Problems of Social Hygiene, Public Health and History of MedicineProblems of Social Hygiene, Public Health and History of Medicine0869-866X2412-2106Joint-Stock Company Chicot145110.32687/0869-866X-2024-32-2-180-186НеопределенThe professional burnout of medical workers and its determining factorsBezymyannyyA Sdkd@zdrav.mos.ruMingazovaE Nelmira_mingazova@mail.ruThe State Public Institution “The Directorate on Coordination of Activities of Medical Organizations of the Moscow Health Care Department”, 115280, Moscow, RussiaN. A. Semashko National Research Institute of Public Health, 105064, Moscow, RussiaThe Federal State Budget Institution “The Kazan State Medical University”, 420012, Kazan, RussiaThe Medical Biological University of Innovations and Continuous Education of the A. I. Burnazyan State Research Center of Russian Federation — Federal Medical Biophysical Center of the Institute of Post-graduate Education, 123098, Moscow, Russia180420243222104202521042025Copyright © 2025,2025<p>The study was carried out using survey technique applied to sampling of workers of the first three polyclinics of Moscow. The method was based on international questionnaire Maslach Burnout Inventory (MBI) that permitted to consider characteristics of activity of medical professionals. The analysis of results of study demonstrated that overall prevalence of burnout among doctors is 17%,among nursing personnel 21%, among non-medical personnel 19%. The average age of workers with professional burnout is 3449 years. Among workers with burnout more than half of them had higher education and 30% had specialized secondary education. The workers consider as main factors of professional burnout necessity to spend most of working time at the computer (up to 92%), unrealistic expectations of patients from received medical care (up to 88%), deficiency of time for reception of patients and personal life. The majority of employees had an average (35%) and low (43%) level of reduction in personal achievements that testifies well-being of work environment. The conclusion is made that in polyclinic section of Moscow health care there are no serious conflicts in collectives and existing conflicts are within limits of working relationships.</p>professional burnoutfactorspolyclinicsMoscowhealth caremedical workersnursing personnelпрофессиональное выгораниефакторыгородские поликлиникиг. Москвамосковское здравоохранениемедицинские работникисредний медицинский персоналBurn-out an “occupational phenomenon”: International Classification of Diseases. WHO. Available at: https://www.who.int/news/item/28-05-2019-burn-out-an-occupational-phenomenon-international-classification-of-diseasesHarvey S. B., Epstein R. M., Glozier N., Petrie K. Mental illness and suicide among physicians. Lancet. 2021;398(10303):920–30. doi: 10.1016/S0140-6736 (21)01596-8Mir H., Downes K., Chen A. F. Physician wellness in orthopaedic surgery: a multinational survey study. Bone Jt Open. 2021;2(11):932–9. doi: 10.1302/2633-1462.211.BJO-2021-0153Verret C. I., Nguyen J., Verret C., Albert T. J., Fufa D. T. How Do Areas of Work Life Drive Burnout in Orthopaedic Attending Surgeons, Fellows, and Residents? Clin. Orthop. Relat. Res. 2021;479(2):251–62. doi: 10.1097/CORR.0000000000001457De Hert S. Burnout in Healthcare Workers: Prevalence, Impact and Preventative Strategies. Local Reg. Anesth. 2020;13:171–83. doi: 10.2147/LRA.S240564Miller A. G., Burr K. L., Juby J. Enhancing Respiratory Therapists' Well-Being: Battling Burnout in Respiratory Care. Respir. Care. 2023;68(5):692–705. doi: 10.4187/respcare.10632Rubin B., Goldfarb R., Satele D., Graham L. Burnout and distress among allied health care professionals in a cardiovascular centre of a quaternary hospital network: a cross-sectional survey. CMAJ Open. 2021;9(1). doi: 10.9778/cmajo.20200059Malik H., Annabi C. A. The impact of mindfulness practice on physician burnout: A scoping review. Front. Psychol. 2022;13. doi: 10.3389/fpsyg.2022.956651Lee S. J., Jung S. I., Kim M. G., et al. The Influencing Factors of Gender Differences on Mental Burdens in Young Physiotherapists and Occupational Therapist. Int. J. Environ. Res. Public Health. 2021;18(6). doi: 10.3390/ijerph18062858LeNoble C. A., Pegram R., Shuffler M. L. To Address Burnout in Oncology, We Must Look to Teams: Reflections on an Organizational Science Approach. JCO Oncol. Pract. 2020;16(4). doi: 10.1200/JOP.19.00631Vasquez T. S., Vasquez R. S., Bylund C. L. Healthcare Burnout. In The International Encyclopedia of Health Communication. E. Y. Ho, C. L. Bylund, J. C. M. van Weert, I. Basnyat, N. Bol, M. Dean (eds). 2023. doi: 10.1002/9781119678816.iehc0557Shin P., Desai V., Conte A. H., Qiu C. Time Out: The Impact of Physician Burnout on Patient Care Quality and Safety in Perioperative Medicine. Perm. J. 2023;27(2):160–8. doi: 10.7812/TPP/23.015Office of the Surgeon General (OSG). Addressing Health Worker Burnout: The U. S. Surgeon General’s Advisory on Building a Thriving Health Workforce. Washington (DC): US Department of Health and Human Services; 2022. Available at: https://www.ncbi.nlm.nih.gov/books/NBK595228/Matsuo T., Yoshioka T., Okubo R., Nagasaki K., Tabuchi T. Burnout and its associated factors among healthcare workers and the general working population in Japan during the COVID-19 pandemic: a nationwide cross-sectional internet-based study. BMJ Open. 2022;12(11). doi: 10.1136/bmjopen-2022-064716Greep N. C, Woolhandler S., Himmelstein D. Physician Burnout: Fix the Doctor or Fix the System? Am. J. Med. 2022;135(4):416–7. doi: 10.1016/j.amjmed.2021.10.011Lavasani S. Surviving Burnout as an Oncologist. Curr. Oncol. Rep. 2023;25(2):131–4. doi: 10.1007/s11912-022-01351-8Results of testing on the topic “Professional burnout of medical workers”. Available at: https://vblagodarnost.ru/images/result_test.pdf (in Russian).Maslach C., Jackson S. E., Leiter M. P. Maslach Burnout Inventory. In: Evaluating Stress: A Book of Resources, 3rd ed. Scarecrow Education, Lanham; 1997. P. 191–218.Vodopyanova N. E., Starchenkova E. S. Burnout syndrome. Diagnostics and prevention: a practical guide. Moscow: Yurayt; 2017. 336 p. (in Russian).Kowalska J., Chybowski D., Wójtowicz D. Analysis of the Sense of Occupational Stress and Burnout Syndrome among Working Physiotherapists-A Pilot Study. Medicina (Kaunas). 2021;57(12). doi: 10.3390/medicina57121290Wenying Y. Understanding the Relationship between Burnout, Cynicism, and Organizational Learning Culture: A Conceptual Framework for Private Security Companies in Beijing, China. DREAM J. 2023;02(06):34–9. doi: 10.56982/dream.v2i06.133Desai V., Conte A. H., Nguyen V. T., Shin P., Sudol N. T., Hobbs J., Qiu C. Veiled Harm: Impacts of Microaggressions on Psychological Safety and Physician Burnout. Perm J. 2023;27(2):169–78. doi: 10.7812/TPP/23.017Nozedar L., O’Shea S. What is the prevalence of burnout amongst first contact physiotherapists working within primary care? Musculoskeletal Care. 2023;21(3):776–85. doi: 10.1002/msc.1752