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Effort-reward imbalance, emotional exhaustion and depersonalisation among public primary health care physicians: a cross-sectional study in Indonesia.
- Source :
- Family Medicine & Primary Care Review; 2023, Vol. 25 Issue 1, p40-49, 10p
- Publication Year :
- 2023
-
Abstract
- Background. Primary health care physicians are at high risk of burnout. In addition, with the current conditions, they can have an effort-reward imbalance. However, studies on this topic concerning public primary health care (Puskesmas) physicians in Indonesia are still limited. Objectives. To assess whether the effort-reward imbalance among Puskesmas physicians is associated with two main burnout dimensions: emotional exhaustion and depersonalisation. Material and methods. This cross-sectional study surveyed physicians working in Puskesmas in Indonesia using the short version of the Effort-Reward Imbalance Questionnaire and Maslach Burnout Inventory-Human Services Survey questionnaires. Results. Of 226 physicians, 45.6% perceived high effort and low reward. A perceived effort-reward imbalance was higher among those working more than 40 hours weekly in work shifts and in urban areas. Significant predictors of emotional exhaustion included effortreward ratio (β = 0.426; p < 0.001), overcommitment (β = 0.393; p < 0.001) and working period at Puskesmas (β = - 0.122; p = 0.038). Predictors of depersonalisation include effort-reward ratio (β = 0.257; p -= 0.001), overcommitment (β = 0.170; p = 0.024), and night shift (β = 0.134; p -= 0.042). Conclusions. The effort-reward imbalance is significantly associated with emotional exhaustion and depersonalization. Therefore, it is important to set up the maximum working hours, balanced shift work arrangements, and standardized rewards for Puskesmas physicians. [ABSTRACT FROM AUTHOR]
- Subjects :
- GENERAL practitioners
PSYCHOLOGICAL burnout
STATISTICS
ACADEMIC medical centers
CROSS-sectional method
MULTIPLE regression analysis
MANN Whitney U Test
PEARSON correlation (Statistics)
PSYCHOSOCIAL factors
PUBLIC hospitals
EXERCISE
REWARD (Psychology)
QUESTIONNAIRES
DESCRIPTIVE statistics
DATA analysis software
DATA analysis
DEPERSONALIZATION
Subjects
Details
- Language :
- English
- ISSN :
- 17343402
- Volume :
- 25
- Issue :
- 1
- Database :
- Complementary Index
- Journal :
- Family Medicine & Primary Care Review
- Publication Type :
- Academic Journal
- Accession number :
- 164884329
- Full Text :
- https://doi.org/10.5114/fmpcr.2023.125491