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Tytuł:
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Impact of the COVID-19 pandemic upon self-reported physician burnout in Ontario, Canada: evidence from a repeated cross-sectional survey.
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Autorzy:
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Gajjar J; Economics, Policy & Research, Ontario Medical Association, Toronto, Ontario, Canada.
Pullen N; Economics, Policy & Research, Ontario Medical Association, Toronto, Ontario, Canada.
Li Y; Economics, Policy & Research, Ontario Medical Association, Toronto, Ontario, Canada.
Weir S; Economics, Policy & Research, Ontario Medical Association, Toronto, Ontario, Canada .; Canadian Centre for Health Economics, University of Toronto, Toronto, Ontario, Canada.
Wright JG; Economics, Policy & Research, Ontario Medical Association, Toronto, Ontario, Canada.; Botnar Research Centre, Oxford, UK.
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Źródło:
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BMJ open [BMJ Open] 2022 Sep 21; Vol. 12 (9), pp. e060138. Date of Electronic Publication: 2022 Sep 21.
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Typ publikacji:
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Journal Article
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Język:
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English
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Imprint Name(s):
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Original Publication: [London] : BMJ Publishing Group Ltd, 2011-
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MeSH Terms:
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Burnout, Professional*/epidemiology
COVID-19*/epidemiology
Physicians*
Cross-Sectional Studies ; Humans ; Ontario/epidemiology ; Pandemics ; SARS-CoV-2 ; Self Report ; Surveys and Questionnaires
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References:
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Contributed Indexing:
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Keywords: COVID-19; Health & safety; Health policy; MENTAL HEALTH
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Entry Date(s):
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Date Created: 20220921 Date Completed: 20220923 Latest Revision: 20221010
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Update Code:
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20240105
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PubMed Central ID:
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PMC9490300
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DOI:
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10.1136/bmjopen-2021-060138
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PMID:
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36130759
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Objectives: To estimate the impact of the SARS-CoV-2 (COVID-19) pandemic on levels of burnout among physicians in Ontario, Canada, and to understand physician perceptions of the contributors and solutions to burnout.
Design: Repeated cross-sectional survey.
Setting: Active and retired physicians, residents and medical students in Canada's largest province were invited to participate in an online survey via an email newsletter.
Participants: In the first survey wave (March 2020), 1400 members responded (representing 76.3% of those who could be confirmed to have received the survey and 3.1% of total membership). In the second wave (March 2021), 2638 responded (75.9% of confirmed survey recipients and 5.8% of membership).
Key Outcome Measure: Level of burnout was assessed using a validated, single-item, self-defined burnout measure where options ranged from 1 (no symptoms of burnout) to 5 (completely burned out).
Results: The overall rate of high levels of burnout (self-reported levels 4-5) increased from 28.0% in 2020 (99% CI: 24.3% to 31.7%) to 34.7% in 2021 (99% CI: 31.8% to 37.7%), a 1-year increase of 6.8 percentage points (p<0.01). After a full year of practising during the COVID-19 pandemic, respondents ranked 'patient expectations/patient accountability', 'reporting and administrative obligations' and 'practice environment' as the three factors that contributed most to burnout. Respondents ranked 'streamline and reduce required documentation/administrative work', 'provide fair compensation' and 'improve work-life balance' as the three most important solutions.
Conclusions: During the first 12 months of the COVID-19 pandemic in Ontario, prevalence of high levels of burnout had significantly increased. The contributors and solutions ranked highest by physicians were system-level or organisational in nature.
Competing Interests: Competing interests: None declared.
(© Author(s) (or their employer(s)) 2022. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ.)
