关键词: 家庭医生团队, 职业倦怠, 隐性缺勤, 关系, 重庆

Abstract: Background　Family doctor team members are more likely to be overworked recently due to increased pressure of life and work，which may increase the prevalence of presenteeism，negatively impacting patients' health and safety，and hindering the development of family doctor services. The prevention and control of job burnout is the key to reducing high prevalence of presenteeism. Objective　To analyze the relationship between job burnout and presenteeism in family doctor team members in Chongqing. Methods　A survey was carried out with a cluster sample of members of 593 family doctor teams randomly selected from all the family doctor teams（n=8 171） in Chongqing from May to July，2020. The General Information Questionnaire（developed by us），Chinese version of Maslach Burnout Inventory-General Survey（MBI-GS-C），and Chinese version of Stanford Presenteeism Scale-6 were used for the survey，and the collected data were analyzed. Results　Altogether，13 433 of the 14 000 members（95.95%） effectively responded to the survey. The mean scores for MBI-GS-C，emotional exhaustion，depersonalization，and personal accomplishment of the respondents were （2.55±1.17），（2.48±1.49），（1.89±1.53），and（2.47±1.64） points，respectively. The job burnout prevalence was 78.93%（10 603/13 433），and presenteeism prevalence was 46.30%（6 219/13 433）. Presenteeism prevalence among family doctor team members significantly varied by gender，age，marital status，mean monthly income，highest educational attainment，affiliation，mean commute time，main reasons for choosing the job，prevalence of emotional exhaustion，depersonalization，personal accomplishment and job burnout（P<0.05）. Emotional exhaustion，depersonalization and low personal accomplishment were major influencing factors of presenteeism（P<0.01）. After controlling for demographic characteristics and occupational factors，Logistic regression analysis showed that job burnout was still associated with presenteeism，and the OR value remained relatively stable. Conclusion　Job burnout prevalence may be closely associated with presenteeism prevalence in family doctor team members，which may increase with the increase of presenteeism prevalence. And this association will not be related to demographic characteristics，socio-economic factors and occupational factors.

Key words: Family doctor team, Job burnout, Presenteeism, Association, Chongqing