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The System Under Pressure: Burnout in the Public Health Workforce.

A Nichole Fusilier¹, Paulani Mui¹, Beth Resnick¹

¹A. Nichole Fusilier is with the Center for Public Health Systems, Division of Health Policy and Management, University of Minnesota School of Public Health, Minneapolis. Paulani Mui and Beth Resnick are with the Department of Health Policy and Management, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD.

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Summary

High burnout affects 71% of public health workers, especially younger generations. Targeted interventions are crucial for workforce sustainability and well-being.

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Area of Science:

Public Health
Occupational Health
Workforce Studies

Background:

Burnout is a significant concern within the public health sector.
Understanding generational differences in burnout is vital for workforce retention.

Purpose of the Study:

To characterize burnout among state and local governmental public health workers.
To identify implications of burnout for public health workforce capacity and sustainability.

Main Methods:

Analysis of 2024 Public Health Workforce Interests and Needs Survey (PH WINS) data.
Assessment of self-reported burnout symptoms and generational differences in US public health employees.

Main Results:

71% of respondents reported at least one burnout symptom.
Burnout was most prevalent in Generation Z (17% persistent, 4% complete) and Millennials (19% persistent, 5% complete).
A significant association was found between burnout and generation (P < .001).

Conclusions:

High burnout rates indicate a systemwide issue in the public health workforce.
Younger workers experience higher burnout, necessitating targeted interventions and institutional changes.
Sustained improvements in worker well-being are essential for a thriving public health workforce.