We agree with Renzo Bianchi and colleagues that the public health significance of job-related distress is large—and costly in both human and financial terms1—and that the variability of definitions and thresholds for burnout in the literature have been problematic. West and colleagues' review in The Lancet2 addressed that issue partly by using one definition of burnout (high emotional exhaustion or depersonalisation) and also supplying data on individual domains and numerical Maslach burnout inventory scale scores.
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