Association Between Burnout and Intention to Emigrate in Peruvian health-care Workers

Background: Emigration of health-care workers is a problem within global health systems which affects many countries, including Peru. Several factors have caused health-care workers to emigrate, including burnout syndrome (BS). This study aims to identify the association between BS and its dimensions with the intention of physicians and nurses to emigrate from Peru in 2014. Methods: A cross-sectional study, based on a secondary analysis of the National Survey of Health Users (ENSUSALUD - 2014) was conducted. Sampling was probabilistic, considering the 24 departments of Peru. We include the questionnaire for physicians and nurses, accounting for 5062 workers. BS was measured by the Maslach Burnout Inventory-Human Services Survey. Adjusted odds ratio (OR) was calculated using multiple logistic regression. Results: Of the study population, 44.1% were physicians, 37.7% males, and 23.1% were working in Lima. It was found that 2.8% [95% confidence interval (CI): 2.19–3.45] of health-care workers had BS. The overall prevalence of intention to emigrate among health-care workers was 7.4% (95% CI: 6.36–8.40). Association was found between BS and intention to emigrate in Peruvian health-care workers (OR = 2.15; 95% CI: 1.05–4.40). Emotional exhaustion was the BS dimension most associated with intention to emigrate (OR = 1.80; 95% CI: 1.16–2.78). Conclusion: Physicians and nurses from Peru who suffered from BS were more likely to have intention to emigrate. Policies should be established to reduce BS as a strategy to control “brain drain” from health-care workers of Peru.Revisión por pare

Telemedicine: a possible answer to the deficiencies in management of acute myocardial infarction

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Factores de riesgo para el abandono del tratamiento de tuberculosis pulmonar sensible en un establecimiento de salud de atención primaria, Lima, Perú

Objetivo: Identificar los factores asociados al abandono del tratamiento antituberculoso en un centro de salud de atención primaria del distrito de Chorrillos, Lima, Perú. Materiales y métodos: Estudio de casos y controles retrospectivo no pareado. Se definió como caso a los pacientes que abandonaron el tratamiento por un periodo de 30 días consecutivos o más y como controles a los pacientes que terminaron el tratamiento antituberculoso. Se evaluó el puntaje de riesgo de abandono que se realiza en el centro de salud (≥22), así como variables demográficas. Se calculó el odds ratio (OR) e intervalos de confianza al 95% (IC95%) usando regresión logística. Resultados: Se incluyó 34 controles y 102 casos. En el análisis multivariado se encontró que quienes cursaron menos de seis años de educación (OR: 22,2; IC95%: 1,9-256,1) así como quienes tenían un puntaje ≥ a 22 puntos en la prueba de riesgo de abandono (OR= 21,4; IC95%: 6,3-72,4) tenían mayor probabilidad de abandonar el tratamiento antituberculoso. Conclusión: El abandono del tratamiento antituberculoso está asociado con tener menos de seis años de educación y un score mayor a 22 puntos en la prueba de abandono de tratamiento antituberculoso

Síndrome de Burnout como factor asociado a la intención de emigrar en médicos y enfermeras, Perú 2014

TesisBackground: Emigration of healthcare workers is a problem within global health systems that affects many countries, including Peru. Several factors have caused health workers to emigrate, including burnout syndrome (BS). This study aims to identify the association between BS and its dimensions with the intention of physicians and nurses to emigrate from Peru in 2014. Materials and Methods: A cross-sectional study, based on a secondary analysis of the National Survey of Health Users (ENSUSALUD - 2014) was conducted. Sampling was probabilistic, considering the 24 departments of Peru. We include the questionnaire for physicians and nurses, accounting for 3493 workers. BS was measured by the Maslach Burnout Inventory - Human Services Survey (MBI-HSS). Adjusted OR was calculated using multiple logistic regression. Results: Of the study population, 43,5% were physicians, 34,6% males and 22,6% were working in Lima. It was found that 3,6% of healthcare workers had BS. The overall prevalence of intention to emigrate in healthcare workers was 8,8%. Association was found between BS and intention to emigrate in Peruvian healthcare workers (PR=1,92; IC 95% 1,04-3,54). Emotional exhaustion was the BS dimension most associated with intention to emigrate (PR=2,02; IC 1,22-2,77). Conclusions: Physicians and nurses from Peru who suffered BS were more likely to have intention to emigrate. Policies should be established in order to reduce BS as a strategy to control ‘’brain drain’’ from healthcare workers of Peru

Burnout syndrome among medical students in Mexico: considerations about its measurement with the Maslach Burnout Inventory

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