EC Psychology and Psychiatry

Review Article Volume 12 Issue 1 - 2023

The Prevalence of Burnout among Physicians in Saudi Arabia: A Review

Sultan AM Sultan1* and Noran AM Sultan2

1Department of Psychiatry, Psychiatry Saudi Board Program, Saudi Arabia

2Department of General Surgery, King Abdulaziz General Hospital, Makkah, Saudi Arabia

*Corresponding Author: Sultan AM Sultan, Department of Psychiatry, Psychiatry Saudi Board Program, Saudi Arabia.
Received: December 11, 2022; Published: December 21, 2022



The aim of this study is to review the current state of published literature (1993-2022) on the prevalence of burnout among pooled physicians regardless their specialties and professional rank in Saudi Arabia. Health care services organizations and researchers would be benefited from the outcome of this review. PubMed and Google Scholar were the source of data. Published original studies in English language, applied Maslach Burnout Inventory (MBI) as a tool to assess burnout prevalence. Twenty two Cross-sectional independent original studies published between 2005 and 2022 and consisted of 3329 participants were included in this study. The estimated arithmetic mean of seven studies for EE score is 20.3329 ± 5.3460, 95% CI 16.3728 - 24.2930, DP score 9.0214 ± 1.9322, 95% CI 7.5883 - 10.4525, and PA score 25.5614 ± 10.39, 95% CI 17.8647 - 33.2581. The cut-off score values were variable between studies, for high emotional exhaustion (HEE) score were ≥ 26, ≥ 27, ≥ 28, and ≥ 30, high depersonalization (HDP) ≥ 9, ≥ 10, ≥ 11, ≥ 12, and ≥ 13, and low personal accomplishment (LPA) ≤ 29, ≤ 30, ≤ 31, and ≤ 33. Estimated arithmetic mean and 95% confidence intervals of burnout prevalence rate based on HEE, HDP, and LPA percentage (19 studies) were HEE 42.7032%, (33.5707% - 51.8317%); HDP 39.8753%, (35.9915 - 47.4875); and LPA 39.0874%, (29.0954 - 49.0794). Estimated arithmetic mean and 95% confidence intervals of burnout prevalence rate based on tri-dimensional burnout criteria HEE, HDP, and LPA is 15.6043, (8.6030 - 22.6056|). There was variation between studies in methodology, cut-off score, burnout definition and expression, and data presentation.

Keywords: Burnout; Physician Burnout; Burnout Prevalence; Saudi Physician; Maslach Burnout Inventory

  1. Freudenberger HJ. “Staff burnout”. Journal of Social Issues 30 (1974): 159-165.
  2. Maslach C and Jackson SE. “The measurement of experienced burnout”. Journal of Organizational Behavior 2 (1981): 99-113.
  3. Maslach C and Leiter MV. “Understanding the burnout experience: Recent research and its implications for psychiatry”. World Psychiatry 15 (2016): 103-111.
  4. World Health Organization. Burn-out an “occupational phenomenon”: International Classification of Diseases. Geneva: World Health Organization (2019).
  5. Salvagioni DAJ., et al. “Physical, psychological and occupational consequences of job burnout: a systematic review of prospective studies”. PLOS One 12 (2017): e0185781.
  6. Garcia C de L., et al. “Influence of Burnout on Patient Safety: Systematic Review and Meta-Analysis”. Medicina9 (2019): 553.
  7. Udemezue O Imo. “Burnout and psychiatric morbidity among doctors in the UK: a systematic literature review of prevalence and associated factors”. BJ Psych Bulletin 41 (2017): 197-204.
  8. Patel RS., et al. “Factors related to physician burnout and its consequence: A review”. Behavioral Sciences 8 (2018): 98.
  9. Shanafelt TD., et al. “Changes in burnout and satisfaction with work-life balance in physicians and the general US working population between 2011 and 2014”. Mayo Clinic Proceedings 90 (2015): 1600-1613.
  10. Panagioti M., et al. “Association between physician burnout and patient safety, professionalism, and patient satisfaction: A Systematic Review and Meta-analysis”. JAMA Internal Medicine 178 (2018): 1317-1331.
  11. Tawfik DS., et al. “Physician burnout, well-being, and work unit safety grades in relationship to reported medical errors”. Mayo Clinic Proceedings 93 (2018): 1571-1580.
  12. Dewa CS., et al. “The relationnship between physician burnout and quality of healthcare in terms of safety and acceptability: a systematic review”. BMJ Medical Education 17 (2017): 195.
  13. Tawfik DS., et al. “Evidence Relating Health Care Provider Burnout and Quality of Care: A Systematic Review and Meta-analysis”. Annals of Internal Medicine 171 (2019): 555-567.
  14. Han S., et al. “Estimating the attributable cost of physician burnout in the United States”. Annals of Internal Medicine 170 (2019): 784-790.
  15. Owoc J., et al. “Association between physician burnout and self-reported errors: Meta-analysis”. Journal of Patient Safety 18 (2022): e180-e188.
  16. Sadat-Ali M., et al. “Are orthopedic surgeons prone to burnout?” Saudi Medical Journal 26 (2005): 1180-1182.
  17. Al-Otaibi MLS., et al. “Burnout syndrome among southern region orthopedic surgeons, Saudi Arabia”. Journal of Family Medicine and Primary Care 9 (2020): 2442-2447.
  18. Al-Youbi RA and Jan AA. “Burnout syndrome in pediatric practice”. Oman Medical Journal 28 (2013): 252-254.
  19. Alaslani MH., et al. “Are emergency medicine physicians at higher risk for burnout? An experience from Saudi Arabia”. International Journal of Advanced Research 4 (2016): 1675-1681.
  20. Alsaawi A., et al. “Risk of burnout among emergency medicine physicians at tertiary care in Saudi Arabia”. Journal of Hospital Administration 3 (2014): 20-24.
  21. Alsaawi A., et al. “Burnout among emergency medicine physicians in Saudi Arabia: A cross-sectional study”. Journal of Health informatics in Developing Countries (2019): 13.
  22. Al-Sareai NS., et al. “Magnitude and risk factors for burnout among primary health care physicians in Asir province, Saudi Arabia”. Eastern Mediterranean Health Journal 19 (2013): 426-434.
  23. Selaihem AA. “Prevalence of burnout amongst physicians working in primary care in Riyadh military hospital, Saudi Arabia”. International Journal of Medical Science and Public Health 2 (2013): 410-419.
  24. Bawakid K., et al. “Burnout of Physicians Working in Primary Health Care Centers under Ministry of Health Jeddah, Saudi Arabia”. Cures 9 (2017): e1877.
  25. Al-Hadad A., et al. “Prevalence of burnout syndrome and its related risk factors among physicians working in primary health care centers of ministry of health. Al Ahsa region, Saudi Arabia, 2018 – 2019”. Journal of Family Medicine and Primary Care 9 (2020): 571-579.
  26. Aldrees T M., et al. “Physician well-being: prevalence of burnout and associated risk factors in a tertiary hospital, Riyadh, Saudi Arabia”. Annals of Saudi Medicine 33 (2013): 451-456.
  27. Agha A., et al. “Burnout among middle-grade doctors of tertiary care hospital in Saudi Arabia”. Work 51 (2015): 839-847.
  28. Marzouki H., et al. “Burnout and job satisfaction among physicians in a Saudi tertiary care center: a cross-sectional study”. International Journal of Medicine in Developing Countries 3 (2019): 990-997.
  29. Almostadi L., et al. “Association between burnout and sleep quality among physicians working in primary health care under ministry of health, Jeddah 2019”. Journal of Preventive Medicine and Holistic Health 5 (2019): 20-26.
  30. Ghazwani EY. “Prevalence and determinants of burnout among palliative care clinicians in Saudi Arabia”. Frontiers in Public Health 9 (2022): 834407.
  31. AlHadi AN., et al. “Prevalence and treatment preference of burnout, depression, and anxiety among mental health professionals in Saudi Arabia”. Journal of Natural Science, Biology and Medicine 5 (2022): 57-64.
  32. Mohamed N., et al. “Prevalence of burnout among physicians at king Salman armed forces hospitals, Tabuk, Saudi Arabia”. Rheumatic Diseases and Treatment Journal 2 (2021): 1-5.
  33. Alqahtani AM., et al. “Burnout syndrome among emergency physicians and nurses in Abha and Khamis Mushait cities, Aseer region, Southwestern Saudi Arabia”. The Scientific World Journal (2019): 4515972.
  34. Alwashmi A H and Alkhamees AA. “Burnout and the psychological impact among physiatrists in Saudi Arabia during COVID-19”. International Journal of Environmental Research and Public Health 18 (2021): 9621.
  35. Shbeer A and Ageel M. “Assessment of occupational burnout intensive care unit staff in Jazan, Saudi Arabia, using the Maslach Burnout Inventory”. Critical Care Research and Practice (2022): 1298887.
  36. Alshreem RM., et al. “Prevalence of burnout and its impact on self-reported patient care among primary health care physicians at king Abdul-Aziz medical city in Riyadh region”. Journal of Family Medicine and Primary Care 11 (2022): 4624-4630.
  37. Babiker M B., et al. An evaluation of burnout among physicians in family medicine centers in Jubail industrial city, Saudi Arabia 9 (2021): 15-24.
  38. Sanfilippo F., et al. “Prevalence of burnout among intensive care physicians: a systematic review”. Revista Brasileira de Terapia Intensiva 32 (2020): 458-467.
  39. Rotenstein LS., et al. “Prevalence of burnout among physicians: A Systematic Review”. The Journal of the American Medical Association 320 (2018): 1131-1150.
  40. Karuna C., et al. “Prevalence of burnout among GPs: a systematic review and meta-analysis”. British Journal of General Practice 72 (2022): e316-e324.
  41. Kansoun Z., et al. “Burnout in French physicians: A systematic review and meta-analysis”. Journal of Affective Disorders 246 (2019): 132-147.
  42. Shen X., et al. “The global prevalence of burnout among general practitioners: a systematic review and meta-analysis”. Family Practice 39 (2022): 943-950.
  43. Shanafelt TD., et al. “Changes in burnout and satisfaction with work-Life integration in physicians and the general US working population b43.etween”. Mayo Clinic Proceedings 94 (2019): 1681-1694.
  44. Wang J., et al. “Prevalence of burnout among intensivists in mainland China: a nationwide cross-sectional survey”. Critical Care 25 (2021): 8.
  45. Hiver C., et al. “Burnout prevalence among European physicians: a systematic review and meta-analysis”. International Archives of Occupational and Environmental Health 95 (2022): 259-273.
  46. Soler JK., et al. “Burnout in European family doctors: the EGPRN study”. Family Practice 25 (2008): 245-265.
  47. Verougstraete D and Idrissi S H. “The impact of burn-out on emergency physicians and emergency medicine residents: a systematic review” (2019): 57-79.
  48. Zhang Q., et al. “Burnout in emergency medicine physicians. A meta-analysis and systematic review”. Medicine (Baltimore)32 (2020): e21462.
  49. Rotstein S., et al. “Psychiatrist burnout: a meta-analysis of Maslach Burnout Inventory means”. Australian Psychiatry3 (2019): 249-254.
  50. Bykov KV., et al. “Prevalence of burnout among psychiatrists: A systematic review and meta-analysis”. Journal of Affective Disorders 308 (2022): 47-64.

Sultan AM Sultan and Noran AM Sultan. The Prevalence of Burnout among Physicians in Saudi Arabia: A Review. EC Psychology and Psychiatry 12.1 (2023): 63-79.