Harmonized definition of occupational burnout : A systematic review, semantic analysis, and Delphi consensus in 29 countries

Funding Information: This study was supported by the University of Lausanne and European Cooperation in Science and Technology, Action CA 16216 "Network on the Coordination and Harmonisation of European Occupational Cohorts” (OMEGA-NET). Publisher Copyright: © 2021, Nordic Association of Occupational Safety and Health. All rights reserved.Objective A consensual definition of occupational burnout is currently lacking. We aimed to harmonize the definition of occupational burnout as a health outcome in medical research and reach a consensus on this definition within the Network on the Coordination and Harmonisation of European Occupational Cohorts (OMEGA-NET). Methods First, we performed a systematic review in MEDLINE, PsycINFO and Embase (January 1990 to August 2018) and a semantic analysis of the available definitions. We used the definitions of burnout and burnout-related concepts from the Systematized Nomenclature of Medicine Clinical Terms (SNOMED-CT) to formulate a consistent harmonized definition of the concept. Second, we sought to obtain the Delphi consensus on the proposed definition. Results We identified 88 unique definitions of burnout and assigned each of them to 1 of the 11 original definitions. The semantic analysis yielded a first proposal, further reformulated according to SNOMED-CT and the panelists` comments as follows: "In a worker, occupational burnout or occupational physical AND emotional exhaustion state is an exhaustion due to prolonged exposure to work-related problems". A panel of 50 experts (researchers and healthcare professionals with an interest for occupational burnout) reached consensus on this proposal at the second round of the Delphi, with 82% of experts agreeing on it. Conclusion This study resulted in a harmonized definition of occupational burnout approved by experts from 29 countries within OMEGA-NET. Future research should address the reproducibility of the Delphi consensus in a larger panel of experts, representing more countries, and examine the practicability of the definition.Peer reviewe

Drug treatment demand data: influence on policy and practice =Demandes de traitment des consommateurs de drogues.

The Pompidou Group has advocated the systematic and routine collection of information on patients entering treatment for problem drug use (treatment demand data) since the mid-1980s. Two decades later, the question now being asked is whether or not this data has been used as evidence in the development of policies and practices. In this publication, authors Hamish Sinclair, Carlo Bertorello, Michela Rial and Dusan Nolimal, all members of the Pompidou Group research platform, attempt to answer this question. Three case studies describe how treatment demand data has been used in the development of drug policies and services in Ireland, Italy and Slovenia. One strong message coming out of this report is the need for more information on the outcome of treatment. Policy makers clearly need more information on patients at the end of their treatment, including information on further treatment and its effectiveness

Making voices heard: access to health and social services for substance users.

One of the fields of activity of the Correlation network over the past few years has been to stimulate and support the development of comprehensive national policies on social inclusion and health promotion targeting marginalised populations. The ‘ policy group’ of the network discussed effective approaches to contribute to that aim and stimulated the development of research in that area. The Research Institute on Drug Studies (RIDS) in Hungary centred its research on barriers to access to social and health treatment for problem drug users currently out of treatment. The main goal of the survey carried out by Foundation Mainline in The Netherlands was to find out what barriers Moroccan hard drug users in Amsterdam encounter when they intend to enter different forms of (drug) care. The survey of the Initiative for Health Foundation in Bulgaria aiming to identify means of treatment of drug dependencies and the barriers obstructing the access among problem drug users. The Institute of Public Health in Slovenia was especially interested in the possibility for participation of drug users in different research phases and in the final political discussion. On content level, key research questions were whether assistance programmes are sufficiently accessible to drug users and what the users experience as barriers to obtaining general and specialised help offered by the health care, social and non-governmental sector. In the final section gives recommendations and provides a basic toolkit on how to use research n the political debate