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Impact of burnout on turnover, medical errors, medical leave and a cross-sectional study of contributing factors among Chilean physicians
Indexado
WoS WOS:001490571400001
Scopus SCOPUS_ID:105005816851
DOI 10.1136/BMJOPEN-2025-099773
Año 2025
Tipo artículo de investigación

Citas Totales

Autores Afiliación Chile

Instituciones Chile

% Participación
Internacional

Autores
Afiliación Extranjera

Instituciones
Extranjeras


Abstract



Background During the COVID-19 pandemic, many physicians experienced burnout, underscoring the need to identify factors associated with this condition to develop effective prevention and treatment strategies. Objective To examine the relationship between physician burnout and individual factors, medical errors, medical leave and the work environment. Design A cross-sectional online survey conducted from November 2020 to December 2020. Participants Physicians registered with the Medical College of Chile. Setting Registered physicians working in Chile across primary, secondary and tertiary levels of healthcare. Primary outcomes Burnout was assessed using the Maslach Burnout Inventory for Human Services. Secondary outcomes Self-reported medical errors, medical leave and turnover. Independent variables Sociodemographic characteristics, personality factors, psychological well-being, mindfulness factors, self-compassion and work environment factors. Descriptive statistics, linear and logistic regressions and regression analyses with cross-validation using least absolute shrinkage and selection operator (LASSO) tests were applied. Results Of the 23 481 registered physicians, 795 (3.4%) completed the survey. The sample included 64.1% women, with a mean age of 37.7 years (SD=11.3). The prevalence of burnout syndrome was 20.4% based on strict criteria and 68.9% based on lax criteria. Burnout scores predicted days of medical leave (ss=0.086, p<0.01), turnover (ss=0.012, p<0.05) and perceived medical errors (ss=0.009, p<0.001). In contrast, burnout was inversely correlated with age (ss=-0.125, p<0.001), agreeableness as a personality trait (ss=-0.107, p<0.001), psychological well-being (ss=-0.248, p<0.001) and the mindfulness factor awareness (ss=-0.145, p<0.001). In the work environment, time pressure (ss=0.167, p<0.001) was positively associated with burnout among others. Conclusion Younger physicians may be prioritised for individual-level interventions, while addressing time pressure at the organisational level could help prevent burnout. However, longitudinal studies are needed to clarify the directionality of relationships with psychological factors.

Revista



Revista ISSN
Bmj Open 2044-6055

Métricas Externas



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Disciplinas de Investigación



WOS
Medicine, General & Internal
Scopus
Medicine (All)
SciELO
Sin Disciplinas

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Publicaciones WoS (Ediciones: ISSHP, ISTP, AHCI, SSCI, SCI), Scopus, SciELO Chile.

Colaboración Institucional



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Autores - Afiliación



Ord. Autor Género Institución - País
1 Villalon Lopez, Francisco - Universidad Diego Portales - Chile
Facultad de Medicina - Chile
2 Mundt, Adrian Hombre Universidad Diego Portales - Chile
Hosp Clin Univ Chile - Chile
Facultad de Medicina - Chile
Hospital Clínico Universidad de Chile - Chile
3 Hirmas, Alejandro - Univ Amsterdam - Países Bajos
Universiteit van Amsterdam - Países Bajos
4 Rivera, Rita M. - YALE UNIV - Estados Unidos
Yale University - Estados Unidos
5 Guiloff, Rodrigo - Universidad del Desarrollo - Chile

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Financiamiento



Fuente
Medical College of Chile Regional Santiago (COLMED)
The 3rd Fondo Regional Santiago de Investigacion y Desarrollo (FORSID)

Muestra la fuente de financiamiento declarada en la publicación.

Agradecimientos



Agradecimiento
This study has been sponsored by the 3rd Fondo Regional Santiago de Investigacion y Desarrollo (FORSID), a research fund from the Medical College of Chile Regional Santiago (COLMED), since 03 October 2019, and some of these data have been presented in the internal closing report of the fund directed to the Medical College of Chile. There was independence of research, and COLMED provided the email database to send the survey to COLMED members.

Muestra la fuente de financiamiento declarada en la publicación.