<?xml version="1.0" encoding="ISO-8859-1"?><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">
<front>
<journal-meta>
<journal-id>0213-9111</journal-id>
<journal-title><![CDATA[Gaceta Sanitaria]]></journal-title>
<abbrev-journal-title><![CDATA[Gac Sanit]]></abbrev-journal-title>
<issn>0213-9111</issn>
<publisher>
<publisher-name><![CDATA[Sociedad Española de Salud Pública y Administración Sanitaria (SESPAS)]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S0213-91112025000102219</article-id>
<article-id pub-id-type="doi">10.1016/j.gaceta.2025.1025</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Prevalencia de burnout en profesionales de atención primaria del Sistema Nacional de Salud: revisión sistemática y metaanálisis]]></article-title>
<article-title xml:lang="en"><![CDATA[Prevalence of burnout in primary care professionals of National Health System: systematic review and meta-analysis]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Beltrán-Gómez]]></surname>
<given-names><![CDATA[Estefanía]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Castro]]></surname>
<given-names><![CDATA[Antonio Pujol-de]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Vaquero-Cepeda]]></surname>
<given-names><![CDATA[Pablo]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Catalá-López]]></surname>
<given-names><![CDATA[Ferrán]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
<xref ref-type="aff" rid="Aaf"/>
<xref ref-type="aff" rid="A a"/>
<xref ref-type="aff" rid="A6"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Hospital Universitario Río Hortega Servicio de Medicina Preventiva ]]></institution>
<addr-line><![CDATA[Valladolid ]]></addr-line>
<country>España</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Hospital Clínico San Carlos Servicio de Medicina Preventiva ]]></institution>
<addr-line><![CDATA[Madrid ]]></addr-line>
<country>España</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,Complejo Asistencial Universitario de Salamanca Servicio de Medicina Preventiva ]]></institution>
<addr-line><![CDATA[Salamanca ]]></addr-line>
<country>España</country>
</aff>
<aff id="Af4">
<institution><![CDATA[,Consejo Superior de Investigaciones Científicas (CSIC) Centro de Ciencias Humanas y Sociales Instituto de Políticas y Bienes Públicos (IPP)]]></institution>
<addr-line><![CDATA[Madrid ]]></addr-line>
<country>España</country>
</aff>
<aff id="Af5">
<institution><![CDATA[,Instituto de Salud Carlos III Centro de Investigación Biomédica en Red de Salud Mental (CIBERSAM) ]]></institution>
<addr-line><![CDATA[Madrid ]]></addr-line>
<country>España</country>
</aff>
<aff id="Af6">
<institution><![CDATA[,Ottawa Hospital Research Institute Clinical Epidemiology Program ]]></institution>
<addr-line><![CDATA[Ottawa Ontario]]></addr-line>
<country>Canadá</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>00</month>
<year>2025</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>00</month>
<year>2025</year>
</pub-date>
<volume>39</volume>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.isciii.es/scielo.php?script=sci_arttext&amp;pid=S0213-91112025000102219&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.isciii.es/scielo.php?script=sci_abstract&amp;pid=S0213-91112025000102219&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.isciii.es/scielo.php?script=sci_pdf&amp;pid=S0213-91112025000102219&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[RESUMEN  Objetivo: Analizar la prevalencia del síndrome de burnout en los profesionales que trabajan en atención primaria del Sistema Nacional de Salud.  Método:  Se hicieron búsquedas en PubMed/MEDLINE, EMBASE y PsycINFO (hasta mayo de 2025) y se incluyeron estudios observacionales realizados en España que presentaran la prevalencia de burnout en profesionales de atención primaria (p. ej., médicos, enfermeras, administrativos y otros). De cada estudio se extrajeron las características metodológicas y los resultados, y se evaluó su calidad. Se realizó una síntesis con metaanálisis de efectos aleatorios para el cálculo de proporciones. Registro del protocolo: Open Science Framework (https://osf.io/b9jmp/).  Resultados:  Se incluyeron 39 estudios con 9465 participantes. Para la variable principal, se encontró una prevalencia de burnout del 18% (IC95%: 13-24%; 25 estudios; 6310 participantes; I2 = 96,7%). Por categoría profesional, las prevalencias fueron del 24% (IC95%: 16-32%) en médicos, el 17% (IC95%: 6-32%) en enfermeras, el 11% (IC95%: 2-27%) en administrativos y el 5% (IC95%: 0-16%) en otros profesionales. Se encontraron diferencias según el criterio diagnóstico: prevalencia del 52% (IC95%: 40-63%) en médicos y del 44% (IC95%: 26-63%) en enfermeras utilizando una dimensión; 27% (IC95%: 20-34%) en médicos y 18% (IC95%: 5-36%) en enfermeras para dos dimensiones; y 21% (IC95%: 13-31%) en médicos y 12% (IC95%: 1-33%) en enfermeras para tres dimensiones de burnout.  Conclusiones:  Se observan altas prevalencias del síndrome de burnout en profesionales que trabajan en atención primaria del Sistema Nacional de Salud, con variaciones según la categoría profesional y el criterio diagnóstico. Parece necesario promover acciones tanto individuales como organizativas para disminuir la carga asociada al burnout entre los profesionales.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[ABSTRACT  Objective:  To analyze the prevalence of burnout syndrome in primary care professionals working in the National Health System.  Method:  We searched PubMed/MEDLINE, EMBASE, and PsycINFO (up to May 2025). Observational studies conducted in Spain reporting the prevalence of burnout in professionals working in primary care (e.g., physicians, nurses, administrative staff and others) were included. From each study, methodological characteristics and results were extracted and their quality was evaluated. We performed a narrative synthesis with random effects meta-analysis to calculate proportions. Protocol registration: Open Science Framework (https://osf.io/b9jmp/).  Results:  Thirty-nine studies with 9465 participants were included. For the primary outcome measure, a burnout prevalence of 18% (95%CI: 13-24%; 25 studies; 6310 participants; I2 = 96.7%) was found. By professional category, the prevalence rates were: 24% (95%CI: 16-32%) in physicians, 17% (95%CI: 6- 32%) in nurses, 11% (95%CI: 2-27%) in administrative staff, and 5% (95%CI: 0-16%) in other professionals. Differences were found according to the diagnostic criterion used: a prevalence of 52% (95%CI: 40-63%) in physicians and 44% (95%CI: 26-63%) in nurses using one dimension; 27% (95% CI: 20-34%) in physicians and 18% (95%CI: 5-36%) in nurses for two dimensions; and 21% (95%CI: 13-31%) in physicians and 12% (95%CI: 1-33%) in nurses for three dimensions of burnout.  Conclusions:  High prevalence of burnout syndrome was observed among primary care professionals working in the National Health System, with variations depending on professional category and diagnostic criteria. It seems necessary to promote actions at the individual and organizational levels to reduce the burden associated with burnout among professionals.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Atención primaria]]></kwd>
<kwd lng="es"><![CDATA[Burnout]]></kwd>
<kwd lng="es"><![CDATA[Desgaste profesional]]></kwd>
<kwd lng="es"><![CDATA[Enfermeras]]></kwd>
<kwd lng="es"><![CDATA[Epidemiología]]></kwd>
<kwd lng="es"><![CDATA[Médicos]]></kwd>
<kwd lng="es"><![CDATA[Metaanálisis]]></kwd>
<kwd lng="es"><![CDATA[Prevalencia]]></kwd>
<kwd lng="es"><![CDATA[Revisión sistemática]]></kwd>
<kwd lng="en"><![CDATA[Primary care]]></kwd>
<kwd lng="en"><![CDATA[Burnout]]></kwd>
<kwd lng="en"><![CDATA[Nurses Epidemiology]]></kwd>
<kwd lng="en"><![CDATA[Physicians]]></kwd>
<kwd lng="en"><![CDATA[Meta-analysis]]></kwd>
<kwd lng="en"><![CDATA[Prevalence]]></kwd>
<kwd lng="en"><![CDATA[Systematic review]]></kwd>
</kwd-group>
</article-meta>
</front><back>
<ref-list>
<ref id="B1">
<label>1</label><nlm-citation citation-type="book">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Maslach]]></surname>
<given-names><![CDATA[C]]></given-names>
</name>
<name>
<surname><![CDATA[Jackson]]></surname>
<given-names><![CDATA[SE]]></given-names>
</name>
<name>
<surname><![CDATA[Leiter]]></surname>
<given-names><![CDATA[MP]]></given-names>
</name>
</person-group>
<source><![CDATA[Maslach Burnout Inventory Manual]]></source>
<year>2017</year>
<edition>4 th ed</edition>
<publisher-loc><![CDATA[Menlo Park ]]></publisher-loc>
<publisher-name><![CDATA[Mind Garden]]></publisher-name>
</nlm-citation>
</ref>
<ref id="B2">
<label>2</label><nlm-citation citation-type="">
<collab>World Health Organization</collab>
<source><![CDATA[International Classification of Diseases, Eleventh Revision (ICD-11). QD85 Burnout]]></source>
<year></year>
</nlm-citation>
</ref>
<ref id="B3">
<label>3</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Clifton]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
<name>
<surname><![CDATA[Bonnell]]></surname>
<given-names><![CDATA[L]]></given-names>
</name>
<name>
<surname><![CDATA[Hitt]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Differences in occupational burnout among primary care professionals]]></article-title>
<source><![CDATA[J Am Board Fam Med]]></source>
<year>2021</year>
<volume>34</volume>
<page-range>1203-11</page-range></nlm-citation>
</ref>
<ref id="B4">
<label>4</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Guille]]></surname>
<given-names><![CDATA[C]]></given-names>
</name>
<name>
<surname><![CDATA[Sen]]></surname>
<given-names><![CDATA[S]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Burnout, depression, and diminished well-being among physicians]]></article-title>
<source><![CDATA[N Engl J Med]]></source>
<year>2024</year>
<volume>391</volume>
<page-range>1519-27</page-range></nlm-citation>
</ref>
<ref id="B5">
<label>5</label><nlm-citation citation-type="book">
<collab>National Academies of Sciences, Engineering, and Medicine</collab>
<collab>National Academy of Medicine</collab>
<collab>Committee on Systems Approaches to Improve Patient Care by Supporting Clinician Well-Being</collab>
<article-title xml:lang=""><![CDATA[Factors contributing to clinician burnout and professional well-being]]></article-title>
<source><![CDATA[Taking action against clinician burnout: a systems approach to professional well-being]]></source>
<year>2019</year>
<publisher-loc><![CDATA[Washington (DC) ]]></publisher-loc>
<publisher-name><![CDATA[National Academies Press (US)]]></publisher-name>
</nlm-citation>
</ref>
<ref id="B6">
<label>6</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Willard-Grace]]></surname>
<given-names><![CDATA[R]]></given-names>
</name>
<name>
<surname><![CDATA[Knox]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[Huang]]></surname>
<given-names><![CDATA[B]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Burnout and health care workforce turnover]]></article-title>
<source><![CDATA[Ann Fam Med]]></source>
<year>2019</year>
<volume>17</volume>
<page-range>36-41</page-range></nlm-citation>
</ref>
<ref id="B7">
<label>7</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Gómez-Urquiza]]></surname>
<given-names><![CDATA[JL]]></given-names>
</name>
<name>
<surname><![CDATA[Monsalve-Reyes]]></surname>
<given-names><![CDATA[CS]]></given-names>
</name>
<name>
<surname><![CDATA[San Luis-Costas]]></surname>
<given-names><![CDATA[C]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Factores de riesgo y niveles de burnout en enfermeras de atención primaria una revisión sistemática]]></article-title>
<source><![CDATA[Aten Primaria]]></source>
<year>2017</year>
<volume>49</volume>
<page-range>77-85</page-range></nlm-citation>
</ref>
<ref id="B8">
<label>8</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Quigley]]></surname>
<given-names><![CDATA[DD]]></given-names>
</name>
<name>
<surname><![CDATA[Slaughter]]></surname>
<given-names><![CDATA[ME]]></given-names>
</name>
<name>
<surname><![CDATA[Qureshi]]></surname>
<given-names><![CDATA[N]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Associations of primary care provider burnout with quality improvement, patient experience measurement, clinic culture, and job satisfaction]]></article-title>
<source><![CDATA[J Gen Intern Med]]></source>
<year>2024</year>
<volume>39</volume>
<page-range>1567-74</page-range></nlm-citation>
</ref>
<ref id="B9">
<label>9</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Abraham]]></surname>
<given-names><![CDATA[CM]]></given-names>
</name>
<name>
<surname><![CDATA[Zheng]]></surname>
<given-names><![CDATA[K]]></given-names>
</name>
<name>
<surname><![CDATA[Poghosyan]]></surname>
<given-names><![CDATA[L]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Predictors and outcomes of burnout among primary care providers in the United States: a systematic review]]></article-title>
<source><![CDATA[Med Care Res Rev]]></source>
<year>2020</year>
<volume>77</volume>
<page-range>387-401</page-range></nlm-citation>
</ref>
<ref id="B10">
<label>10</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Rotenstein]]></surname>
<given-names><![CDATA[LS]]></given-names>
</name>
<name>
<surname><![CDATA[Torre]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[Ramos]]></surname>
<given-names><![CDATA[MA]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Prevalence of burnout among physicians: a systematic review]]></article-title>
<source><![CDATA[JAMA]]></source>
<year>2018</year>
<volume>320</volume>
<page-range>1131-50</page-range></nlm-citation>
</ref>
<ref id="B11">
<label>11</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Karuna]]></surname>
<given-names><![CDATA[C]]></given-names>
</name>
<name>
<surname><![CDATA[Palmer]]></surname>
<given-names><![CDATA[V]]></given-names>
</name>
<name>
<surname><![CDATA[Scott]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Prevalence of burnout among GPs: a systematic review and meta-analysis]]></article-title>
<source><![CDATA[Br J Gen Pract]]></source>
<year>2022</year>
<volume>72</volume>
<page-range>e316-24</page-range></nlm-citation>
</ref>
<ref id="B12">
<label>12</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Shen]]></surname>
<given-names><![CDATA[X]]></given-names>
</name>
<name>
<surname><![CDATA[Xu]]></surname>
<given-names><![CDATA[H]]></given-names>
</name>
<name>
<surname><![CDATA[Feng]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[The global prevalence of burnout among general practitioners: a systematic review and meta-analysis]]></article-title>
<source><![CDATA[Fam Pract]]></source>
<year>2022</year>
<volume>39</volume>
<page-range>943-50</page-range></nlm-citation>
</ref>
<ref id="B13">
<label>13</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Monsalve-Reyes]]></surname>
<given-names><![CDATA[CS]]></given-names>
</name>
<name>
<surname><![CDATA[San Luis-Costas]]></surname>
<given-names><![CDATA[C]]></given-names>
</name>
<name>
<surname><![CDATA[Gómez-Urquiza]]></surname>
<given-names><![CDATA[JL]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Burnout syndrome and its prevalence in primary care nursing: a systematic review and meta-analysis]]></article-title>
<source><![CDATA[BMC Fam Pract]]></source>
<year>2018</year>
<volume>19</volume>
<page-range>59</page-range></nlm-citation>
</ref>
<ref id="B14">
<label>14</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Wright]]></surname>
<given-names><![CDATA[T]]></given-names>
</name>
<name>
<surname><![CDATA[Mughal]]></surname>
<given-names><![CDATA[F]]></given-names>
</name>
<name>
<surname><![CDATA[Babatunde]]></surname>
<given-names><![CDATA[OO]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Burnout among primary health-care professionals in low and middle-income countries: systematic review and meta-analysis]]></article-title>
<source><![CDATA[Bull World Health Organ]]></source>
<year>2022</year>
<volume>100</volume>
<page-range>385-401A</page-range></nlm-citation>
</ref>
<ref id="B15">
<label>15</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Pujol-de Castro]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[Valerio-Rao]]></surname>
<given-names><![CDATA[G]]></given-names>
</name>
<name>
<surname><![CDATA[Vaquero-Cepeda]]></surname>
<given-names><![CDATA[P]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Prevalencia del síndrome de burnout en médicos que trabajan en España: revisión sistemática y metaanálisis]]></article-title>
<source><![CDATA[Gac Sanit]]></source>
<year>2024</year>
<volume>38</volume>
</nlm-citation>
</ref>
<ref id="B16">
<label>16</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[de Pablo González]]></surname>
<given-names><![CDATA[R]]></given-names>
</name>
<name>
<surname><![CDATA[Suberviola González]]></surname>
<given-names><![CDATA[JF]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Prevalencia del síndrome de burnout o desgaste profesional en los médicos de atención primaria]]></article-title>
<source><![CDATA[Aten Primaria]]></source>
<year>1998</year>
<volume>22</volume>
<page-range>580-4</page-range></nlm-citation>
</ref>
<ref id="B17">
<label>17</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Soto Cámara]]></surname>
<given-names><![CDATA[R]]></given-names>
</name>
<name>
<surname><![CDATA[Santamaría Cuesta]]></surname>
<given-names><![CDATA[MI]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Prevalencia del burnout en la enfermería de atención primaria]]></article-title>
<source><![CDATA[Enferm Clin]]></source>
<year>2005</year>
<volume>15</volume>
<page-range>123-30</page-range></nlm-citation>
</ref>
<ref id="B18">
<label>18</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[de Dios del Valle]]></surname>
<given-names><![CDATA[R]]></given-names>
</name>
<name>
<surname><![CDATA[Franco Vidal]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Prevalencia de burnout entre los profesionales de atención primaria, factores asociados y relación con la incapacidad temporal y la calidad de la prescripción]]></article-title>
<source><![CDATA[Semergen]]></source>
<year>2007</year>
<volume>33</volume>
<page-range>58-64</page-range></nlm-citation>
</ref>
<ref id="B19">
<label>19</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Domínguez Fernández]]></surname>
<given-names><![CDATA[JM]]></given-names>
</name>
<name>
<surname><![CDATA[Herrera Clavero]]></surname>
<given-names><![CDATA[F]]></given-names>
</name>
<name>
<surname><![CDATA[Villaverde Gutiérrez]]></surname>
<given-names><![CDATA[MC]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Síndrome de desgaste profesional en trabajadores de atención a la salud en el área sanitaria de Ceuta]]></article-title>
<source><![CDATA[Aten Primaria]]></source>
<year>2012</year>
<volume>44</volume>
<page-range>30-5</page-range></nlm-citation>
</ref>
<ref id="B20">
<label>20</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Navarro-González]]></surname>
<given-names><![CDATA[D]]></given-names>
</name>
<name>
<surname><![CDATA[Ayechu-Díaz]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[Huarte-Labiano]]></surname>
<given-names><![CDATA[I]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Prevalencia del síndrome del burnout y factores asociados a dicho síndrome en los profesionales sanitarios de Atención Primaria]]></article-title>
<source><![CDATA[Semergen]]></source>
<year>2015</year>
<volume>41</volume>
<page-range>191-8</page-range></nlm-citation>
</ref>
<ref id="B21">
<label>21</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Vilá Falgueras]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[Cruzate Muñoz]]></surname>
<given-names><![CDATA[C]]></given-names>
</name>
<name>
<surname><![CDATA[Orfila Pernas]]></surname>
<given-names><![CDATA[F]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Burnout y trabajo en equipo en los profesionales de atención primaria]]></article-title>
<source><![CDATA[Aten Primaria]]></source>
<year>2015</year>
<volume>47</volume>
<page-range>25-31</page-range></nlm-citation>
</ref>
<ref id="B22">
<label>22</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Yuguero]]></surname>
<given-names><![CDATA[O]]></given-names>
</name>
<name>
<surname><![CDATA[Melnick]]></surname>
<given-names><![CDATA[ER]]></given-names>
</name>
<name>
<surname><![CDATA[Marsal]]></surname>
<given-names><![CDATA[JR]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Cross-sectional study of the association between healthcare professionals' empathy and burnout and the number of annual primary care visits per patient under their care in Spain]]></article-title>
<source><![CDATA[BMJ Open]]></source>
<year>2018</year>
<volume>8</volume>
</nlm-citation>
</ref>
<ref id="B23">
<label>23</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Párraga Martínez]]></surname>
<given-names><![CDATA[I]]></given-names>
</name>
<name>
<surname><![CDATA[González Hidalgo]]></surname>
<given-names><![CDATA[E]]></given-names>
</name>
<name>
<surname><![CDATA[Méndez García]]></surname>
<given-names><![CDATA[T]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Burnout y su relación con el estrés percibido y la satisfacción laboral en profesionales sanitarios de atención primaria de una comunidad autónoma]]></article-title>
<source><![CDATA[Rev Clin Med Fam]]></source>
<year>2018</year>
<volume>11</volume>
<page-range>51-60</page-range></nlm-citation>
</ref>
<ref id="B24">
<label>24</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[García Molina]]></surname>
<given-names><![CDATA[C]]></given-names>
</name>
<name>
<surname><![CDATA[Satorres-Pérez]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[Crespo-Mateos]]></surname>
<given-names><![CDATA[AP]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Prevalencia del síndrome de burnout en profesionales de medicina y enfermería de atención primaria en centros de salud acreditados para formación sanitaria especializada de dos áreas de salud de Alicante]]></article-title>
<source><![CDATA[Rev Clin Med Fam]]></source>
<year>2022</year>
<volume>15</volume>
<page-range>35-9</page-range></nlm-citation>
</ref>
<ref id="B25">
<label>25</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Roig-Grau]]></surname>
<given-names><![CDATA[I]]></given-names>
</name>
<name>
<surname><![CDATA[Fornés-Ollé]]></surname>
<given-names><![CDATA[B]]></given-names>
</name>
<name>
<surname><![CDATA[Rodríguez-Roig]]></surname>
<given-names><![CDATA[R]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Burnout en profesionales de atención primaria en la Cataluña Central]]></article-title>
<source><![CDATA[Arch Prev Riesgos Labor]]></source>
<year>2022</year>
<volume>25</volume>
<page-range>86-100</page-range></nlm-citation>
</ref>
<ref id="B26">
<label>26</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Page]]></surname>
<given-names><![CDATA[MJ]]></given-names>
</name>
<name>
<surname><![CDATA[McKenzie]]></surname>
<given-names><![CDATA[JE]]></given-names>
</name>
<name>
<surname><![CDATA[Bossuyt]]></surname>
<given-names><![CDATA[PM]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[The PRISMA 2020 statement: an updated guideline for reporting systematic reviews]]></article-title>
<source><![CDATA[Syst Rev]]></source>
<year>2021</year>
<volume>10</volume>
<page-range>89</page-range></nlm-citation>
</ref>
<ref id="B27">
<label>27</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Brown]]></surname>
<given-names><![CDATA[L]]></given-names>
</name>
<name>
<surname><![CDATA[Carne]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[Bywood]]></surname>
<given-names><![CDATA[P]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Facilitating access to evidence: primary health care search filter]]></article-title>
<source><![CDATA[Health Info Libr J]]></source>
<year>2014</year>
<volume>31</volume>
<page-range>293-302</page-range></nlm-citation>
</ref>
<ref id="B28">
<label>28</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Valderas]]></surname>
<given-names><![CDATA[JM]]></given-names>
</name>
<name>
<surname><![CDATA[Mendivil]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
<name>
<surname><![CDATA[Parada]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Construcción de un filtro geográfico para la identificación en PubMed de estudios realizados en España]]></article-title>
<source><![CDATA[Rev Esp Cardiol]]></source>
<year>2006</year>
<volume>59</volume>
<page-range>1244-51</page-range></nlm-citation>
</ref>
<ref id="B29">
<label>29</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Munn]]></surname>
<given-names><![CDATA[Z]]></given-names>
</name>
<name>
<surname><![CDATA[Moola]]></surname>
<given-names><![CDATA[S]]></given-names>
</name>
<name>
<surname><![CDATA[Lisy]]></surname>
<given-names><![CDATA[K]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Methodological guidance for systematic reviews of observational epidemiological studies reporting prevalence and cumulative incidence data]]></article-title>
<source><![CDATA[Int J Evid Based Healthc]]></source>
<year>2015</year>
<volume>13</volume>
<page-range>147-53</page-range></nlm-citation>
</ref>
<ref id="B30">
<label>30</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Barendregt]]></surname>
<given-names><![CDATA[JJ]]></given-names>
</name>
<name>
<surname><![CDATA[Doi]]></surname>
<given-names><![CDATA[SA]]></given-names>
</name>
<name>
<surname><![CDATA[Lee]]></surname>
<given-names><![CDATA[YY]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Meta-analysis of prevalence]]></article-title>
<source><![CDATA[J Epidemiol Community Health]]></source>
<year>2013</year>
<volume>67</volume>
<page-range>974-8</page-range></nlm-citation>
</ref>
<ref id="B31">
<label>31</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Abdulmajeed]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
<name>
<surname><![CDATA[Chivese]]></surname>
<given-names><![CDATA[T]]></given-names>
</name>
<name>
<surname><![CDATA[Doi]]></surname>
<given-names><![CDATA[SAR]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Overcoming challenges in prevalence metaanalysis: the case for the Freeman-Tukey transform]]></article-title>
<source><![CDATA[BMC Med Res Methodol]]></source>
<year>2025</year>
<volume>25</volume>
<page-range>89</page-range></nlm-citation>
</ref>
<ref id="B32">
<label>32</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Florez]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[Villar-Hoz]]></surname>
<given-names><![CDATA[E]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Role of motivation and well being indicators in interventions to improve well-being at work among primary care physicians: a systematic review]]></article-title>
<source><![CDATA[BMJ Open]]></source>
<year>2024</year>
<volume>14</volume>
</nlm-citation>
</ref>
<ref id="B33">
<label>33</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Panagioti]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[Panagopoulou]]></surname>
<given-names><![CDATA[E]]></given-names>
</name>
<name>
<surname><![CDATA[Bower]]></surname>
<given-names><![CDATA[P]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Controlled interventions to reduce burnout in physicians: a systematic review and meta-analysis]]></article-title>
<source><![CDATA[JAMA Intern Med]]></source>
<year>2017</year>
<volume>177</volume>
<page-range>195-205</page-range></nlm-citation>
</ref>
<ref id="B34">
<label>34</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[West]]></surname>
<given-names><![CDATA[CP]]></given-names>
</name>
<name>
<surname><![CDATA[Dyrbye]]></surname>
<given-names><![CDATA[LN]]></given-names>
</name>
<name>
<surname><![CDATA[Erwin]]></surname>
<given-names><![CDATA[PJ]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Interventions to prevent and reduce physician burnout: a systematic review and meta-analysis]]></article-title>
<source><![CDATA[Lancet]]></source>
<year>2016</year>
<volume>388</volume>
<page-range>2272-81</page-range></nlm-citation>
</ref>
<ref id="B35">
<label>35</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Ortún]]></surname>
<given-names><![CDATA[V]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Desgaste profesional ; tiempo para la política sanitaria]]></article-title>
<source><![CDATA[Gac Sanit]]></source>
<year>2024</year>
<volume>38</volume>
</nlm-citation>
</ref>
<ref id="B36">
<label>36</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Hodkinson]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[Zhou]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[Johnson]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Associations of physician burnout with career engagement and quality of patient care: systematic review and metaanalysis]]></article-title>
<source><![CDATA[BMJ]]></source>
<year>2022</year>
<volume>378</volume>
</nlm-citation>
</ref>
<ref id="B37">
<label>37</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Li]]></surname>
<given-names><![CDATA[LZ]]></given-names>
</name>
<name>
<surname><![CDATA[Yang]]></surname>
<given-names><![CDATA[P]]></given-names>
</name>
<name>
<surname><![CDATA[Singer]]></surname>
<given-names><![CDATA[SJ]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Nurse burnout and patient safety, satisfaction, and quality of care: a systematic review and meta-analysis]]></article-title>
<source><![CDATA[JAMA Netw Open]]></source>
<year>2024</year>
<volume>7</volume>
</nlm-citation>
</ref>
<ref id="B38">
<label>38</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Migliavaca]]></surname>
<given-names><![CDATA[CB]]></given-names>
</name>
<name>
<surname><![CDATA[Stein]]></surname>
<given-names><![CDATA[C]]></given-names>
</name>
<name>
<surname><![CDATA[Colpani]]></surname>
<given-names><![CDATA[V]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Meta-analysis of prevalence: I2 statistic and how to deal with heterogeneity]]></article-title>
<source><![CDATA[Res Synth Methods]]></source>
<year>2022</year>
<volume>13</volume>
<page-range>363-7</page-range></nlm-citation>
</ref>
</ref-list>
</back>
</article>
