# The impact of quality of work life, professional identity, and job burnout on presenteeism among family doctors: a cross-sectional study in China

## TL;DR

This study examines how work life quality, professional identity, and job burnout affect presenteeism among family doctors in China.

## Contribution

The study identifies specific factors influencing presenteeism in family doctors and suggests targeted interventions to reduce it.

## Key findings

- Higher quality of work life and professional identity are linked to lower presenteeism.
- Job burnout is positively correlated with presenteeism among family doctors.
- Work stress and emotional exhaustion significantly impact presenteeism levels.

## Abstract

To foster high-quality healthcare, family doctors plays a crucial role in China's primary healthcare system. Facing dual pressures in medical care and public health, family doctors are vulnerable group to presenteeism. This study aims to explore their quality of work life, professional identity, job burnout and the presenteeism, and analyzes the factors affecting the presenteeism.

A cross-sectional survey was conducted with 731 family doctors from May 2021 to April 2022. Pearson correlation analysis assessed the correlation between quality of work life, professional identity, job burnout and presenteeism, and multiple linear regression analysis determined the influencing factors of presenteeism.

The Work-Related Quality of Life and Professional Identity displayed negative correlations with the presenteeism (p < 0.01), and the job burnout showed positive correlations with the presenteeism (p < 0.01). Hierarchical linear regression revealed significant impacts of work stress (β = −0.144, p = 0.033), tendency to professional behavior (β = −0.239, p < 0.001), professional values (β = −0.115, p = 0.042), sense of professional belonging (β = −0.198, p = 0.004), emotional exhaustion (β = 0.168, p = 0.009), depersonalization (β = 0.183, p = 0.006), and professional efficacy (β = 0.148, p = 0.033) on presenteeism.

The study indicates that the higher the quality of work life, the higher the level of professional identity and the lower the level of job burnout, the lower will be the level of presenteeism among family doctors. Addressing these elements through targeted interventions, such as dynamic talent allocation, enhancing professional identity, and mitigating burnout, could reduce presenteeism.