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<article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" article-type="research-article" dtd-version="1.1d1" xml:lang="en"><front><journal-meta><journal-id journal-id-type="publisher">REMEDIUM</journal-id><journal-title-group><journal-title>REMEDIUM</journal-title></journal-title-group><issn publication-format="print">1561-5936</issn><issn publication-format="electronic">2658-3534</issn><publisher><publisher-name>Joint-Stock Company Chicot</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="publisher-id">1781</article-id><article-id pub-id-type="doi">10.32687/1561-5936-2025-29-2-183-188</article-id><article-categories><subj-group subj-group-type="heading"><subject>Original Article</subject></subj-group></article-categories><title-group><article-title>Modern aspects of the problem of burnout of medical workers</article-title></title-group><contrib-group><contrib contrib-type="author"><name name-style="western"><surname>Bezymyannyy</surname><given-names>Alexey S.</given-names></name><bio></bio><email>dkd@zdrav.mos.ru</email><xref ref-type="aff" rid="aff-1"/><xref ref-type="aff" rid="aff-2"/><xref ref-type="aff" rid="aff-3"/></contrib><contrib contrib-type="author"><name name-style="western"><surname>Mingazova</surname><given-names>Elmira N.</given-names></name><bio></bio><email>elmira_mingazova@mail.ru</email><xref ref-type="aff" rid="aff-4"/><xref ref-type="aff" rid="aff-2"/><xref ref-type="aff" rid="aff-3"/></contrib></contrib-group><aff id="aff-1">Directorate for the coordination of the activities of medical organizations of the Moscow Department of Health, Moscow, Russia</aff><aff id="aff-2">Kazan State Medical University, Kazan, Russia</aff><aff id="aff-3">Russian Medical Academy of Continuous Professional Education, Moscow, Russia</aff><aff id="aff-4">N. A. Semashko National Research Institute of Public Health, Moscow, Russian Federation</aff><pub-date date-type="epub" iso-8601-date="2025-12-15" publication-format="electronic"><day>15</day><month>12</month><year>2025</year></pub-date><issue>2</issue><fpage>183</fpage><lpage>188</lpage><history><pub-date date-type="received" iso-8601-date="2025-10-17"><day>17</day><month>10</month><year>2025</year></pub-date></history><permissions><copyright-statement>Copyright © 2025,</copyright-statement><copyright-year>2025</copyright-year></permissions><abstract>Technological advances in the field of medicine, which received an additional impetus to development during the COVID-19 pandemic, and subsequent organizational changes, increased requirements for high efficiency and quality of work of medical organizations, often continue to have a significant impact on the well-being of medical workers even after the pandemic in the absence of sound management. The work environment is a key factor determining the well-being and health of medical workers. Increasing the competence of managers in determining strategies for preventive solutions to the problem of an unfavorable working environment is the main condition for reducing the spread of professional burnout syndrome and personnel shortages in medicine. A well-structured work environment, organizational and communicative cultures of medical organizations and improved working conditions of medical workers are significant determinants of the effectiveness and quality of healthcare.</abstract><kwd-group xml:lang="en"><kwd>professional burnout</kwd><kwd>health workers</kwd><kwd>management of health care organizations</kwd><kwd>work environment</kwd><kwd>quality of health care</kwd></kwd-group><kwd-group xml:lang="ru"><kwd>профессиональное выгорание</kwd><kwd>медицинские работники</kwd><kwd>управление медицинскими организациями</kwd><kwd>рабочая среда</kwd><kwd>качество медицинской помощи</kwd></kwd-group></article-meta></front><body></body><back><ref-list><ref id="B1"><label>1.</label><mixed-citation>Debie A., Nigusie A., Gedle D. et al. Building a resilient health system for universal health coverage and health security: a systematic review. Glob. Health Res. Policy. 2024;9(1):2. DOI: 10.1186/s41256-023-00340-z</mixed-citation></ref><ref id="B2"><label>2.</label><mixed-citation>Abdul Aziz A. F., Ong T. Prevalence and associated factors of burnout among working adults in Southeast Asia: results from a public health assessment. Front. Public Health. 2024;12:1326227. DOI: 10.3389/fpubh.2024.1326227</mixed-citation></ref><ref id="B3"><label>3.</label><mixed-citation>Boy Y., Sürmeli M. Quiet quitting: a significant risk for global healthcare. J. Glob. Health. 2023;13:03014. DOI: 10.7189/jogh.13.03014</mixed-citation></ref><ref id="B4"><label>4.</label><mixed-citation>Wang K., Wang X., Han Y. et al. The risk factors for burnout among nurses: an investigation study. Medicine (Baltimore). 2024;103(34):e39320. DOI: 10.1097/MD.0000000000039320</mixed-citation></ref><ref id="B5"><label>5.</label><mixed-citation>Bezymyannyy A. S., Mingazova E. N. Features of the prevalence of professional burnout among medical workers of different specialties. Problems of social hygiene, health care and history of medicine. 2024;32(2):180—186. DOI: 10.32687/0869-866X-2024-32-2-180-186</mixed-citation></ref><ref id="B6"><label>6.</label><mixed-citation>Szabo S. The post-COVID stress syndrome: from the three-stage stress response of Hans Selye to COVID-19. Inflammopharmacology. 2023;31:2799—2806. DOI: 10.1007/s10787-023-01179-z</mixed-citation></ref><ref id="B7"><label>7.</label><mixed-citation>Łaskawiec D., Grajek M., Szlacheta P., Korzonek-Szlacheta I. Postpandemic stress disorder as an effect of the epidemiological situation related to the COVID-19 pandemic. Healthcare. 2022;10:975. DOI: 10.3390/healthcare10060975</mixed-citation></ref><ref id="B8"><label>8.</label><mixed-citation>Fernández-Martínez S., Armas-Landaeta C., Pérez-Aranda A. et al. Post-COVID job stressors and their predictive role on mental health: a cross-sectional analysis between physicians and nurses. SAGE Open Nurs. 2024;10:23779608241278861. DOI: 10.1177/23779608241278861</mixed-citation></ref><ref id="B9"><label>9.</label><mixed-citation>Ungur A. P., Bârsan M., Socaciu A. I. et al. A narrative review of burnout syndrome in medical personnel. Diagnostics (Basel). 2024;14(17):1971. DOI: 10.3390/diagnostics14171971</mixed-citation></ref><ref id="B10"><label>10.</label><mixed-citation>Sun H., Zhang T., Wang X. et al. The occupational burnout among medical staff with high workloads after the COVID-19 and its association with anxiety and depression. Front. Public Health. 2023;11:1270634. DOI: 10.3389/fpubh.2023.1270634</mixed-citation></ref><ref id="B11"><label>11.</label><mixed-citation>Bezymyannyy A. S., Mingazova E. N. Features of the prevalence of professional burnout among medical workers of different specialties. Remedium. 2024;28(1):69—74. DOI: 10.32687/1561-5936-2024-28-1-69-74</mixed-citation></ref><ref id="B12"><label>12.</label><mixed-citation>Auger-Domínguez D. Burnt out to lit up: how to reignite the joy of leading people. Wiley; 2024. 240 p.</mixed-citation></ref><ref id="B13"><label>13.</label><mixed-citation>Kang J., Kim H., Cho O. H. Quiet quitting among healthcare professionals in hospital environments: a concept analysis and scoping review protocol. BMJ Open. 2023;13(11):e077811. DOI: 10.1136/bmjopen-2023-077811</mixed-citation></ref><ref id="B14"><label>14.</label><mixed-citation>Yikilmaz I., Surucu L., Maslakci A. et al. Exploring the relationship between surface acting, job stress, and emotional exhaustion in health professionals: the moderating role of LMX. Behav Sci (Basel). 2024;14(8):637. DOI: 10.3390/bs14080637</mixed-citation></ref><ref id="B15"><label>15.</label><mixed-citation>Kohnen D., De Witte H., Schaufeli W. B., Dello S., Bruyneel L., Sermeus W. What makes nurses flourish at work? How the perceived clinical work environment relates to nurse motivation and well-being: A cross-sectional study. Int J Nurs Stud. 2023;148:104567. DOI: 10.1016/j.ijnurstu.2023.104567</mixed-citation></ref><ref id="B16"><label>16.</label><mixed-citation>Wangler S., Streffing J., Simon A. et al. Measuring job satisfaction of midwives: a scoping review. PLoS One. 2022;17(10):0275327. DOI: 10.1371/journal.pone.0275327</mixed-citation></ref><ref id="B17"><label>17.</label><mixed-citation>Edú-Valsania S, Laguía A, Moriano JA. Burnout: a review of theory and measurement. Int. J. Environ. Res. Public Health. 2022;19(3):1780. DOI: 10.3390/ijerph19031780</mixed-citation></ref><ref id="B18"><label>18.</label><mixed-citation>Bezymyannyy A. S., Mingazov R. N., Mingazova E. N. International questionnaires on professional burnout, Russian experience of their adaptation in a survey of medical workers. Health Care Manager. 2024;2:93—100. DOI: 10.21045/1811-0185-2024-3-93-100</mixed-citation></ref><ref id="B19"><label>19.</label><mixed-citation>Zhang J., Tan K., Xiao X. et al. Current situation and relationship between occupational stress, burn-out and sleep quality among ambulance drivers: a cross-sectional study. BMJ Open. 2024;14(9):e089252. DOI: 10.1136/bmjopen-2024-089252</mixed-citation></ref><ref id="B20"><label>20.</label><mixed-citation>Berger-Estilita J., Salvisberg D., Köselerli E. et al. Impact of burnout on anaesthesiologists. Turk. J. Anaesthesiol. Reanim. 2024;52(2):54—59. DOI: 10.4274/TJAR.2024.241565</mixed-citation></ref><ref id="B21"><label>21.</label><mixed-citation>Wang J., Zhao S., Tong X. et al. Work-family conflict among primary health workers during the COVID-19 pandemic: its mediating role in the relationship between workload and job burnout. Journal of Clinical Nursing. 2024;33(10):3933—3942. DOI: 10.1111/jocn.17035</mixed-citation></ref><ref id="B22"><label>22.</label><mixed-citation>Collins R. T., Schadler A., Huang H., Day S. B., Bauer J. A. Impact of burnout and professional fulfillment on intent to leave among pediatric physicians: the findings of a quality improvement initiative. BMC Health Serv. Res. 2024;24(1):434. DOI: 10.1186/s12913-024-10842-2</mixed-citation></ref><ref id="B23"><label>23.</label><mixed-citation>Zhou Y., Jin T., Zhang L. Can the stress be managed? Stress mindset as a mitigating factor in the influence of job demands on burnout. Nurs. Open. 2024;11(9):e70028. DOI: 10.1002/nop2.70028</mixed-citation></ref><ref id="B24"><label>24.</label><mixed-citation>Verret C. I., Nguyen J., Verret C. et al. How do areas of work life drive burnout in orthopaedic attending surgeons, fellows, and residents? Clin. Orthop. Relat. Res. 2021;479(2):251—262. DOI: 10.1097/CORR.0000000000001457</mixed-citation></ref><ref id="B25"><label>25.</label><mixed-citation>Khalfin R. A., Madyanova V. V., Tuillet P. S. et al. Occupational burnout prevalence and associated factors among healthcare workers in Nizhny Novgorod region: the foundation “Vblagodarnost” pilot program “Taking care of healthcare”. National Health Care. 2024;5(1):38—49. DOI: 10.47093/2713-069X.2024.5.1.38—49</mixed-citation></ref><ref id="B26"><label>26.</label><mixed-citation>Burney I. A., Al Sabei S. D., Al-Rawajfah O. et al. Determinants of physicians&amp;apos; job satisfaction: a national multi-centre study from the Sultanate of Oman. Sultan Qaboos Univ. Med. J. 2023;23(2):198—205. DOI: 10.18295/squmj.8.2022.050</mixed-citation></ref><ref id="B27"><label>27.</label><mixed-citation>Alrawahi S., Sellgren S. F., Altouby S. et al. Stress and job satisfaction among medical laboratory professionals in Oman: A cross-sectional study. Heliyon. 2024;10(3):e25456. DOI: 10.1016/j.heliyon.2024.e25456</mixed-citation></ref><ref id="B28"><label>28.</label><mixed-citation>Wang H., Jin Y., Wang D. et al. Job satisfaction, burnout, and turnover intention among primary care providers in rural China: results from structural equation modeling. BMC Fam Pract. 2020;21(1):12. DOI: 10.1186/s12875-020-1083-8</mixed-citation></ref><ref id="B29"><label>29.</label><mixed-citation>Mangialavori S., Riva F., Caimi B. et al. Mental distress and well-being in geriatric professionals: the role of job satisfaction. Geriatr Nurs. 2024;58:498—505. DOI: 10.1016/j.gerinurse.2024.06.042</mixed-citation></ref><ref id="B30"><label>30.</label><mixed-citation>Romero-Carazas R., Almanza-Cabe R. B., Valero-Ancco V. N. et al. Burnout and physical activity as predictors of job satisfaction among peruvian nurses: the job demands-resources theory. J. Prim. Care Community Health. 2024;15:21501319241256265. DOI: 10.1177/21501319241256265</mixed-citation></ref><ref id="B31"><label>31.</label><mixed-citation>Bezymyannyy A. S., Mingazova E. N. Technologies for the prevention of professional burnout and maintenance of the resource status of personnel in the primary level of Moscow healthcare. Health Care Manager. 2024;6:80—86. DOI: 10.21045/1811-0185-2024-6-80-86</mixed-citation></ref><ref id="B32"><label>32.</label><mixed-citation>Norful A. A., Albloushi M., Zhao J. et al. Modifiable work stress factors and psychological health risk among nurses working within 13 countries. J. Nurs. Scholarsh. 2024;56(5):742—751. DOI: 10.1111/jnu.12994</mixed-citation></ref><ref id="B33"><label>33.</label><mixed-citation>Lester W. Work-life balance. Nephrol. Nurs. J. 2024;51(3):231—236.</mixed-citation></ref><ref id="B34"><label>34.</label><mixed-citation>Anderson S. H., Moe J. S., Abramowicz S. Work-life balance for oral and maxillofacial surgeons. Oral Maxillofac. Surg. Clin. North Am. 2021;33(4):467—473. DOI: 10.1016/j.coms.2021.05.006</mixed-citation></ref><ref id="B35"><label>35.</label><mixed-citation>Muslimov M. I., Mingazov R. N., Mingazova E. N. Shortage of medical personnel as a global problem of modern times. Health Care Manager. 2024;9:103—111. DOI: 10.21045/1811-0185-2024-9-103-111</mixed-citation></ref><ref id="B36"><label>36.</label><mixed-citation>Quesada-Puga C., Izquierdo-Espin F. J., Membrive-Jiménez M. J. et al. Job satisfaction and burnout syndrome among intensive-care unit nurses: a systematic review and meta-analysis. Intens. Crit. Care Nurs. 2024;82:103660. DOI: 10.1016/j.iccn.2024.103660</mixed-citation></ref><ref id="B37"><label>37.</label><mixed-citation>Lu D. W., Zhan T., Bilimoria K. Y. et al. Workplace mistreatment, career choice regret, and burnout in emergency medicine residency training in the United States. Ann. Emerg. Med. 2023;81(6):706—714. DOI: 10.1016/j.annemergmed.2022.10.015</mixed-citation></ref><ref id="B38"><label>38.</label><mixed-citation>Alowais S. A., Alghamdi S. S., Alsuhebany N. et al. Revolutionizing healthcare: the role of artificial intelligence in clinical practice. BMC Med Educ. 2023;23(1):689. DOI: 10.1186/s12909-023-04698-z</mixed-citation></ref><ref id="B39"><label>39.</label><mixed-citation>Deeb M., Gangadhar A., Rabindranath M. et al. The emerging role of generative artificial intelligence in transplant medicine. Am. J. Transplant. 2024;24(10):1724—1730. DOI: 10.1016/j.ajt.2024.06.009</mixed-citation></ref><ref id="B40"><label>40.</label><mixed-citation>Yu I. C., Guo J. M. The generative artificial intelligence revolution in nursing: a new chapter in enhancing care quality and education. Hu Li Za Zhi. 2024;71(2):12—19. DOI: 10.6224/JN.202404_71(2).03</mixed-citation></ref><ref id="B41"><label>41.</label><mixed-citation>Muslimov M.I., Gureev S.A., Mingazova E.N. On the issue of public and population health. Health Care Manager. 2024;7:97—105. DOI: 10.21045/1811-0185-2024-7-97-105</mixed-citation></ref></ref-list></back></article>
