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

摘要： 背景　近年来，随着生活和工作压力的不断增加，家庭医生团队“过劳”现象屡屡出现，易产生职业倦怠感。家庭医生团队的职业倦怠感可能会提高隐性缺勤水平，对患者的健康安全造成不良影响，不利于家庭医生服务的开展。如何避免其高隐性缺勤的发生，预防和控制职业倦怠是关键所在。目的　探讨重庆市家庭医生团队职业倦怠与隐性缺勤之间的关系。方法　2020年5—7月，采用整群随机抽样法，从重庆市8 171支家庭医生团队中随机选取593支团队的全部成员作为调查对象。使用一般资料调查表、马斯勒职业倦怠调查量表（MBI-GS）和斯坦福隐性缺勤中文版（SPS-6）量表对其进行调查，并对数据进行分析。结果　共发放调查问卷14 000份，回收有效问卷13 433份，回收率为95.95%。家庭医生团队职业倦怠各条目均分为（2.55±1.17）分，情感衰竭维度为（2.48±1.49）分，去人性化维度为（1.89±1.53）分，个人成就感降低维度为（2.47±1.64）分。职业倦怠阳性检出率为78.93%（10 603/13 433），高隐性缺勤发生率为46.30%（6 219/13 433）。不同性别、年龄、婚姻状况、月收入、最高学历、所在机构、平均上下班路上的时间、择业主要原因、情感衰竭、去人性化、个人成就感降低和职业倦怠的团队成员隐性缺勤高检出率比较，差异有统计学意义（P<0.05）。情感衰竭、去人性化和个人成就感降低维度是隐性缺勤的影响因素 （P<0.01）。在控制了人口学特征和职业等因素后，Logistic回归分析显示职业倦怠与隐性缺勤的关联关系依然存在，且OR值相对稳定。结论　家庭医生团队的职业倦怠和隐性缺勤存在密切关联，即职业倦怠对隐性缺勤有一定的正向影响，职业倦怠程度越高，隐性缺勤发生率越高，且这种关联不会因人口学特征、社会经济因素及职业因素的改变而不同或消失。

关键词: 家庭医生团队, 职业倦怠, 隐性缺勤, 关系, 重庆