<?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>0120-0011</journal-id>
<journal-title><![CDATA[Revista de la Facultad de Medicina]]></journal-title>
<abbrev-journal-title><![CDATA[rev.fac.med.]]></abbrev-journal-title>
<issn>0120-0011</issn>
<publisher>
<publisher-name><![CDATA[Universidad Nacional de Colombia]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S0120-00112016000400721</article-id>
<article-id pub-id-type="doi">10.15446/revfacmed.v64n4.55019</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Agotamiento profesional: hacia una epidemiología social de la unidad de cuidado intensivo]]></article-title>
<article-title xml:lang="en"><![CDATA[Burnout: Towards a social epidemiology of the intensive care unit]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Segura]]></surname>
<given-names><![CDATA[Omar]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
<xref ref-type="aff" rid="Aaf"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Universidad Nacional de Colombia Facultad de Medicina ]]></institution>
<addr-line><![CDATA[Bogotá D.C]]></addr-line>
<country>Colombia</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Universidad Nacional de Colombia Facultad de Medicina Departamento de Salud Pública]]></institution>
<addr-line><![CDATA[Bogotá D.C]]></addr-line>
<country>Colombia</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>12</month>
<year>2016</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>12</month>
<year>2016</year>
</pub-date>
<volume>64</volume>
<numero>4</numero>
<fpage>721</fpage>
<lpage>725</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.org.co/scielo.php?script=sci_arttext&amp;pid=S0120-00112016000400721&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.co/scielo.php?script=sci_abstract&amp;pid=S0120-00112016000400721&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.co/scielo.php?script=sci_pdf&amp;pid=S0120-00112016000400721&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen Algunos autores dentro de la epidemiología social proponen el estudio del balance salud-enfermedad a partir de la noción de sistemas sociales interrelacionados por niveles jerárquicos; tal proposición trasciende lo probabilístico y lo cuantitativo al abordar diferentes niveles de la realidad de lo individual a lo global o del continuo espacio -tiempo-ubicación e historicidad. La unidad de cuidado intensivo puede verse como uno de estos sistemas sociales, pues cuenta con instalación médica de alta complejidad científica y tecnológica para vigilancia, soporte, cuidado y terapéutica de pacientes críticos y propensos a una muerte evitable. Esta tarea puede ser tan exigente para los médicos intensivistas que los agobia más allá del mero cansancio físico, originándose el llamado agotamiento profesional o burnout, un problema de salud pública que permanece en la sombra por diversas razones. Se proponen aquí las nociones de configuración y de sistema social, expresadas en cuatro categorías básicas (las &#8220;cuatro E&#8221;: especialidad, equipamiento, edificio y entorno), como elementos susceptibles de investigación integral y se concluye con algunas ventajas de la aplicación de esta alternativa, las cuales se dan a través de un enfoque investigativo mixto cualicuantitativo en enfermedades no transmisibles que puedan afectar, en este caso particular, al cuerpo de profesionales y técnicos de salud hospitalarios.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract Some social epidemiology authors propose studying the health-disease balance based on the notion of social systems interconnected by hierarchical levels; this proposition transcends the quantitative and probabilistic aspects by addressing different levels of reality, from the individual to the global, or based on the space-time-location continuum and historicity. The intensive care unit can be seen as one of these social systems, since it requires a high scientific and technologically complex medical facility for monitoring, support, care and treatment of critical and prone to preventable death patients. This task can be so challenging for intensive care doctors who can feel overwhelmed beyond simple physical fatigue, resulting in the so-called burnout, a public health issue that remains in the shade for several reasons. Configuration and social system notions are proposed here and are expressed in four basic categories: specialty, equipment, building and environment, which act as elements susceptible of comprehensive research. The conclusions include some advantages of applying this alternative, which are generated through a qualitative- quantitative research approach to non-communicable diseases that may affect, in this particular case, the body of professionals and hospital health technicians.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Salud pública]]></kwd>
<kwd lng="es"><![CDATA[Epidemiología]]></kwd>
<kwd lng="es"><![CDATA[Conocimiento]]></kwd>
<kwd lng="es"><![CDATA[Investigación sobre servicios de salud]]></kwd>
<kwd lng="es"><![CDATA[Agotamiento profesional (DeCS).]]></kwd>
<kwd lng="en"><![CDATA[Public Health]]></kwd>
<kwd lng="en"><![CDATA[Epidemiology]]></kwd>
<kwd lng="en"><![CDATA[Knowledge]]></kwd>
<kwd lng="en"><![CDATA[Health Services Research]]></kwd>
<kwd lng="en"><![CDATA[Burnout, Professional (MeSH).]]></kwd>
</kwd-group>
</article-meta>
</front><back>
<ref-list>
<ref id="B1">
<nlm-citation citation-type="journal">
<article-title xml:lang=""><![CDATA[A German national prevalence study on the cost of intensive care: an evaluation from 51 intensive care units]]></article-title>
<person-group person-group-type="author">
<name>
<surname><![CDATA[Moerer]]></surname>
<given-names><![CDATA[O]]></given-names>
</name>
<name>
<surname><![CDATA[Plock]]></surname>
<given-names><![CDATA[E]]></given-names>
</name>
<name>
<surname><![CDATA[Mgbor]]></surname>
<given-names><![CDATA[U]]></given-names>
</name>
<name>
<surname><![CDATA[Schmid]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[Schneider]]></surname>
<given-names><![CDATA[H]]></given-names>
</name>
<name>
<surname><![CDATA[Wischnewsky]]></surname>
<given-names><![CDATA[MB]]></given-names>
</name>
</person-group>
<source><![CDATA[Crit. Care]]></source>
<year>2007</year>
<volume>11</volume>
<numero>3</numero>
<issue>3</issue>
</nlm-citation>
</ref>
<ref id="B2">
<nlm-citation citation-type="journal">
<article-title xml:lang=""><![CDATA[Critical care in Colombia: differences between teaching and nonteaching intensive care units. A prospective cohort observational study]]></article-title>
<person-group person-group-type="author">
<name>
<surname><![CDATA[Rubiano]]></surname>
<given-names><![CDATA[S]]></given-names>
</name>
<name>
<surname><![CDATA[Gil]]></surname>
<given-names><![CDATA[F]]></given-names>
</name>
<name>
<surname><![CDATA[Celis-Rodríguez]]></surname>
<given-names><![CDATA[E]]></given-names>
</name>
<name>
<surname><![CDATA[Oliveros]]></surname>
<given-names><![CDATA[H]]></given-names>
</name>
<name>
<surname><![CDATA[Carrasquilla]]></surname>
<given-names><![CDATA[G]]></given-names>
</name>
</person-group>
<source><![CDATA[J. Crit. Care]]></source>
<year>2012</year>
<volume>27</volume>
<numero>1</numero>
<issue>1</issue>
<page-range>104.e9-17</page-range></nlm-citation>
</ref>
<ref id="B3">
<nlm-citation citation-type="journal">
<article-title xml:lang=""><![CDATA[The new medical-industrial complex]]></article-title>
<person-group person-group-type="author">
<name>
<surname><![CDATA[Relman]]></surname>
<given-names><![CDATA[AS]]></given-names>
</name>
</person-group>
<source><![CDATA[N. Eng. J. Med]]></source>
<year>1980</year>
<volume>303</volume>
<numero>17</numero>
<issue>17</issue>
<page-range>963-70</page-range></nlm-citation>
</ref>
<ref id="B4">
<nlm-citation citation-type="journal">
<article-title xml:lang=""><![CDATA[La reforma sanitaria en la Colombia de finales del siglo XX: aproximación histórica desde el análisis sociopolítico]]></article-title>
<person-group person-group-type="author">
<name>
<surname><![CDATA[Vega-Vargas]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[Eslava-Castañeda]]></surname>
<given-names><![CDATA[JC]]></given-names>
</name>
<name>
<surname><![CDATA[Arrubla-Sánchez]]></surname>
<given-names><![CDATA[D]]></given-names>
</name>
<name>
<surname><![CDATA[Hernández- Álvarez]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
</person-group>
<source><![CDATA[Rev. Gerenc. Polit. Salud]]></source>
<year>2012</year>
<volume>11</volume>
<numero>23</numero>
<issue>23</issue>
<page-range>58-84</page-range></nlm-citation>
</ref>
<ref id="B5">
<nlm-citation citation-type="journal">
<article-title xml:lang=""><![CDATA[La salud pública en los procesos de reforma y las funciones esenciales de la salud pública]]></article-title>
<person-group person-group-type="author">
<name>
<surname><![CDATA[Feo]]></surname>
<given-names><![CDATA[O]]></given-names>
</name>
</person-group>
<source><![CDATA[Rev. Fac. Nac. Salud Pub]]></source>
<year>2004</year>
<volume>22</volume>
<numero>99</numero>
<issue>99</issue>
<page-range>61-71</page-range></nlm-citation>
</ref>
<ref id="B6">
<nlm-citation citation-type="journal">
<article-title xml:lang=""><![CDATA[The Epidemiologic Transition: A Theory of the Epidemiology of Population Change. 1971]]></article-title>
<person-group person-group-type="author">
<name>
<surname><![CDATA[Omran]]></surname>
<given-names><![CDATA[AR]]></given-names>
</name>
</person-group>
<source><![CDATA[Milbank Q]]></source>
<year>2005</year>
<volume>83</volume>
<numero>4</numero>
<issue>4</issue>
<page-range>731-57</page-range></nlm-citation>
</ref>
<ref id="B7">
<nlm-citation citation-type="journal">
<article-title xml:lang=""><![CDATA[Critical care: advances and future perspectives]]></article-title>
<person-group person-group-type="author">
<name>
<surname><![CDATA[Vincent]]></surname>
<given-names><![CDATA[JL]]></given-names>
</name>
<name>
<surname><![CDATA[Singer]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
</person-group>
<source><![CDATA[Lancet]]></source>
<year>2010</year>
<volume>376</volume>
<numero>9749</numero>
<issue>9749</issue>
<page-range>1354-61</page-range></nlm-citation>
</ref>
<ref id="B8">
<nlm-citation citation-type="journal">
<article-title xml:lang=""><![CDATA[The hostile environment of the intensive care unit]]></article-title>
<person-group person-group-type="author">
<name>
<surname><![CDATA[Donchin]]></surname>
<given-names><![CDATA[Y]]></given-names>
</name>
<name>
<surname><![CDATA[Seagull]]></surname>
<given-names><![CDATA[FJ]]></given-names>
</name>
</person-group>
<source><![CDATA[Curr. Opin. Crit. Care]]></source>
<year>2002</year>
<volume>8</volume>
<numero>4</numero>
<issue>4</issue>
<page-range>316-20</page-range></nlm-citation>
</ref>
<ref id="B9">
<nlm-citation citation-type="journal">
<article-title xml:lang=""><![CDATA[The intensive care unit work environment: current challenges and recommendations for the future]]></article-title>
<person-group person-group-type="author">
<name>
<surname><![CDATA[Alameddine]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[Dainty]]></surname>
<given-names><![CDATA[KN]]></given-names>
</name>
<name>
<surname><![CDATA[Deber]]></surname>
<given-names><![CDATA[R]]></given-names>
</name>
<name>
<surname><![CDATA[Sibbald]]></surname>
<given-names><![CDATA[WJ]]></given-names>
</name>
</person-group>
<source><![CDATA[J. Crit. Care]]></source>
<year>2009</year>
<volume>24</volume>
<numero>2</numero>
<issue>2</issue>
<page-range>243-8</page-range></nlm-citation>
</ref>
<ref id="B10">
<nlm-citation citation-type="book">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Porta]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
</person-group>
<source><![CDATA[A dictionary of Epidemiology]]></source>
<year>2008</year>
<edition>5th ed</edition>
<publisher-loc><![CDATA[New York ]]></publisher-loc>
<publisher-name><![CDATA[Oxford University Press]]></publisher-name>
</nlm-citation>
</ref>
<ref id="B11">
<nlm-citation citation-type="journal">
<article-title xml:lang=""><![CDATA[Causation and causal inference in Epidemiology]]></article-title>
<person-group person-group-type="author">
<name>
<surname><![CDATA[Rothman]]></surname>
<given-names><![CDATA[KJ]]></given-names>
</name>
<name>
<surname><![CDATA[Greenland]]></surname>
<given-names><![CDATA[S]]></given-names>
</name>
</person-group>
<source><![CDATA[Am. J. Pub. Health]]></source>
<year>2005</year>
<volume>95</volume>
<numero>^sSuppl 1</numero>
<issue>^sSuppl 1</issue>
<supplement>Suppl 1</supplement>
<page-range>S144-50</page-range></nlm-citation>
</ref>
<ref id="B12">
<nlm-citation citation-type="journal">
<article-title xml:lang=""><![CDATA[Epidemiology and the web of causation: has anyone seen the spider?]]></article-title>
<person-group person-group-type="author">
<name>
<surname><![CDATA[Krieger]]></surname>
<given-names><![CDATA[N]]></given-names>
</name>
</person-group>
<source><![CDATA[Soc. Sci. Med]]></source>
<year>1994</year>
<volume>39</volume>
<numero>7</numero>
<issue>7</issue>
<page-range>887-903</page-range></nlm-citation>
</ref>
<ref id="B13">
<nlm-citation citation-type="journal">
<article-title xml:lang=""><![CDATA[Social epidemiology: questionable answers and answerable questions]]></article-title>
<person-group person-group-type="author">
<name>
<surname><![CDATA[Harper]]></surname>
<given-names><![CDATA[S]]></given-names>
</name>
<name>
<surname><![CDATA[Strumpf]]></surname>
<given-names><![CDATA[EC]]></given-names>
</name>
</person-group>
<source><![CDATA[Epidemiology]]></source>
<year>2012</year>
<volume>23</volume>
<numero>6</numero>
<issue>6</issue>
<page-range>795-8</page-range></nlm-citation>
</ref>
<ref id="B14">
<nlm-citation citation-type="journal">
<article-title xml:lang=""><![CDATA[Commentary: Society, biology and the logic of social epidemiology]]></article-title>
<person-group person-group-type="author">
<name>
<surname><![CDATA[Krieger]]></surname>
<given-names><![CDATA[N]]></given-names>
</name>
</person-group>
<source><![CDATA[Int. J. Epidemiol]]></source>
<year>2001</year>
<volume>30</volume>
<numero>1</numero>
<issue>1</issue>
<page-range>44-6</page-range></nlm-citation>
</ref>
<ref id="B15">
<nlm-citation citation-type="book">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Krieger]]></surname>
<given-names><![CDATA[N]]></given-names>
</name>
</person-group>
<source><![CDATA[Epidemiology and the people´s health: Theory and context]]></source>
<year></year>
<publisher-loc><![CDATA[New York ]]></publisher-loc>
<publisher-name><![CDATA[Oxford University Press]]></publisher-name>
</nlm-citation>
</ref>
<ref id="B16">
<nlm-citation citation-type="book">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Segura del Pozo]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
</person-group>
<source><![CDATA[Desigualdades sociales en salud: conceptos, estudios e intervenciones (1980-2010)]]></source>
<year>2013</year>
<publisher-loc><![CDATA[Bogotá, D.C. ]]></publisher-loc>
<publisher-name><![CDATA[Universidad Nacional de Colombia]]></publisher-name>
</nlm-citation>
</ref>
<ref id="B17">
<nlm-citation citation-type="book">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Breilh]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
</person-group>
<source><![CDATA[Epidemiología: Economía, medicina y política]]></source>
<year>1989</year>
<publisher-loc><![CDATA[Mexico, D.F. ]]></publisher-loc>
<publisher-name><![CDATA[Distribuciones Fontamara S.A]]></publisher-name>
</nlm-citation>
</ref>
<ref id="B18">
<nlm-citation citation-type="book">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Franco-Agudelo]]></surname>
<given-names><![CDATA[S]]></given-names>
</name>
<name>
<surname><![CDATA[Forero-Martínez]]></surname>
<given-names><![CDATA[LJ]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Salud y Paz en un país en guerra: Colombia, 2002]]></article-title>
<person-group person-group-type="editor">
<name>
<surname><![CDATA[Franco-Agudelo]]></surname>
<given-names><![CDATA[S]]></given-names>
</name>
</person-group>
<source><![CDATA[La salud pública hoy: enfoques y dilemas contemporáneos en salud pública]]></source>
<year>2002</year>
<page-range>555-84</page-range><publisher-loc><![CDATA[Bogotá, D.C. ]]></publisher-loc>
<publisher-name><![CDATA[Universidad Nacional de Colombia]]></publisher-name>
</nlm-citation>
</ref>
<ref id="B19">
<nlm-citation citation-type="book">
<article-title xml:lang=""><![CDATA[Introduction: advancing methods in social epidemiology]]></article-title>
<person-group person-group-type="author">
<name>
<surname><![CDATA[Oakes]]></surname>
<given-names><![CDATA[JM]]></given-names>
</name>
<name>
<surname><![CDATA[Kaufman]]></surname>
<given-names><![CDATA[JS]]></given-names>
</name>
</person-group>
<source><![CDATA[Methods in Social Epidemiology]]></source>
<year>2006</year>
<page-range>3-20</page-range><publisher-loc><![CDATA[San Francisco ]]></publisher-loc>
<publisher-name><![CDATA[John Wiley & Sons]]></publisher-name>
</nlm-citation>
</ref>
<ref id="B20">
<nlm-citation citation-type="book">
<article-title xml:lang=""><![CDATA[A historical framework for social epidemiology]]></article-title>
<person-group person-group-type="author">
<name>
<surname><![CDATA[Berkman]]></surname>
<given-names><![CDATA[LF]]></given-names>
</name>
<name>
<surname><![CDATA[Kawachi]]></surname>
<given-names><![CDATA[I]]></given-names>
</name>
</person-group>
<source><![CDATA[Social Epidemiology]]></source>
<year>2000</year>
<page-range>3-12</page-range><publisher-loc><![CDATA[New York ]]></publisher-loc>
<publisher-name><![CDATA[Oxford University Press]]></publisher-name>
</nlm-citation>
</ref>
<ref id="B21">
<nlm-citation citation-type="journal">
<article-title xml:lang=""><![CDATA[From intensive care to critical care medicine: a historical perspective]]></article-title>
<person-group person-group-type="author">
<name>
<surname><![CDATA[Weil]]></surname>
<given-names><![CDATA[MH]]></given-names>
</name>
<name>
<surname><![CDATA[Tang]]></surname>
<given-names><![CDATA[W]]></given-names>
</name>
</person-group>
<source><![CDATA[Am. J. Resp. Crit. Care Med]]></source>
<year>2011</year>
<volume>183</volume>
<numero>11</numero>
<issue>11</issue>
<page-range>1451-3</page-range></nlm-citation>
</ref>
<ref id="B22">
<nlm-citation citation-type="journal">
<article-title xml:lang=""><![CDATA[Critical care in the United States. Who are we and how did we get here?]]></article-title>
<person-group person-group-type="author">
<name>
<surname><![CDATA[Calvin]]></surname>
<given-names><![CDATA[JE]]></given-names>
</name>
<name>
<surname><![CDATA[Habet]]></surname>
<given-names><![CDATA[K]]></given-names>
</name>
<name>
<surname><![CDATA[Parrillo]]></surname>
<given-names><![CDATA[JE]]></given-names>
</name>
</person-group>
<source><![CDATA[Crit. Care Clin]]></source>
<year>1997</year>
<volume>13</volume>
<numero>2</numero>
<issue>2</issue>
<page-range>363-76</page-range></nlm-citation>
</ref>
<ref id="B23">
<nlm-citation citation-type="journal">
<article-title xml:lang=""><![CDATA[La Unidad de Cuidado Intensivo, un lugar para quedarse solo]]></article-title>
<person-group person-group-type="author">
<name>
<surname><![CDATA[Beltrán-Salazar]]></surname>
<given-names><![CDATA[ÓA]]></given-names>
</name>
</person-group>
<source><![CDATA[Invest. Educ. Enferm]]></source>
<year>2009</year>
<volume>27</volume>
<numero>1</numero>
<issue>1</issue>
<page-range>34-45</page-range></nlm-citation>
</ref>
<ref id="B24">
<nlm-citation citation-type="journal">
<article-title xml:lang=""><![CDATA[La experiencia de estar hospitalizado en una unidad de cuidado intensivo]]></article-title>
<person-group person-group-type="author">
<name>
<surname><![CDATA[Beltrán-Salazar]]></surname>
<given-names><![CDATA[ÓA]]></given-names>
</name>
</person-group>
<source><![CDATA[Aquichan]]></source>
<year>2009</year>
<volume>9</volume>
<numero>1</numero>
<issue>1</issue>
<page-range>23-37</page-range></nlm-citation>
</ref>
<ref id="B25">
<nlm-citation citation-type="journal">
<article-title xml:lang=""><![CDATA[Configurational approaches to organizational analysis]]></article-title>
<person-group person-group-type="author">
<name>
<surname><![CDATA[Meyer]]></surname>
<given-names><![CDATA[AD]]></given-names>
</name>
<name>
<surname><![CDATA[Tsui]]></surname>
<given-names><![CDATA[AS]]></given-names>
</name>
<name>
<surname><![CDATA[Hinings]]></surname>
<given-names><![CDATA[CR]]></given-names>
</name>
</person-group>
<source><![CDATA[Acad Manag J]]></source>
<year>1993</year>
<volume>36</volume>
<numero>6</numero>
<issue>6</issue>
<page-range>1175-95</page-range></nlm-citation>
</ref>
<ref id="B26">
<nlm-citation citation-type="journal">
<article-title xml:lang=""><![CDATA[Especialidad o subespecialidad: un dilema para la unidad de cuidado intensivo en Colombia]]></article-title>
<person-group person-group-type="author">
<name>
<surname><![CDATA[Segura]]></surname>
<given-names><![CDATA[O]]></given-names>
</name>
<name>
<surname><![CDATA[Leal]]></surname>
<given-names><![CDATA[R]]></given-names>
</name>
</person-group>
<source><![CDATA[Acta Colomb. Cuid Intensivo]]></source>
<year>2014</year>
<volume>14</volume>
<numero>3</numero>
<issue>3</issue>
<page-range>247-9</page-range></nlm-citation>
</ref>
<ref id="B27">
<nlm-citation citation-type="journal">
<article-title xml:lang=""><![CDATA[Agotamiento profesional (burnout): concepciones e implicaciones para la Salud Pública]]></article-title>
<person-group person-group-type="author">
<name>
<surname><![CDATA[Segura]]></surname>
<given-names><![CDATA[O]]></given-names>
</name>
</person-group>
<source><![CDATA[Biomedica]]></source>
<year>2014</year>
<volume>34</volume>
<numero>4</numero>
<issue>4</issue>
<page-range>535-45</page-range></nlm-citation>
</ref>
<ref id="B28">
<nlm-citation citation-type="journal">
<article-title xml:lang=""><![CDATA[Síndrome de burnout en distintas Unidades de Cuidados Intensivos]]></article-title>
<person-group person-group-type="author">
<name>
<surname><![CDATA[Frade-Mera]]></surname>
<given-names><![CDATA[MJ]]></given-names>
</name>
<name>
<surname><![CDATA[Vinagre-Gaspar]]></surname>
<given-names><![CDATA[R]]></given-names>
</name>
<name>
<surname><![CDATA[Zaragoza-Garcia]]></surname>
<given-names><![CDATA[I]]></given-names>
</name>
<name>
<surname><![CDATA[Vinas-Sanchez]]></surname>
<given-names><![CDATA[S]]></given-names>
</name>
<name>
<surname><![CDATA[Antunez-Melero]]></surname>
<given-names><![CDATA[E]]></given-names>
</name>
<name>
<surname><![CDATA[Alvarez-Gonzalez]]></surname>
<given-names><![CDATA[S]]></given-names>
</name>
</person-group>
<source><![CDATA[Enferm. Intensiva]]></source>
<year>2009</year>
<volume>20</volume>
<numero>4</numero>
<issue>4</issue>
<page-range>131-40</page-range></nlm-citation>
</ref>
<ref id="B29">
<nlm-citation citation-type="journal">
<article-title xml:lang=""><![CDATA[Influencia de factores personales, profesionales y transnacionales en el sindrome de burnout en personal sanitario hispanoamericano y español (2007)]]></article-title>
<person-group person-group-type="author">
<name>
<surname><![CDATA[Grau]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[Flichtentrei]]></surname>
<given-names><![CDATA[D]]></given-names>
</name>
<name>
<surname><![CDATA[Suner]]></surname>
<given-names><![CDATA[R]]></given-names>
</name>
<name>
<surname><![CDATA[Prats]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[Braga]]></surname>
<given-names><![CDATA[F]]></given-names>
</name>
</person-group>
<source><![CDATA[Rev. Esp. Salud Pública]]></source>
<year>2009</year>
<volume>83</volume>
<numero>2</numero>
<issue>2</issue>
<page-range>215-30</page-range></nlm-citation>
</ref>
<ref id="B30">
<nlm-citation citation-type="journal">
<article-title xml:lang=""><![CDATA[Changes in Burnout and Satisfaction With Work-Life Balance in Physicians and the General US Working Population Between 2011 and 2014]]></article-title>
<person-group person-group-type="author">
<name>
<surname><![CDATA[Shanafelt]]></surname>
<given-names><![CDATA[TD]]></given-names>
</name>
<name>
<surname><![CDATA[Hasan]]></surname>
<given-names><![CDATA[O]]></given-names>
</name>
<name>
<surname><![CDATA[Dyrbye]]></surname>
<given-names><![CDATA[LN]]></given-names>
</name>
<name>
<surname><![CDATA[Sinsky]]></surname>
<given-names><![CDATA[C]]></given-names>
</name>
<name>
<surname><![CDATA[Satele]]></surname>
<given-names><![CDATA[D]]></given-names>
</name>
<name>
<surname><![CDATA[Sloan]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
</person-group>
<source><![CDATA[Mayo Clin. Proceed]]></source>
<year>2015</year>
<volume>90</volume>
<numero>12</numero>
<issue>12</issue>
<page-range>1600-13</page-range></nlm-citation>
</ref>
<ref id="B31">
<nlm-citation citation-type="journal">
<article-title xml:lang=""><![CDATA[Prevalencia y factores psicosociales asociados al Síndrome de Burnout en medicos que laboran en instituciones de las ciudades de Manizales y la Virginia (Colombia) 2011]]></article-title>
<person-group person-group-type="author">
<name>
<surname><![CDATA[Agudelo-Cardona]]></surname>
<given-names><![CDATA[CA]]></given-names>
</name>
<name>
<surname><![CDATA[Castaño-Castrillón]]></surname>
<given-names><![CDATA[JJ]]></given-names>
</name>
<name>
<surname><![CDATA[Arango-Posada]]></surname>
<given-names><![CDATA[CA]]></given-names>
</name>
<name>
<surname><![CDATA[Durango-Rodríguez]]></surname>
<given-names><![CDATA[LA]]></given-names>
</name>
<name>
<surname><![CDATA[Muñoz-Gallego]]></surname>
<given-names><![CDATA[V]]></given-names>
</name>
<name>
<surname><![CDATA[Ospina-González]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
</person-group>
<source><![CDATA[Arch. Med. Manizales]]></source>
<year>2011</year>
<volume>11</volume>
<numero>2</numero>
<issue>2</issue>
<page-range>91-100</page-range></nlm-citation>
</ref>
<ref id="B32">
<nlm-citation citation-type="journal">
<article-title xml:lang=""><![CDATA[Síndrome de Burnout y personal de enfermería de cuidados intensivos]]></article-title>
<person-group person-group-type="author">
<name>
<surname><![CDATA[Álvarez-Escobar]]></surname>
<given-names><![CDATA[MC]]></given-names>
</name>
<name>
<surname><![CDATA[Lima-Gutierrez]]></surname>
<given-names><![CDATA[H]]></given-names>
</name>
<name>
<surname><![CDATA[Alfonso-de León]]></surname>
<given-names><![CDATA[JA]]></given-names>
</name>
<name>
<surname><![CDATA[Torres-Álvarez]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[Torres-Álvarez]]></surname>
<given-names><![CDATA[AY]]></given-names>
</name>
</person-group>
<source><![CDATA[Rev. Med Electron]]></source>
<year>2009</year>
<volume>31</volume>
<numero>3</numero>
<issue>3</issue>
</nlm-citation>
</ref>
<ref id="B33">
<nlm-citation citation-type="journal">
<article-title xml:lang=""><![CDATA[Sindrome de burnout y factores asociados en estudiantes de I a X semestre de la Facultad de Medicina de la Universidad de Manizales (Colombia), 2009]]></article-title>
<person-group person-group-type="author">
<name>
<surname><![CDATA[Arango-Agudelo]]></surname>
<given-names><![CDATA[S]]></given-names>
</name>
<name>
<surname><![CDATA[Castaño-Castrillón]]></surname>
<given-names><![CDATA[JJ]]></given-names>
</name>
<name>
<surname><![CDATA[Henao-Restrep]]></surname>
<given-names><![CDATA[CJ]]></given-names>
</name>
<name>
<surname><![CDATA[Jiménez-Aguilar]]></surname>
<given-names><![CDATA[DP]]></given-names>
</name>
<name>
<surname><![CDATA[López-Henao]]></surname>
<given-names><![CDATA[AF]]></given-names>
</name>
<name>
<surname><![CDATA[Paez-Cala]]></surname>
<given-names><![CDATA[ML]]></given-names>
</name>
</person-group>
<source><![CDATA[Arch. Med. Manizales]]></source>
<year>2010</year>
<volume>10</volume>
<numero>2</numero>
<issue>2</issue>
<page-range>110-26</page-range></nlm-citation>
</ref>
<ref id="B34">
<nlm-citation citation-type="journal">
<article-title xml:lang=""><![CDATA[Preventing occupational stress in healthcare workers]]></article-title>
<person-group person-group-type="author">
<name>
<surname><![CDATA[Marine]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[Ruotsalainen]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
<name>
<surname><![CDATA[Serra]]></surname>
<given-names><![CDATA[C]]></given-names>
</name>
<name>
<surname><![CDATA[Verbeek]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
</person-group>
<source><![CDATA[Cochrane Database Syst. Rev]]></source>
<year>2006</year>
<numero>4</numero>
<issue>4</issue>
<page-range>CD002892</page-range></nlm-citation>
</ref>
<ref id="B35">
<nlm-citation citation-type="journal">
<article-title xml:lang=""><![CDATA[Preventive staff-support interventions for health workers]]></article-title>
<person-group person-group-type="author">
<name>
<surname><![CDATA[van Wyk]]></surname>
<given-names><![CDATA[BE]]></given-names>
</name>
<name>
<surname><![CDATA[Pillay-Van Wyk]]></surname>
<given-names><![CDATA[V]]></given-names>
</name>
</person-group>
<source><![CDATA[Cochrane Database Syst. Rev]]></source>
<year>2010</year>
<volume>3</volume>
<page-range>CD003541</page-range></nlm-citation>
</ref>
<ref id="B36">
<nlm-citation citation-type="book">
<collab>Colombia. Congreso de la República de Colombia</collab>
<source><![CDATA[Ley Estatutaria 1751 de 2015 (febrero 16): Por medio de la cual se regula el derecho fundamental a la salud y se dictan otras disposiciones]]></source>
<year>2015</year>
<publisher-loc><![CDATA[Bogotá, D.C. ]]></publisher-loc>
<publisher-name><![CDATA[Diario Oficial 49427]]></publisher-name>
</nlm-citation>
</ref>
<ref id="B37">
<nlm-citation citation-type="book">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Barona-Vilar]]></surname>
<given-names><![CDATA[JL]]></given-names>
</name>
</person-group>
<source><![CDATA[Salud, tecnología y saber médico]]></source>
<year>2004</year>
<publisher-loc><![CDATA[Madrid ]]></publisher-loc>
<publisher-name><![CDATA[Editorial universitaria Ramón Areces]]></publisher-name>
</nlm-citation>
</ref>
</ref-list>
</back>
</article>
