Burnout Among Physicians, Advanced Practice Clinicians and Staff in Smaller Primary Care Practices

Edwards, Samuel T.; Marino, Miguel; Balasubramanian, Bijal A.; Solberg, Leif I.; Valenzuela, Steele; Springer, Rachel; Stange, Kurt C.; Miller, William L.; Kottke, Thomas E.; Perry, Cynthia K.; Ono, Sarah S.; Cohen, Deborah J.

doi:10.1007/s11606-018-4679-0

Cited by 71 publications

(94 citation statements)

References 48 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…10 Solutions may vary and should be tailored to the local environment to balance the competing demands of primary care. [11][12][13] a These weighted estimates using the PSAQ subsample (n = 2,186) represent a population size of 170,400,202 adults aged 35 years and older. The unweighted counts and denominators are not provided because they should not be interpreted without accounting for the sampling design of MEPS and the PSAQ.…”

Section: Discussionmentioning

confidence: 99%

The Practice Gap: National Estimates of Screening and Counseling for Alcohol, Tobacco, and Obesity

et al. 2019

View full text Add to dashboard Cite

Tobacco use, lack of physical activity and poor diet, and alcohol consumption are leading causes of death in the United States. We estimated screening and counseling rates by using a nationally representative sample of adults aged 35 years and older with a preventive care supplement to the 2014 Medical Expenditure Panel Survey. Receipt of the recommended level of services ranged from nearly two-thirds (64.2% for obesity, 61.9% for tobacco use) to less than one-half (41.0% for alcohol misuse). There is significant room for improving care delivery, but primary care practices probably also need additional resources to raise screening and counseling rates.

show abstract

Section: Discussionmentioning

confidence: 99%

The Practice Gap: National Estimates of Screening and Counseling for Alcohol, Tobacco, and Obesity

et al. 2019

View full text Add to dashboard Cite

show abstract

“…All members of a practice, which included clinicians, clinical staff (eg, nurses), and administrative staff, were invited to complete the practice member survey. The survey, described elsewhere, 32 collected information about member characteristics (eg, role and years worked in the practice) and the respondent's perception of how the practice functions. We used 1 measure, a validated single-item burnout question [33][34][35] from this survey.…”

Section: Data Collectionmentioning

confidence: 99%

“…The response rate for this measure was 73%. 32 Coopera-tives were responsible for collecting both practice surveys and practice member surveys from their practices and tailored their collection approach (eg, online or in person) to their local resources and region. Because they recruited practices on a rolling basis, cooperatives collected surveys over a 19month period between September 2015 and April 2017.…”

Section: Data Collectionmentioning

confidence: 99%

Does Ownership Make a Difference in Primary Care Practice?

et al. 2019

Self Cite

View full text Add to dashboard Cite

Purpose: We assessed differences in structural characteristics, quality improvement processes, and cardiovascular preventive care by ownership type among 989 small to medium primary care practices.Methods: This cross-sectional analysis used electronic health record and survey data collected between September 2015 and April 2017 as part of an evaluation of the EvidenceNOW: Advancing Heart Health in Primary Care Initiative by the Agency for Health Care Research and Quality. We compared physician-owned practices, health system or medical group practices, and Federally Qualified Health Centers (FQHC) by using 15 survey-based practice characteristic measures, 9 survey-based quality improvement process measures, and 4 electronic health record-based cardiovascular disease prevention quality measures, namely, aspirin prescription, blood pressure control, cholesterol management, and smoking cessation support (ABCS).Results: Physician-owned practices were more likely to be solo (45.0% compared with 8.1%, P < .001 for health system practices and 12.8%, P ‫؍‬ .009 for FQHCs) and less likely to have experienced a major change (eg, moved to a new location) in the last year (43.1% vs 65.4%, P ‫؍‬ .01 and 72.1%, P ‫؍‬ .001, respectively). FQHCs reported the highest use of quality improvement processes, followed by health system practices. ABCS performance was similar across ownership type, with the exception of smoking cessation support (51.0% for physician-owned practices vs 67.3%, P ‫؍‬ .004 for health system practices and 69.3%, P ‫؍‬ .004 for FQHCs).Conclusions: Primary care practice ownership was associated with differences in quality improvement process measures, with FQHCs reporting the highest use of such quality-improvement strategies. ABCS were mostly unrelated to ownership, suggesting a complex path between quality improvement strategies and outcomes. (J Am Board Fam Med 2019;32:398 -407.)

show abstract

“…To determine the participants' current risk of burnout, five possible responses were dichotomised into two categories (symptoms of burnout versus no symptoms of burnout), as in other studies. 23,27 Questions were also dichotomised about current stress level, not enough time for a private life, and thoughts about leaving the profession after visual checks of the distributions using histograms. For the WEMWBS, means and 95% confidence intervals (CIs) were calculated using a crude regression model stratified by level of education.…”

Section: Data Managementmentioning

confidence: 99%

Assessing the mental wellbeing of next generation general practitioners: a cross-sectional survey

et al. 2019

View full text Add to dashboard Cite

BackgroundFuture and practising GPs encounter various stressors, which can potentially impair mental wellbeing and develop into mental illnesses.AimTo assess mental wellbeing of young and future GPs by their level of training.Design & settingA cross-sectional anonymous survey of members of the Swiss Young General Practitioners Association (JHaS) was undertaken.MethodBasic characteristics and the current mental wellbeing were assessed using the Warwick-Edinburgh Mental Wellbeing Scale (WEMWBS). Specific stressors that can influence wellbeing were focused on. Participants were asked for ideas on how to improve wellbeing via open questions.ResultsResponse rate was 57% (n = 503). Mean value for mental wellbeing (WEMWBS) was 52.4 (maximum 70, standard deviation [SD] 7.2). Residents had a significantly lower level of mental health (51.0, SD 7.6) compared with GPs (54.2, SD 6.2). Overall, stress level was reported as high or very high by almost half of participants (49%). Forty-five per cent indicated a lack of private time; the highest proportion was among residents. Fifteen per cent (20% among residents) were at risk of burnout. Most frequent stressors were administrative tasks, high workload, and work demands. Support requests included improvement of work–life balance and reduction of administrative workload.ConclusionResidents had the lowest mental wellbeing, at a stress level similarly high to that of GPs. They most often indicated not having enough time for a private life and were most at risk of burnout. Improvement suggestions should be implemented to maintain mental health of young and future GPs. Particular attention should be paid to GPs in training, as owing to their reduced mental health, they may benefit most.

show abstract

Burnout Among Physicians, Advanced Practice Clinicians and Staff in Smaller Primary Care Practices

Cited by 71 publications

References 48 publications

The Practice Gap: National Estimates of Screening and Counseling for Alcohol, Tobacco, and Obesity

The Practice Gap: National Estimates of Screening and Counseling for Alcohol, Tobacco, and Obesity

Does Ownership Make a Difference in Primary Care Practice?

Assessing the mental wellbeing of next generation general practitioners: a cross-sectional survey

Contact Info

Product

Resources

About