Burnout syndrome, job satisfaction and associated factors among primary health care doctors in Erzurum, Turkey

摘要

Ama?: Bu ?al??man?n amac?, Erzurum ilindeki pratisyen hekimler aras?nda tükenmi?lik ve i? doyumu düzeylerini ve ili?kili fakt?rleri belirlemektir. Y?ntemler: Erzurum'da 2012 y?l?nda birinci basamakta ?al??an 253 doktordan, 246 tanesi ?al??maya dahil edilmi?tir. Veriler Ki?isel Bilgi Formu, Maslach Tükenmi?lik ?l?e?i (MT?) ve Minnesota ?? Doyumu ?l?e?i (M?D?) kullan?larak toplanm??t?r. Bulgular: ?al??maya kat?lan hekimlerin %72,8’i erkek, %70,7’si evli ve ya? ortalamalar? 34,0±5,7 ?eklindedir. Mesle?inin toplumda hak etti?i de?eri buldu?una inanmayanlar %92,5 oldu?u saptanm??t?r. 40 ya? üstü hekimlerin ki?isel ba?ar? puanlar? 29 ya? alt?ndaki doktorlara g?re daha dü?ük bulunmu?tur (OR: 2,28, %95 1,50 – 4,92, p=0,03). Düzenli tatil yapmayan hekimlerin düzenli tatil yapmayan hekimlere g?re i? doyumu ve ki?isel ba?ar? puanlar? daha yüksektir (p0,05). Hekimlerin, MT? alt boyutlar? olan duygusal tükenmi?lik, duyars?zla?ma, ki?isel ba?ar? puanlar? s?ras?yla %69,1’inde, %75,6’s?nda ve %79,3’ünda dü?ük saptanm??t?r. Genel i? doyumu puan ortalamas? ise %70,6’s?nda orta düzeyde bulunmu?tur. Sonu?: Birinci basamak sa?l?k kurumlar?nda g?rev yapan hekimlerin 1/3’ünde tükenmi?lik ve i? doyumu yüksek bulunmu?tur. Bu durum g?z ?nüne al?narak, hekimlerin tükenmi?lik düzeylerini azaltmaya, i? doyumu düzeylerini artt?rmaya y?nelik ?neriler yap?lm??t?r. Aim: The aim of this study was to determine burnout and job satisfaction levels and related factors among general practitioners in Erzurum province. Methods: 246 out of the 253 physicians working in primary health institutions in Erzurum in 2012 were included in the study. Data were collected using a Personal Information Form, the Maslach Burnout Inventory (MBI), and the Minnesota Satisfaction Questionnaire (MSQ). Results: Males represented 72.8% (n=179) of the participating physicians, and 70.7% (n=174) were married. The mean age of the participants was 34.0±5.7 years, and 92.7% (n=228) believed that the profession was not valued as it deserved in the community. We found higher depersonalization scores and lower personal accomplishment scores in physicians aged 29 or less compared to those aged 40 or over (OR: 2.28, 95% 1.50 – 4.92, p=0.03). Job satisfaction and personal accomplishment scores were higher among physicians taking regular vacations, while emotional exhaustion was higher among those not taking regular vacations. (p 0.05). MBI subscale scores of emotional exhaustion, depersonalization, and personal accomplishment were low, at 69.1%, 75.6%, and 70.3%, respectively. The general job satisfaction score was moderate, at 70.6%. Conclusion: Both burnout and job satisfaction were high in 1/3 of the general practitioners working in primary health care services. Activities to combat physician burnout and motivate health are needed.