Table 2. Factors associated with burnout among resident physicians (multiple imputation, n = 296).
Determinants | Burnout | ||
---|---|---|---|
aOR (95%CI) | t-statistic | p-Value | |
Model 1: Demographic determinants (F = 2.84, R2 = 0.074) | |||
Gender | |||
Female | Reference | ||
Male | 2.18 (1.30, 3.67) | 2.93 | 0.003 |
Age, per 1-year increase | 0.93 (0.84, 1.02) | -1.52 | 0.128 |
Marital status | |||
Single | Reference | ||
Married | 1.95 (0.77, 4.91) | 1.41 | 0.158 |
Have physical underlying disease | 1.02 (0.59, 1.74) | 0.06 | 0.950 |
Active smoker | 13.23 (1.48, 118.00) | 2.31 | 0.021 |
Active drinker | 0.57 (0.33, 1.00) | -1.97 | 0.049 |
Exercise frequency, per 1-day/week increase | 0.86 (0.72, 1.02) | -1.79 | 0.074 |
Model 2: Working conditions (F = 1.44, R2 = 0.037) | |||
Financial status | |||
Just enough | Reference | ||
More than adequate | 0.48 (0.29, 0.81) | -2.75 | 0.006 |
Inadequate | 0.56 (0.26, 1.21) | -1.48 | 0.140 |
Residency year | |||
First-year | Reference | ||
Second-year | 1.01 (0.54, 1.87) | 0.02 | 0.987 |
Third-year | 0.98 (0.51, 1.88) | -0.06 | 0.956 |
Fourth-year and more | 1.51 (0.69, 3.29) | 1.04 | 0.297 |
Original affiliation | |||
Ministry of Public Health | Reference | ||
Ministry of Tertiary Education | 0.62 (0.38, 1.00) | -1.96 | 0.049 |
Departments | |||
Other departments | Reference | ||
Major departments | 0.82 (0.50, 1.33) | -0.81 | 0.415 |
Total work hours, per 1-hour increase | 1.17 (0.69, 1.99) | 0.59 | 0.552 |
Salary, per 10,000 THB increase | 1.00 (0.82, 1.21) | 0.01 | 0.992 |
Model 3: Psychiatric determinants (F = 9.65, R2 = 0.127) | |||
Active psychiatric underlying disease | 1.80 (0.64, 5.03) | 1.11 | 0.265 |
Had suicidal ideation in the last 12 months | 2.95 (0.71, 12.34) | 1.48 | 0.138 |
Sleep duration (hours/day during last week), per 1-hour increase | 0.96 (0.77, 1.20) | -0.38 | 0.705 |
Depressive symptoms, moderate to high | 4.94 (2.81, 8.69) | 5.55 | <0.001 |
Model 4: Medical errors, during the last 3 months (F = 3.37, R2 = 0.013) | |||
Severe errors | 1.62 (0.68, 3.87) | 1.08 | 0.281 |
Non-severe error | 1.70 (0.45, 6.51) | 0.78 | 0.435 |
Medication prescription error | 1.87 (0.93, 3.76) | 1.77 | 0.077 |
Laboratory order error | 1.14 (0.49, 2.62) | 0.30 | 0.765 |
Confounder summary score; F = 61.13, R2 = 0.201, Hosmer-Lemeshow test for goodness-of-fit test (p = 0.587) | |||
Demographic determinants | 2.80 (1.68, 4.64) | 3.98 | <0.001 |
Working conditions | 2.97 (1.54, 5.71) | 3.26 | 0.001 |
Psychiatric determinants | 2.47 (1.77, 3.45) | 5.29 | <0.001 |
Medical errors | 2.14 (1.05, 4.34) | 2.10 | 0.035 |
aOR, Adjusted odds ratio.