Burnout in French General Practitioners: A Nationwide Prospective Study

Background: We aimed to evaluate the prevalence of burnout among French general practitioners in private practice and to study the risk and protective factors of burnout. Methods: A nationwide cross-sectional study was conducted with French GPs working in a private practice in France who were asked...

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Autores principales:	Frédéric Dutheil, Lenise M. Parreira, Julia Eismann, François-Xavier Lesage, David Balayssac, Céline Lambert, Maëlys Clinchamps, Denis Pezet, Bruno Pereira, Bertrand Le Roy
Formato:	article
Lenguaje:	EN
Publicado:	MDPI AG 2021
Materias:	mental health burnout general practitioners Medicine R
Acceso en línea:	https://doaj.org/article/cf9ade2049d743fcb3773ee1808e10d4
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spelling	oai:doaj.org-article:cf9ade2049d743fcb3773ee1808e10d42021-11-25T17:50:34ZBurnout in French General Practitioners: A Nationwide Prospective Study10.3390/ijerph1822120441660-46011661-7827https://doaj.org/article/cf9ade2049d743fcb3773ee1808e10d42021-11-01T00:00:00Zhttps://www.mdpi.com/1660-4601/18/22/12044https://doaj.org/toc/1661-7827https://doaj.org/toc/1660-4601Background: We aimed to evaluate the prevalence of burnout among French general practitioners in private practice and to study the risk and protective factors of burnout. Methods: A nationwide cross-sectional study was conducted with French GPs working in a private practice in France who were asked to fulfil an internet questionnaire. We used the secure internet application REDCap<sup>®</sup>. Exclusion criteria were only working in a hospital, substitute doctors, and internship students. There was a putative sample size of 88,886 GPs. We retrieved the Maslach Burnout Inventory (MBI), occupational characteristics (type of installation, emergency regulated shifts, night shifts, university supervisor, weekly hours worked, seniority), and personal characteristics such as age, gender, marital status, and number of children. Results: We included 1926 GPs among the 2602 retrieved questionnaires. A total of 44.8% of French liberal GPs were experiencing burnout, with 4.8% (95%CI 3.9–5.9%) experiencing severe burnout. The risk factors of severe burnout were male gender (RR = 1.91, 95%CI 1.15–3.16), working in a suburban area (5.23, 2.18–12.58), and having more than 28 appointments per day (1.95, 1.19–3.19). Working more than 50 h weekly showed a tendency to increase the risk of severe burnout (1.55, 0.93–2.59, <i>p</i> = 0.095), with a significant increase in the risk of low and moderate burnout (1.31, 1.02–1.67 and 1.86, 1.34–2.57, respectively). Protective factors were mainly resident training, which decreased the risk of both low, moderate, and severe burnout (0.65, 0.51–0.83; 0.66, 0.48–0.92; and 0.42, 95%CI 0.23–0.76, respectively). Performing home visits decreased the risk of severe burnout (0.25, 0.13–0.47), as did group practice for intermediate level of burnout (0.71, 0.51–0.96). Conclusion: GPs are at a high risk of burnout, with nearly half of them in burnout, with burnout predominantly affecting males and those between the ages of 50 and 60 years old. The main risk factors were a high workload with more than 28 appointments per day or 50 h of work per week, and the main protective factors were related to social cohesion such having a teaching role and working in a group practice with back-office support.Frédéric DutheilLenise M. ParreiraJulia EismannFrançois-Xavier LesageDavid BalayssacCéline LambertMaëlys ClinchampsDenis PezetBruno PereiraBertrand Le RoyMDPI AGarticlemental healthburnoutgeneral practitionersMedicineRENInternational Journal of Environmental Research and Public Health, Vol 18, Iss 12044, p 12044 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	mental health burnout general practitioners Medicine R
spellingShingle	mental health burnout general practitioners Medicine R Frédéric Dutheil Lenise M. Parreira Julia Eismann François-Xavier Lesage David Balayssac Céline Lambert Maëlys Clinchamps Denis Pezet Bruno Pereira Bertrand Le Roy Burnout in French General Practitioners: A Nationwide Prospective Study
description	Background: We aimed to evaluate the prevalence of burnout among French general practitioners in private practice and to study the risk and protective factors of burnout. Methods: A nationwide cross-sectional study was conducted with French GPs working in a private practice in France who were asked to fulfil an internet questionnaire. We used the secure internet application REDCap<sup>®</sup>. Exclusion criteria were only working in a hospital, substitute doctors, and internship students. There was a putative sample size of 88,886 GPs. We retrieved the Maslach Burnout Inventory (MBI), occupational characteristics (type of installation, emergency regulated shifts, night shifts, university supervisor, weekly hours worked, seniority), and personal characteristics such as age, gender, marital status, and number of children. Results: We included 1926 GPs among the 2602 retrieved questionnaires. A total of 44.8% of French liberal GPs were experiencing burnout, with 4.8% (95%CI 3.9–5.9%) experiencing severe burnout. The risk factors of severe burnout were male gender (RR = 1.91, 95%CI 1.15–3.16), working in a suburban area (5.23, 2.18–12.58), and having more than 28 appointments per day (1.95, 1.19–3.19). Working more than 50 h weekly showed a tendency to increase the risk of severe burnout (1.55, 0.93–2.59, <i>p</i> = 0.095), with a significant increase in the risk of low and moderate burnout (1.31, 1.02–1.67 and 1.86, 1.34–2.57, respectively). Protective factors were mainly resident training, which decreased the risk of both low, moderate, and severe burnout (0.65, 0.51–0.83; 0.66, 0.48–0.92; and 0.42, 95%CI 0.23–0.76, respectively). Performing home visits decreased the risk of severe burnout (0.25, 0.13–0.47), as did group practice for intermediate level of burnout (0.71, 0.51–0.96). Conclusion: GPs are at a high risk of burnout, with nearly half of them in burnout, with burnout predominantly affecting males and those between the ages of 50 and 60 years old. The main risk factors were a high workload with more than 28 appointments per day or 50 h of work per week, and the main protective factors were related to social cohesion such having a teaching role and working in a group practice with back-office support.
format	article
author	Frédéric Dutheil Lenise M. Parreira Julia Eismann François-Xavier Lesage David Balayssac Céline Lambert Maëlys Clinchamps Denis Pezet Bruno Pereira Bertrand Le Roy
author_facet	Frédéric Dutheil Lenise M. Parreira Julia Eismann François-Xavier Lesage David Balayssac Céline Lambert Maëlys Clinchamps Denis Pezet Bruno Pereira Bertrand Le Roy
author_sort	Frédéric Dutheil
title	Burnout in French General Practitioners: A Nationwide Prospective Study
title_short	Burnout in French General Practitioners: A Nationwide Prospective Study
title_full	Burnout in French General Practitioners: A Nationwide Prospective Study
title_fullStr	Burnout in French General Practitioners: A Nationwide Prospective Study
title_full_unstemmed	Burnout in French General Practitioners: A Nationwide Prospective Study
title_sort	burnout in french general practitioners: a nationwide prospective study
publisher	MDPI AG
publishDate	2021
url	https://doaj.org/article/cf9ade2049d743fcb3773ee1808e10d4
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Burnout in French General Practitioners: A Nationwide Prospective Study

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