[Study of the prevalence of burnout in doctors in the Health Area of Talavera de la Reina]. / Estudio sobre la prevalencia del burnout en los médicos del Area Sanitaria de Talavera de la Reina.

OBJECTIVE: To determine the degree of burnout or professional wear-and-tear in doctors from the Talavera de la Reina Health Area and linked factors. DESIGN: Transversal, descriptive study. PARTICIPANTS: Doctors in primary care (PC) (n=106) and specialist care (SC) (n=129). MEASUREMENTS AND RESULTS: Maslach Burnout Inventory (MBI) questionnaire and a survey with social and demographic variables and suggestions. Both were anonymous and self-administered. RESULTS: 144 (61.27%) answered, 63 from PC and 81 SC. 72.2% were male, with a mean age of 45 (with little variability between PC and SC). Average years worked were 18.65. 102 (70.83%) worked cover. 85 (59.02%) had an indefinite contract, 49 (34.02%) a temporary one, and 10 (6.94%) other kinds. 76.4% of the professionals suffered burnout (moderate in 38.9% and high in 37.5%). The difference between PC and SC burnout (85.7% vs 69.1%) was statistically significant. In the remaining variables studied (age, sex, marital status, working of cover shifts.) we found no significant differences. Among suggestions to mitigate burnout were demands to support improvements in working conditions, greater personal and professional recognition, involvement of the government and management, economic remuneration, providing more training and research, etc. CONCLUSIONS: Professional wear-and-tear or burnout is very high in our area, and is higher in PC than in SC.

Estudio sobre la prevalencia del burnout en los médicos del Área Sanitaria de Talavera de la Reina / Study of the prevalence of burnout in doctors in the health area of Talavera de la Reina

Objetivo. Determinar el grado de burnout, o desgaste profesional, en los médicos del Área Sanitaria de Talavera de la Reina y los factores asociados. Diseño. Estudio descriptivo transversal. Sujetos. Médicos dedicados a la atención primaria (AP) (n = 106) y atención especializada (AE) (n = 129).Mediciones. Cuestionario Maslach Burnout Inventory (MBI) y encuesta con variables sociodemográficas y sugerencias. Ambos anónimos y autoadministrables. Resultados. Contestaron 144 médicos (61,27 por ciento), 63 de AP y 81 de AE, varones el 72,2 por ciento y con una media de edad de 45 años (con una escasa variabilidad entre AP y AE). La media de años trabajados fue de 18,65. Realizan guardias 102 (70,83 por ciento). El tipo de contrato es fijo en 85 (59,02 por ciento), interino en 49 (34,02 por ciento) y "otros" en 10 (6,94 por ciento). Presenta burnout el 76,4 por ciento de los profesionales (moderado en el 38,9 por ciento y alto en el 37,5 por ciento). Resulta estadísticamente significativa la diferencia entre burnout de AP y AE (el 85,7 frente al 69,1 por ciento). En el resto de las variables estudiadas (edad, sexo, estado civil, realización de guardias...) no encontramos diferencias significativas. Como sugerencias para mitigar el burnout destacan la petición de apoyo de mejoras laborales, un mayor reconocimiento personal y profesional, la implicación de la Administración y la Gerencia, la remuneración económica, facilitar formación e investigación, etc. Conclusiones. El grado de desgaste profesional (burnout) es muy elevado en nuestra área, con un mayor porcentaje en AP que en AE (AU)

[Factors related to community participation in primary care in the province of Toledo]. / Factores asociados a la participación comunitaria en la atención primaria de la provincia de Toledo.

OBJECTIVE: To identify how many professionals have, in their view, some experience of community participation (CP); how many have a positive attitude to CP; and other associated factors. DESIGN: Observational, analytic, crossover study. PARTICIPANTS: Professionals from 22 Health Centres (HC). INTERVENTION: A questionnaire on attitudes, knowledge and behaviour. MEASUREMENTS AND MAIN RESULTS: 220 (67%) of the 330 professionals who received the survey replied. More than half of these considered that CP in the HC was important. 49% had some experience of this question: of these 59% evaluated their experience was successful, a variable which was linked to work satisfaction, attachment to the HC for less than one year or more than five and being a nursing professional. The main problem was considered to be lack of preparation; and the main cause of failure of experiments was defective planning. 95% of professionals were willing to work on health projects involving community participation. CONCLUSIONS: Even accepting the difficulty of measuring attitudes, knowledge and behaviour, the idea and that the positive attitudes and/or experiences of Primary Care health professionals to CP are a chance phenomenon is rejected. An intervention study to check the hypotheses suggested in this study concerning the variable factors which favour success in community health participation is proposed.