{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,25]],"date-time":"2026-02-25T14:42:58Z","timestamp":1772030578214,"version":"3.50.1"},"reference-count":19,"publisher":"BMJ","issue":"3","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["BMJ Open"],"accepted":{"date-parts":[[2012,5,3]]},"published-print":{"date-parts":[[2012]]},"abstract":"<jats:sec>\n                    <jats:title>Aim<\/jats:title>\n                    <jats:p>To characterise the prevalence of burnout syndrome in a sample of family doctors (FDs) working in the Portuguese National Health System.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design<\/jats:title>\n                    <jats:p>Cross-sectional survey.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Setting<\/jats:title>\n                    <jats:p>Primary healthcare centres from the 18 continental districts and two archipelagos of Portugal.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Method<\/jats:title>\n                    <jats:p>The Portuguese version of the Maslach Burnout Inventory\u2014Human Services Survey was sent to 40 randomly selected healthcare centres and distributed to the FDs employed. Socio-demographic and work-related data were also collected. Participants were classified as having high, average or low levels of emotional exhaustion (EE), depersonalisation (DP) and personal accomplishment (PA) dimensions of burnout.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>371 questionnaires were sent, of which 153 (83 women, age range 29\u201364\u2005years; response rate 41%) returned. One-quarter (25.3%, 95% CI 18.6% to 33.1%) of FDs scored high for EE, 16.2% (10.7% to 23.2%) for DP and 16.7% (11.1% to 23.6%) for lack of PA. On multivariate analysis, being married, of older age, having many years of practice or working in a personalised healthcare unit tended to be associated with increased burnout components. Men tended to present higher EE and DP but lower lack of PA than women. Finally, the prevalence (95% CI) of burnout ranged between 4.1% (1.5% to 8.6%) and 32.4% (25.0% to 40.6%), depending on the definition used.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>High burnout is relatively common among Portuguese FDs. Burnout relief measures should be developed in order to prevent a further increase of burnout syndrome among Portuguese FDs.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1136\/bmjopen-2012-001050","type":"journal-article","created":{"date-parts":[[2012,6,18]],"date-time":"2012-06-18T23:55:09Z","timestamp":1340063709000},"page":"e001050","source":"Crossref","is-referenced-by-count":35,"title":["Burnout levels among Portuguese family doctors: a nationwide survey"],"prefix":"10.1136","volume":"2","author":[{"given":"Gisela","family":"Marcelino","sequence":"first","affiliation":[]},{"given":"Jo\u00e3o Melich","family":"Cerveira","sequence":"additional","affiliation":[]},{"given":"In\u00eas","family":"Carvalho","sequence":"additional","affiliation":[]},{"given":"Jo\u00e3o Azeredo","family":"Costa","sequence":"additional","affiliation":[]},{"given":"Marta","family":"Lopes","sequence":"additional","affiliation":[]},{"given":"Nelson Encarna\u00e7\u00e3o","family":"Calado","sequence":"additional","affiliation":[]},{"given":"Pedro","family":"Marques-Vidal","sequence":"additional","affiliation":[]}],"member":"239","published-online":{"date-parts":[[2012,6,18]]},"reference":[{"key":"2025121408051514000_2.3.e001050.1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(11)60145-1"},{"key":"2025121408051514000_2.3.e001050.2","doi-asserted-by":"crossref","unstructured":"Monn MA . Mindfulness Program Staves Off Primary Care Burnout. Family Practice News 2009.","DOI":"10.1016\/S0300-7073(09)70841-2"},{"key":"2025121408051514000_2.3.e001050.3","doi-asserted-by":"publisher","DOI":"10.1093\/fampra\/cmn038"},{"key":"2025121408051514000_2.3.e001050.4","unstructured":"Delbrouck M . S\u00edndrome de Exaust\u00e3o (Burnout). 2006. Climepsi ed."},{"key":"2025121408051514000_2.3.e001050.5","first-page":"1","article-title":"Burnout in the medical profession - causes, consequences and solutions","volume":"3","author":"de Valk","year":"2007","journal-title":"Occup Health Work"},{"key":"2025121408051514000_2.3.e001050.6","unstructured":"Portuguese Ministry of Health. Portal da Sa\u00fade. 2010. http:\/\/www.portaldasaude.pt\/portal"},{"key":"2025121408051514000_2.3.e001050.7","doi-asserted-by":"publisher","DOI":"10.1007\/s11606-008-0536-x"},{"key":"2025121408051514000_2.3.e001050.8","doi-asserted-by":"publisher","DOI":"10.1001\/jama.292.23.2880"},{"key":"2025121408051514000_2.3.e001050.9","doi-asserted-by":"publisher","DOI":"10.1080\/08870440108405527"},{"key":"2025121408051514000_2.3.e001050.10","doi-asserted-by":"publisher","DOI":"10.1136\/oem.60.suppl_1.i16"},{"key":"2025121408051514000_2.3.e001050.11","doi-asserted-by":"crossref","first-page":"108","DOI":"10.1157\/13071919","article-title":"Burn-out in Spanish general practitioners","volume":"35","author":"Esteva","year":"2005","journal-title":"Aten Primaria"},{"key":"2025121408051514000_2.3.e001050.12","doi-asserted-by":"crossref","first-page":"101","DOI":"10.4414\/smw.2005.10841","article-title":"Psychosocial and professional characteristics of burnout in Swiss primary care practitioners: a cross-sectional survey","volume":"135","author":"Goehring","year":"2005","journal-title":"Swiss Med Wkly"},{"key":"2025121408051514000_2.3.e001050.13","doi-asserted-by":"crossref","first-page":"w13070","DOI":"10.4414\/smw.2010.13070","article-title":"Trend of burnout among Swiss doctors","volume":"140","author":"Arigoni","year":"2010","journal-title":"Swiss Med Wkly"},{"key":"2025121408051514000_2.3.e001050.14","doi-asserted-by":"publisher","DOI":"10.1001\/jama.288.12.1447"},{"key":"2025121408051514000_2.3.e001050.15","unstructured":"Web page. M\u00e9dicos reivindicam progress\u00e3o na carreira. http:\/\/www.asemana.publ.cv\/spip.php?article34856"},{"key":"2025121408051514000_2.3.e001050.16","unstructured":"Maslach C Jackson S . MBI-Human Services Survey. http:\/\/www.mindgarden.com\/products\/mbi.htm"},{"key":"2025121408051514000_2.3.e001050.17","unstructured":"World Health Organisation. European Health For All Database. 2010. http:\/\/data.euro.who.int\/hfadb\/"},{"key":"2025121408051514000_2.3.e001050.18","unstructured":"Web page. Portugal: The Healthcare System. http:\/\/www.uemo.eu\/gp-in-europe\/86-portugal.html"},{"key":"2025121408051514000_2.3.e001050.19","unstructured":"Web page. General Practitioners in the UK. http:\/\/www.rxpgonline.com\/article1292.html"}],"container-title":["BMJ Open"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bmjopen-2012-001050","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,12,14]],"date-time":"2025-12-14T16:05:30Z","timestamp":1765728330000},"score":1,"resource":{"primary":{"URL":"https:\/\/bmjopen.bmj.com\/lookup\/doi\/10.1136\/bmjopen-2012-001050"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2012]]},"references-count":19,"journal-issue":{"issue":"3","published-online":{"date-parts":[[2012,6,18]]},"published-print":{"date-parts":[[2012]]}},"alternative-id":["10.1136\/bmjopen-2012-001050"],"URL":"https:\/\/doi.org\/10.1136\/bmjopen-2012-001050","relation":{},"ISSN":["2044-6055","2044-6055"],"issn-type":[{"value":"2044-6055","type":"print"},{"value":"2044-6055","type":"electronic"}],"subject":[],"published":{"date-parts":[[2012]]}}}