• Andrew R Liebenberg, Johan F Coetzee Jnr, Hofmeyr H Conradie, and Johan F Coetzee.
• Division of Family Medicine, Faculty of Medicine and Health Sciences, Stellenbosch University. andyliebenberg@gmail.com.
• Afr J Prim Health Care Fam Med. 2018 May 24; 10 (1): e1-e7.

BackgroundBurnout among doctors negatively affects health systems and, ultimately,patient care.AimTo determine the prevalence of burnout among doctors working in the district health system in the Overberg and Cape Winelands districts of the Western Cape Province and to compare the findings with those of previous South African studies.SettingRural district hospitals.MethodsDuring 2013, a validated questionnaire (Maslach Burnout Inventory) was sent to 42 doctors working in the district health system within the referral area of the Worcester Hospital, consisting of the Overberg health district and the eastern half of the Cape Winelands.ResultsResponse rate was 85.7%. Clinically significant burnout was found among 81% of respondents. High levels of burnout on all three subscales were present in 31% of participants.Burnout rates were similar to those of a previous study conducted among doctors working in the Cape Town Metropolitan Municipality primary health care facilities. Scores for emotional exhaustion (EE) and depersonalisation (DP) were greater than those of a national survey;however, the score for personal accomplishment (PA) was greater. EE and PA scores weresimilar to that of a study of junior doctors working in the Red Cross Children's Hospital;however, EE was smaller.ConclusionThis study demonstrates high burnout rates among doctors working at district level hospitals, similar to the prevalence thereof in the Cape Town Metropolitan primary health care facilities. Health services planning should include strategies to address and prevent burnout of which adequate staffing and improved work environment are of prime importance.

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