This meta-analysis provides compelling evidence that physician burnout is associated with the poor functioning and sustainability of health care organizations, contributing primarily to career decline and turnover of medical staff, and secondarily to reduced quality of patient care. Health organizations should invest more time and effort in implementing evidence-based strategies to mitigate physician burnout across all specialties, particularly in emergency medicine and for physicians in training or residency. Although this research has focused on physicians, this population should still be considered to work in different settings and specialties. We performed meta-regressions that explained some of the heterogeneity due to specialty, but due to the small number of participants in some groups, these meta-regressions had to be grouped into hierarchical categories of healthcare facilities or specialties that could merge some results. Given that more than 70% fewer patient safety incidents were found in studies with response rates, this could be due to possible bias in studies with lower response rates.79 Objective To study the association of physician burnout with professional engagement and quality of patient care worldwide. Some studies used different scales to measure burnout, so we also performed analyses with standardised means to account for measurements of different lengths (see forest parcels in Appendix 11). However, we found no significant differences in this analysis and the results were consistent with those reported in the analysis using the odds ratio. A better understanding of the link between burnout and physician engagement is now more urgent than ever, as healthcare systems around the world face a critical workforce crisis. Doctors` workplaces are also critical for safety, as patients put their lives in doctors` hands every day. The working conditions and workload of physicians therefore deserve targeted legal attention.
We found that physicians with burnout were up to four times more likely to be dissatisfied with their job than with their job, three times more likely to have thoughts or intentions to leave their job (staff turnover) compared to maintaining their job, and three times more likely to regret their career choice. in relation to the satisfaction of their career choice. Emotional exhaustion contributed the most to an increase in physicians` sales intent compared to retention. The association of medical burnout with lower job satisfaction versus increased job satisfaction was more common among older physicians working in emergency medicine and critical care. The most common measure of burnout was Maslach`s comprehensive burnout inventory with 22 points (81 (48%) out of 170 studies). An abridged version of the Maslach Burnout inventory was used in 50 studies (29%), other types were used in 34 (20%) studies and only five (3%) studies used the Copenhagen Burnout Inventory (see Appendix 8 of the supplement for a breakdown of the measures used). Thirty-one (18%) studies reported secondary measures of depression and 24 (14%) studies reported emotional stress, which were analysed separately. With respect to physicians` professional engagement, 81 (48%) studies reported decreased job satisfaction versus increased job satisfaction, with 19 (11%) regretting career choice versus job choice satisfaction, three (2%) 42464748 poor career development versus good professional development, nine (5%) 474950515253545556575859 reduced productivity compared to sustainable productivity, and 36 (21%) Revenue intent versus retention. In terms of quality of patient care outcomes, 39 (23%) studies reported patient safety incidents versus no patient safety incidents, 43 (25%) reported indicators of low professionalism versus professionalism maintained, and eight (5%) studies reported measures of patient dissatisfaction versus satisfied patients. Nineteen (11%) studies reported more than one of these outcomes. Association of medical burnout with intent to sell.
TE=Log-to-dimension ratio; seTE=standard error of log-to-dimensions ratio; OR = odds ratio; CI = confidence interval Meta-analysis of the association of burnout with outcomes by physician professional commitment and quality of patient care The median number of physicians in the studies was 312 (interquartile range 162-1015) with a median age of 42 years (32-48) and where sex data were reported, 112 (66%) studies included predominantly male physicians. The physician`s specialty varied from study to study: 42 (25%) mixed specialties, 32 (19%) internal medicine, 21 (12%) surgery (i.e., trauma, plastic and neurosurgery), 19 (11%) emergency medicine and critical care, 11 (6%) general practitioners, eight (5%) interns or residents, eight (5%) pediatrics, seven (4%) oncology (i.e., gynaecologist, radiation therapy or palliative care), six (4%) neurology, three (2%) psychiatry and 13 (8%) with other specialties. Physicians had more than seven years of experience in 52 (31%) studies, mixed experience was reported in 47 (28%) studies, and 38 (22%) studies included residents, residents or interns with less than seven years of experience.