. 25, No. 4. pp. 245-265.
    @article{2afc5dfbd3bf4277b21f440045e15336,
    title = "Burnout in European family doctors: the EGPRN study",
    abstract = "Introduction. The aim of this study was to determine the prevalence of burnout, and of associatedfactors, amongst family doctors (FDs) in European countries.Methodology. A cross-sectional survey of FDs was conducted using a custom-designed andvalidated questionnaire which incorporated the Maslach Burnout Inventory Human ServicesSurvey (MBI-HSS) as well as questions about demographic factors, working experience, health,lifestyle and job satisfaction. MBI-HSS scores were analysed in the three dimensions of emotionalexhaustion (EE), depersonalization (DP) and personal accomplishment (PA).Results. Almost 3500 questionnaires were distributed in 12 European countries, and 1393 werereturned to give a response rate of 41{\%}. In terms of burnout, 43{\%} of respondents scored high forEE burnout, 35{\%} for DP and 32{\%} for PA, with 12{\%} scoring high burnout in all three dimensions.Just over one-third of doctors did not score high for burnout in any dimension. High burnout wasfound to be strongly associated with several of the variables under study, especially those relativeto respondents’ country of residence and European region, job satisfaction, intention tochange job, sick leave utilization, the (ab)use of alcohol, tobacco and psychotropic medication,younger age and male sex.Conclusions. Burnout seems to be a common problem in FDs across Europe and is associatedwith personal and workload indicators, and especially job satisfaction, intention to change joband the (ab)use of alcohol, tobacco and medication. The study questionnaire appears to bea valid tool to measure burnout in FDs. Recommendations for employment conditions of FDsand future research are made, and suggestions for improving the instrument are listed.Keywords. Burnout, Europe, general practice, job satisfaction, job stress.",
    author = "Jean-Karl Soler and Hakan Yaman and Magdalena Esteva and Frank Dobbs and {Spiridonova Asenova}, Radost and Milica Katic and Zlata Ozvacic and Desgranges, {Jean Pierre} and Alain Moreau and Christos Lionis and P{\'e}ter Kot{\'a}nyi and Francesco Carelli and Nowak, {Pawel R.} and {S{\'a} Azeredo}, {Zaida de Aguiar} and Eva Marklund and Dick Churchill and Mehmet Ungan and {European General Practice Research Network Burnout Study Group}, {European General Practice Research Network Burnout Study Group}",
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    Soler, J-K, Yaman, H, Esteva, M, Dobbs, F, Spiridonova Asenova, R, Katic, M, Ozvacic, Z, Desgranges, JP, Moreau, A, Lionis, C, Kotányi, P, Carelli, F, Nowak, PR, Sá Azeredo, ZDA, Marklund, E, Churchill, D, Ungan, M & European General Practice Research Network Burnout Study Group, EGPRNBSG 2008, 'Burnout in European family doctors: the EGPRN study', Family Practice, vol. 25, no. 4, pp. 245-265. https://doi.org/10.1093/fampra/cmn038

    Burnout in European family doctors: the EGPRN study. / Soler, Jean-Karl; Yaman, Hakan; Esteva, Magdalena; Dobbs, Frank; Spiridonova Asenova, Radost; Katic, Milica; Ozvacic, Zlata; Desgranges, Jean Pierre; Moreau, Alain; Lionis, Christos; Kotányi, Péter; Carelli, Francesco; Nowak, Pawel R.; Sá Azeredo, Zaida de Aguiar; Marklund, Eva; Churchill, Dick; Ungan, Mehmet; European General Practice Research Network Burnout Study Group, European General Practice Research Network Burnout Study Group.

    In: Family Practice, Vol. 25, No. 4, 08.2008, p. 245-265.

    Research output: Contribution to journalArticle

    TY - JOUR

    T1 - Burnout in European family doctors: the EGPRN study

    AU - Soler, Jean-Karl

    AU - Yaman, Hakan

    AU - Esteva, Magdalena

    AU - Dobbs, Frank

    AU - Spiridonova Asenova, Radost

    AU - Katic, Milica

    AU - Ozvacic, Zlata

    AU - Desgranges, Jean Pierre

    AU - Moreau, Alain

    AU - Lionis, Christos

    AU - Kotányi, Péter

    AU - Carelli, Francesco

    AU - Nowak, Pawel R.

    AU - Sá Azeredo, Zaida de Aguiar

    AU - Marklund, Eva

    AU - Churchill, Dick

    AU - Ungan, Mehmet

    AU - European General Practice Research Network Burnout Study Group, European General Practice Research Network Burnout Study Group

    PY - 2008/8

    Y1 - 2008/8

    N2 - Introduction. The aim of this study was to determine the prevalence of burnout, and of associatedfactors, amongst family doctors (FDs) in European countries.Methodology. A cross-sectional survey of FDs was conducted using a custom-designed andvalidated questionnaire which incorporated the Maslach Burnout Inventory Human ServicesSurvey (MBI-HSS) as well as questions about demographic factors, working experience, health,lifestyle and job satisfaction. MBI-HSS scores were analysed in the three dimensions of emotionalexhaustion (EE), depersonalization (DP) and personal accomplishment (PA).Results. Almost 3500 questionnaires were distributed in 12 European countries, and 1393 werereturned to give a response rate of 41%. In terms of burnout, 43% of respondents scored high forEE burnout, 35% for DP and 32% for PA, with 12% scoring high burnout in all three dimensions.Just over one-third of doctors did not score high for burnout in any dimension. High burnout wasfound to be strongly associated with several of the variables under study, especially those relativeto respondents’ country of residence and European region, job satisfaction, intention tochange job, sick leave utilization, the (ab)use of alcohol, tobacco and psychotropic medication,younger age and male sex.Conclusions. Burnout seems to be a common problem in FDs across Europe and is associatedwith personal and workload indicators, and especially job satisfaction, intention to change joband the (ab)use of alcohol, tobacco and medication. The study questionnaire appears to bea valid tool to measure burnout in FDs. Recommendations for employment conditions of FDsand future research are made, and suggestions for improving the instrument are listed.Keywords. Burnout, Europe, general practice, job satisfaction, job stress.

    AB - Introduction. The aim of this study was to determine the prevalence of burnout, and of associatedfactors, amongst family doctors (FDs) in European countries.Methodology. A cross-sectional survey of FDs was conducted using a custom-designed andvalidated questionnaire which incorporated the Maslach Burnout Inventory Human ServicesSurvey (MBI-HSS) as well as questions about demographic factors, working experience, health,lifestyle and job satisfaction. MBI-HSS scores were analysed in the three dimensions of emotionalexhaustion (EE), depersonalization (DP) and personal accomplishment (PA).Results. Almost 3500 questionnaires were distributed in 12 European countries, and 1393 werereturned to give a response rate of 41%. In terms of burnout, 43% of respondents scored high forEE burnout, 35% for DP and 32% for PA, with 12% scoring high burnout in all three dimensions.Just over one-third of doctors did not score high for burnout in any dimension. High burnout wasfound to be strongly associated with several of the variables under study, especially those relativeto respondents’ country of residence and European region, job satisfaction, intention tochange job, sick leave utilization, the (ab)use of alcohol, tobacco and psychotropic medication,younger age and male sex.Conclusions. Burnout seems to be a common problem in FDs across Europe and is associatedwith personal and workload indicators, and especially job satisfaction, intention to change joband the (ab)use of alcohol, tobacco and medication. The study questionnaire appears to bea valid tool to measure burnout in FDs. Recommendations for employment conditions of FDsand future research are made, and suggestions for improving the instrument are listed.Keywords. Burnout, Europe, general practice, job satisfaction, job stress.

    U2 - 10.1093/fampra/cmn038

    DO - 10.1093/fampra/cmn038

    M3 - Article

    VL - 25

    SP - 245

    EP - 265

    JO - Family Practice

    T2 - Family Practice

    JF - Family Practice

    SN - 0263-2136

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    Soler J-K, Yaman H, Esteva M, Dobbs F, Spiridonova Asenova R, Katic M et al. Burnout in European family doctors: the EGPRN study. Family Practice. 2008 Aug;25(4):245-265. https://doi.org/10.1093/fampra/cmn038