Associations between effort-reward imbalance and risk of burnout among Swedish physicians

Occup Med (Lond). 2024 Jul 29;74(5):355-363. doi: 10.1093/occmed/kqae039.

Abstract

Background: The high prevalence of burnout among Swedish physicians may have several possible effects on individuals and society. However, further investigations of work-related factors associated with the risk of burnout among Swedish physicians are needed.

Aims: We aimed to study the associations between psychosocial work factors, based on the effort-reward imbalance (ERI) model, and the risk of burnout among Swedish physicians.

Methods: A representative sample of 7200 Swedish physicians was invited in 2021. Data were gathered through questionnaires, with a response rate of 41%. Logistic regression models were used to study the associations between exposure to ERI and the risk of burnout.

Results: Approximately 62% of Swedish physicians were exposed to a high ERI. Exposure to a high ERI was associated with 11 times increased risk (95% confidence interval 6.5-20.0) of burnout in adjusted models. Large variations in the prevalence of ERI and risk of burnout across sociodemographic and occupational factors were identified, particularly across different clinical specialties.

Conclusions: A majority of Swedish physicians were exposed to high levels of work-related stress, strongly associated with an increased risk of burnout. This population-based cross-sectional study underlines the need to further study variations of work-related stress across clinical specialties and to monitor occupational health among physicians longitudinally.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adult
  • Burnout, Professional* / epidemiology
  • Burnout, Professional* / psychology
  • Cross-Sectional Studies
  • Female
  • Humans
  • Job Satisfaction*
  • Male
  • Middle Aged
  • Occupational Stress / epidemiology
  • Occupational Stress / psychology
  • Physicians* / psychology
  • Physicians* / statistics & numerical data
  • Prevalence
  • Reward*
  • Risk Factors
  • Surveys and Questionnaires
  • Sweden / epidemiology
  • Workload* / psychology