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Job Burnout Among Primary Healthcare Workers in Rural China: A Multilevel Analysis

Author

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  • Wanchun Xu

    (School of Medicine and Health Management, Huazhong University of Science and Technology, Wuhan 430030, China
    Research Centre for Rural Health Service, Key Research Institute of Humanities & Social Sciences of Hubei Provincial Department of Education, Wuhan 430000, China
    These authors contributed equally to this work.)

  • Zijing Pan

    (School of Medicine and Health Management, Huazhong University of Science and Technology, Wuhan 430030, China
    Research Centre for Rural Health Service, Key Research Institute of Humanities & Social Sciences of Hubei Provincial Department of Education, Wuhan 430000, China
    These authors contributed equally to this work.)

  • Zhong Li

    (School of Medicine and Health Management, Huazhong University of Science and Technology, Wuhan 430030, China
    Research Centre for Rural Health Service, Key Research Institute of Humanities & Social Sciences of Hubei Provincial Department of Education, Wuhan 430000, China)

  • Shan Lu

    (School of Medicine and Health Management, Huazhong University of Science and Technology, Wuhan 430030, China
    Research Centre for Rural Health Service, Key Research Institute of Humanities & Social Sciences of Hubei Provincial Department of Education, Wuhan 430000, China)

  • Liang Zhang

    (School of Medicine and Health Management, Huazhong University of Science and Technology, Wuhan 430030, China
    Research Centre for Rural Health Service, Key Research Institute of Humanities & Social Sciences of Hubei Provincial Department of Education, Wuhan 430000, China)

Abstract

The health workers in rural primary care systems are at the increasing risk of job burnout. To explore the prevalence and associated factors of the job burnout among the primary healthcare worker in rural China, a cross-sectional survey was conducted among 15,627 participants in 459 township hospitals from six provinces. A combination of stratified multi-stage sampling and cluster sampling method, and a self-administrated questionnaire with the Chinese version of the Maslach Burnout Inventory-General Scale (MBI-GS) were used in the investigation. Multilevel regression analyses were used to examine the potential associated factors on both individual and organisational levels. 47.6% of respondents were experiencing moderate burnout, and 3.3% were in severe burnout. Professionals working for over 40 h per week, at young age, with a college degree, and with professional titles at medium or high rank reported a higher degree of job burnout. At the institutional level, the high ratio of performance-based salary was associated with a higher level of depersonalization. Burnout has become prevalent among the primary healthcare workers in rural China, and multiple strategies are needed to reduce the work stress and some high-risk groups’ vulnerability to job burnout.

Suggested Citation

  • Wanchun Xu & Zijing Pan & Zhong Li & Shan Lu & Liang Zhang, 2020. "Job Burnout Among Primary Healthcare Workers in Rural China: A Multilevel Analysis," IJERPH, MDPI, vol. 17(3), pages 1-18, January.
    • Handle: RePEc:gam:jijerp:v:17:y:2020:i:3:p:727-:d:312178
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    References listed on IDEAS

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    1. Catherine Cosgrave & Christina Malatzky & Judy Gillespie, 2019. "Social Determinants of Rural Health Workforce Retention: A Scoping Review," IJERPH, MDPI, vol. 16(3), pages 1-19, January.
    2. Zhou, Xu Dong & Li, Lu & Hesketh, Therese, 2014. "Health system reform in rural China: Voices of healthworkers and service-users," Social Science & Medicine, Elsevier, vol. 117(C), pages 134-141.
    3. Ruibo He & Ting Ye & Jing Wang & Yan Zhang & Zhong Li & Yadong Niu & Liang Zhang, 2018. "Medical Service Quality, Efficiency and Cost Control Effectiveness of Upgraded Case Payment in Rural China: A Retrospective Study," IJERPH, MDPI, vol. 15(12), pages 1-13, December.
    4. Huiwen Li & Beibei Yuan & Qingyue Meng & Ichiro Kawachi, 2019. "Contextual Factors Associated with Burnout among Chinese Primary Care Providers: A Multilevel Analysis," IJERPH, MDPI, vol. 16(19), pages 1-12, September.
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    1. Xinyi Zhao & Shu Liu & Yifan Chen & Quan Zhang & Yue Wang, 2021. "Influential Factors of Burnout among Village Doctors in China: A Cross-Sectional Study," IJERPH, MDPI, vol. 18(4), pages 1-10, February.
    2. Sara Tement & Zalika Klemenc Ketiš & Špela Miroševič & Polona Selič-Zupančič, 2021. "The Impact of Psychological Interventions with Elements of Mindfulness (PIM) on Empathy, Well-Being, and Reduction of Burnout in Physicians: A Systematic Review," IJERPH, MDPI, vol. 18(21), pages 1-12, October.
    3. Luis Albendín-García & Nora Suleiman-Martos & Elena Ortega-Campos & Raimundo Aguayo-Estremera & José L. Romero-Béjar & Guillermo A. Cañadas-De la Fuente, 2022. "Explanatory Models of Burnout Diagnosis Based on Personality Factors in Primary Care Nurses," IJERPH, MDPI, vol. 19(15), pages 1-11, July.

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