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. 2008 Dec 20;36(8):442–447. [Article in Spanish] doi: 10.1157/13081058

Relación de la calidad de vida profesional y el burnout en médicos de atención primaria

Relationship between the quality of professional life and the burnout of primary health care doctors

F Jorge Rodríguez a,, MA Blanco Ramos b, S Issa Pérez a,b, L Romero García a,b, P Gayoso Diz a,b
PMCID: PMC7669111  PMID: 16287557

Abstract

Objective

To know the relationship, if this exists, between the quality of professional life (CPL) and the burnout of primary health care staff.

Design

Transversal study employing CVP-35 test and MBI (Maslach Burnout Inventory), both sent by postmail.

Setting

3 urban centers and 3 rural centers. Total: 131 professionals.

Measures

In the CVP-35 test, scores from 0 (minimum) to 100 (maximum) are obtained. Maslach categorised each dimension into high, medium and low level.

Results

71.7% answered. Medium age 44 years, average of 1339 sanitary cards. The number of visits/day was 37, home visits 1 per day. The CVP average was 4.48 (95% CI, 4.08-4.88). The damage perception in the post 5.9 (95% CI, 5.6-6.1); the professional intrinsic motivation 6.5 (95% CI, 6.2-6.7), and the manager support 3.8 (95% CI, 3.6-4.1). MBI: high depersonalization 54.3%, emotional exhaustion (r=0.6; P<.0001), intrinsic motivation, and personal accomplishment (r=0.46; P<.0001) and profesional quality of life front emotional fatigue (r= −0.4; P < .0005).

Conclusions

CPL and burnout measure different but related dimensions. Therefore, its utility is dependent on the objectives. Target elements, which can improve the quality of professional life, can be identified from these tools.

Key words: Job satisfaction, Burnout professional, Primary health care, Questionnaires

Bibliografía

  • 1.Marquet Palomar M., Avellana Revuelta E., Davins Miralle J. Lacalidad en atención primaria de salud: nuevas perspectivas. FMC. 1994;1:7–18. [Google Scholar]
  • 2.Berwick D.M., Eindhoven A., Bunker J.P. Quality management in the NHS; the doctor’s role, I. BMJ. 1992;304:235–239. doi: 10.1136/bmj.304.6821.235. [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 3.Huse E.F., Bodwitch R. Ed. Deusto; Bilbao: 1992. El comportamiento humano en la organización. [Google Scholar]
  • 4.Maslow A.H. Harper andBrothers; Ner Cork: 1954. Motivation and personality. [Google Scholar]
  • 5.Albretch K. Ed. Paidos; Barcelona: 1992. Servicio al cliente interno. [Google Scholar]
  • 6.Carlzon J. Ballinger PublishingCompany; Cambridge: 1987. Moments of truth. [Google Scholar]
  • 7.Gervás J., Hernández-Monsalve L.M. La autoestima de los médicosy la reforma sanitaria. Med Clin (Barc) 1994;103:421–422. [PubMed] [Google Scholar]
  • 8.Fernández Sanmartin M.I., Villagrasa Ferrer J.R., Fe Gamo M., Vázquez Gallego J., Cruz Canas E., Aguirre Trigo M.V. Estudiode la satisfacción laboral y sus determinantes en los trabajadoressanitarios de un área de Madrid. Rev Esp Salud Pública. 1995;69:487–497. [PubMed] [Google Scholar]
  • 9.Donabedian A. Promoting quality through evaluating the processof patient care. Med Care. 1968;6:181–201. [Google Scholar]
  • 10.Alonso Fernández M., Iglesias Carbajo A.I., Franco Vidal A. Percepciónde la calidad de vida profesional en un área sanitaria de Asturias. Aten Primaria. 2002;30:483–489. doi: 10.1016/S0212-6567(02)79084-7. [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 11.Donabedian A. Evaluating the quality of medical care. Milbank Memorial Fund Quaterly. 1966 [PubMed] [Google Scholar]
  • 12.Acámer Raga F., López Arribas C., López-Torres Hidalgo J. Satisfacciónlaboral de los profesionales sanitarios en atención primaria. Aten Primaria. 1997;20:401–407. [PubMed] [Google Scholar]
  • 13.García Sánchez S. La qualitat de vida professional com a avantatge competitiu. Revista de Qualitat. 1993;11:4–9. [Google Scholar]
  • 14.Cortés Rubio J.A., Martín Fernández J., Morente Páez M., CaboblancoMuñoz M., Garija Cobo J., Rodríguez Balo A. Clima laboralen atención primaria. Aten Primaria. 2003;32:288–295. doi: 10.1016/S0212-6567(03)79277-4. [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 15.Cabezas Peña C. La calidad de vida de los profesionales. FMC. 2000;7(Supl 7):53–68. [Google Scholar]
  • 16.Prieto Albino L., Robles Agüero E., Salazar Martínez L.M., Daniel Vega E. Burnout en médicos de atención primaria de la provinciade Cáceres. Aten Primaria. 2002;29:294–302. doi: 10.1016/S0212-6567(02)70567-2. [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 17.Sobrequés J., Cebriá J., Segura J., Rodríguez C., García M., Juncosa S. La satisfacción laboral y el desgaste profesional de los médicos de atención primaria. Aten Primaria. 2003;31:227–233. doi: 10.1016/S0212-6567(03)79164-1. [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 18.Martínez de la Casa Muñoz A., Del Castillo Comas C., Magaña Loarte E., Bru Espino I., Franco Moreno A., Segura Fragoso A. Estudio sobre la prevalencia del burnout en los médicos del Área Sanitaria de Talavera de la Reina. Aten Primaria. 2003;32:343–348. doi: 10.1016/S0212-6567(03)79294-4. [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 19.Tizón J.L. ¿Profesionales «quemados», profesionales «desengañados» o profesionales con trastornos psicopatológicos? Aten Primaria. 2004;33:326–330. doi: 10.1016/S0212-6567(04)70801-X. [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 20.Freudenberger H.J. Staff Burn-out. Jnl Soc Sigues. 1974;1:159–175. [Google Scholar]
  • 21.Maslach C., Jackson S.E. The measurement of experienced burnout. J Occup Behav. 1981;2:99–113. [Google Scholar]
  • 22.Hidalgo Rodrigo I., Díaz González R. Estudio de la influenciade los factores laborales y sociodemográficos en el desarrollo del síndrome de agotamiento profesional en el área de medicina especializada del INSALUD de Ávila. Med Clin (Barc) 1994;103:408–412. [PubMed] [Google Scholar]
  • 23.Mira J.J., Vitaller J., Buil J.A., Aranaz J., Rodríguez-Marín J. Satisfaccióny estrés laboral en médicos generalistas del sistema públicode salud. Aten Primaria. 1994;10:1135–1140. [PubMed] [Google Scholar]
  • 24.Clúa Espuny J.L., Aguilar Martín C. La calidad de vida profesionaly el orgullo de trabajar en la sanidad pública. Resultados deuna encuesta. Aten Primaria. 1998;22:308–313. [PubMed] [Google Scholar]
  • 25.García Sánchez S. El absentismo psíquico. FMC. 2002;9:41–45. [Google Scholar]
  • 26.Sibbald B., Bojke C., Gravelle H. National survey of job satisfaction and retirement intentions among general practiciones in England. BMJ. 2003;326:22. doi: 10.1136/bmj.326.7379.22. [DOI] [PMC free article] [PubMed] [Google Scholar]

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