Abstract: Background　At present，general practitioners（GPs） in China are facing many problems，such as heavy work tasks，low social recognition，and imperfect salary incentive mechanism，which make them prone to job burnout.Analyzing the factors associated with job burnout in GPs can provide a basis for stabilizing the workforce of GPs，and improving the quality of care at primary care level.Objective　To investigate the prevalence of job burnout of GPs in China and explore its influencing factors.Methods　Multistage stratified random sampling was used to conduct a questionnaire survey in 3 244 GPs with at least one year of full-time work experience in community health centers from the eastern，central，and western China between October，2017 and February，2018.The questionnaire is consisted of two parts：the first part is the sociodemographic information and the second part is the job burnout scale.Burnout was measured using the revised version of the Chinesized 22-item Maslach Burnout Inventory-Human Services Survey，including emotional exhaustion（EE），depersonalization（DP） and low personal accomplishment（PA）．Associated factors with burnout and its subscales among GPs were estimated using a stepwise binary Logistic regression model.Results　A total of 3 236（99.75%） of the GPs returned responsive questionnaires.The survey results showed that the prevalence of high EE，high DP and low PA among the respondents was 43.17%（1 397/3 236），22.93%（742/3 236） and 41.19%（1 333/3 236），respectively.Stepwise binary Logistic regression analysis revealed that location，educational level，working hours per day，and overtime were associated with high EE（P<0.05）．Location，sex，years of working as a GP，and income level were associated with high DP（P<0.05）．Location，age，and working hours per day were associated with low PA （P<0.05）．Conclusion　The prevalence of burnout among Chinese GPs is high，which is more often manifested as EE and low PA.The associated factors for burnout are complex and various.Actions such as optimizing the working hours，reducing the work intensity，increasing the wages，and attaching importance to the career prospect are needed to relieve the burnout of GPs.

Key words: General practitioners, Community health service institutions, Burnout, Health manpower, Root cause analysis

摘要： 背景　目前我国全科医生面临着工作压力较大、社会认可度不高、薪酬激励机制有待完善等问题，容易产生职业倦怠，分析其职业倦怠的影响因素，可以为稳定全科医生队伍、提升基层医疗卫生服务质量和水平提供依据。目的　探讨我国全科医生的职业倦怠状况及影响因素。方法　于2017年10月—2018年2月，采用多阶段分层随机抽样法在我国东、中、西部抽取社区卫生服务机构工作年限≥1年的全科医生3 244例进行问卷调查，内容包括全科医生的基本情况、职业倦怠状况，其中职业倦怠调查量表参照马斯勒倦怠量表-服务行业版（MBI-HSS）翻译修订而来，包括情感耗竭、去人格化、个人成就感降低3个维度。采用二分类Logistic逐步回归分析全科医生各维度倦怠程度的影响因素。结果　3 236例（99.75%）全科医生的问卷被有效回收。在情感耗竭、去人格化、个人成就感降低维度，处于高度倦怠的全科医生占比分别为43.17%（1 397/3 236）、22.93%（742/3 236）、41.19%（1 333/3 236）。二分类Logistic逐步回归分析结果显示，地区、文化程度、每日工作时间、加班情况是全科医生情感耗竭维度是否发生高度倦怠的影响因素（P<0.05）；地区、性别、从事全科医生工作年限、收入水平是全科医生去人格化维度是否发生高度倦怠的影响因素（P<0.05）；地区、年龄、每日工作时间是全科医生个人成就感降低维度是否发生高度倦怠的影响因素（P<0.05）。结论　我国全科医生的职业倦怠较为严重，尤其是情感耗竭、个人成就感降低维度。影响全科医生职业倦怠的因素较多，建议优化全科医生工作时间、减少全科医生工作强度、提高全科医生薪酬待遇、重视全科医生的职业发展，从而缓解全科医生职业倦怠。

关键词: 全科医生, 社区卫生服务机构, 职业倦怠, 卫生人力, 影响因素分析