Burnout among primary health-care professionals in low- and middle-income countries: systematic review and meta-analysis.
Bull World Health Organ
; 100(6): 385-401A, 2022 Jun 01.
Статья
в английский
| MEDLINE | ID: covidwho-2198270
ABSTRACT
Objective:
To estimate the prevalence of burnout among primary health-care professionals in low- and middle-income countries and to identify factors associated with burnout.Methods:
We systematically searched nine databases up to February 2022 to identify studies investigating burnout in primary health-care professionals in low- and middle-income countries. There were no language limitations and we included observational studies. Two independent reviewers completed screening, study selection, data extraction and quality appraisal. Random-effects meta-analysis was used to estimate overall burnout prevalence as assessed using the Maslach Burnout Inventory subscales of emotional exhaustion, depersonalization and personal accomplishment. We narratively report factors associated with burnout.Findings:
The search returned 1568 articles. After selection, 60 studies from 20 countries were included in the narrative review and 31 were included in the meta-analysis. Three studies collected data during the coronavirus disease 2019 pandemic but provided limited evidence on the impact of the disease on burnout. The overall single-point prevalence of burnout ranged from 2.5% to 87.9% (43 studies). In the meta-analysis (31 studies), the pooled prevalence of a high level of emotional exhaustion was 28.1% (95% confidence interval, CI 21.5-33.5), a high level of depersonalization was 16.4% (95% CI 10.1-22.9) and a high level of reduced personal accomplishment was 31.9% (95% CI 21.7-39.1).Conclusion:
The substantial prevalence of burnout among primary health-care professionals in low- and middle-income countries has implications for patient safety, care quality and workforce planning. Further cross-sectional studies are needed to help identify evidence-based solutions, particularly in Africa and South-East Asia.
Полный текст:
Имеется в наличии
Коллекция:
Международные базы данных
база данных:
MEDLINE
Основная тема:
Burnout, Professional
/
COVID-19
Тип исследования:
Наблюдательное исследование
/
Прогностическое исследование
/
Качественное исследование
/
Рандомизированные контролируемые испытания
/
Отзывы
/
Систематический обзор/метаанализ
Пределы темы:
Люди
Язык:
английский
Журнал:
Bull World Health Organ
Год:
2022
Тип:
Статья
Аффилированная страна:
BLT.22.288300
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