Burnout among primary health-care professionals in low- and middle-income countries: systematic review and meta-analysis.
Bull World Health Organ
; 100(6): 385-401A, 2022 Jun 01.
Article
in English
| MEDLINE | ID: covidwho-2198270
ABSTRACT
Objective:
To estimate the prevalence of burnout among primary health-care professionals in low- and middle-income countries and to identify factors associated with burnout.Methods:
We systematically searched nine databases up to February 2022 to identify studies investigating burnout in primary health-care professionals in low- and middle-income countries. There were no language limitations and we included observational studies. Two independent reviewers completed screening, study selection, data extraction and quality appraisal. Random-effects meta-analysis was used to estimate overall burnout prevalence as assessed using the Maslach Burnout Inventory subscales of emotional exhaustion, depersonalization and personal accomplishment. We narratively report factors associated with burnout.Findings:
The search returned 1568 articles. After selection, 60 studies from 20 countries were included in the narrative review and 31 were included in the meta-analysis. Three studies collected data during the coronavirus disease 2019 pandemic but provided limited evidence on the impact of the disease on burnout. The overall single-point prevalence of burnout ranged from 2.5% to 87.9% (43 studies). In the meta-analysis (31 studies), the pooled prevalence of a high level of emotional exhaustion was 28.1% (95% confidence interval, CI 21.5-33.5), a high level of depersonalization was 16.4% (95% CI 10.1-22.9) and a high level of reduced personal accomplishment was 31.9% (95% CI 21.7-39.1).Conclusion:
The substantial prevalence of burnout among primary health-care professionals in low- and middle-income countries has implications for patient safety, care quality and workforce planning. Further cross-sectional studies are needed to help identify evidence-based solutions, particularly in Africa and South-East Asia.
Full text:
Available
Collection:
International databases
Database:
MEDLINE
Main subject:
Burnout, Professional
/
COVID-19
Type of study:
Observational study
/
Prognostic study
/
Qualitative research
/
Randomized controlled trials
/
Reviews
/
Systematic review/Meta Analysis
Limits:
Humans
Language:
English
Journal:
Bull World Health Organ
Year:
2022
Document Type:
Article
Affiliation country:
BLT.22.288300
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