Administrative burden among primary healthcare professionals and its impact mechanism on job burnout:An exploratory sequential mixed-methods study
10.3969/j.issn.1674-2982.2025.09.005
- VernacularTitle:山东省基层卫生技术人员的行政负担及其对职业倦怠的作用机制:基于探索性时序设计的混合方法
- Author:
Shi-chao ZHAO
1
;
Ming-ze XIN
;
Zi-qian TANG
;
Ya-fang DONG
;
He-xi LI
;
Hui-fen MA
;
Tao WANG
Author Information
1. 山东师范大学公共管理学院 山东 济南 250014
- Publication Type:Journal Article
- Keywords:
Administrative burden;
Job burnout;
Role conflict;
Primary healthcare professionals;
Mixed-methods research
- From:
Chinese Journal of Health Policy
2025;18(9):31-38
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To examine the manifestations and causes of administrative burden among primary healthcare professionals,and to explore its impact on job burnout through the mediating role of role conflict,providing theoretical and empirical support for governance-level burden-reduction strategies.Methods:An exploratory sequential mixed-methods design was employed,focusing on primary healthcare professionals in Shandong Province.In the first phase,in-depth interviews were conducted with 175 participants;in the second phase,a questionnaire survey of 1,096 participants and follow-up interviews with 107 participants were carried out.Results:The proportions of respondents who reported"heavy"or"very heavy"burdens were 62.7%for inspection,54.8%for documentation,51.8%for reporting,and 24.4%for meetings.Structural equation modeling showed that administrative burden had a direct effect on job burnout(0.150)and an indirect effect through role conflict(0.093).Qualitative findings further indicated that administrative burden largely stemmed from public health traceability requirements and medical insurance policies,and operated through both resource-based and value-based conflicts.Conclusions:Primary healthcare professionals face considerable administrative burdens,which may heighten job burnout through role conflict.Governance reforms should optimize inspection and assessment,streamline data reporting,refine record-keeping,and promote collaborative governance to break the chain of institutional pressure leading to burnout.
