Burnout in Young Family Physicians: Variation Across States

Hansen, Anna; Peterson, Lars E.; Fang, Bo; Phillips, Robert L.

doi:10.3122/jabfm.2018.01.170269

Cited by 16 publications

(12 citation statements)

References 6 publications

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“…21,22 For these reasons, it is reasonable to use only the first 2 of 3 original domains to assess burnout. 1,2,4,8,9,12,[23][24][25][26][27][28][29] We characterized practice type into 9 categories using 2 variables. First, we identified solo private practices by those physicians reporting solo practice size and a private practice type.…”

Section: Methodsmentioning

confidence: 99%

Associations Between Burnout and Practice Organization in Family Physicians

2019

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PURPOSE Burnout has been reported to be as high as 63% among family physicians and has negative effects on physicians, patients, and the medical system. There are likely structural causes of burnout, but little is known about the relationship between practice organization and burnout. Our objective was to study this association in family physicians. METHODS This cross-sectional study uses secondary data supplied by practicing physicians from the 2017 American Board of Family Medicine (ABFM) Family Medicine Certification examination registration questionnaire, a mandatory component of registration, yielding a 100% response rate. Burnout was measured as a positive response to either of 2 validated questions measuring emotional exhaustion and depersonalization. Practice environment was measured with questions on work stressors and teamwork. Logistic regression determined independent associations between burnout and individual and practice characteristics. RESULTS Of the 1,437 physicians included, the burnout rate was 43.7%; 33.7% worked in hospital-owned practices and 65.5% reported no ownership stake in their practice. Controlling for personal characteristics and practice organization, being in a hospital-owned practice (odds ratio (OR) = 1.68; 95% CI, 1.14-2.46) and being a partial owner (OR =1.67; 95% CI, 1.13-2.46) were positively associated with burnout. When also controlling for practice environment, no practice organization variable remained associated with burnout. CONCLUSION Burnout in family physicians should not be attributed solely to practice organization. No single practice type or ownership status was independently associated with burnout, which indicates that any practice can attempt to mitigate burnout.

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Section: Methodsmentioning

confidence: 99%

Associations Between Burnout and Practice Organization in Family Physicians

2019

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“… 12 These findings have prompted individual-level and system-level solutions to combat burnout among healthcare professionals, 3 13 14 especially among young professionals. 15 …”

Section: Introductionmentioning

confidence: 99%

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

et al. 2018

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ObjectiveThe aim of this study was to evaluate the association between physician and nurse self-reported empathy and burnout and the number of annual primary care visits per patient under their care.MethodsDesign: A cross-sectional survey study was conducted from January 2013 to July 2014. Site: The 22 primary care centres of the Lleida Health Region in Spain. Main outcome measures: The Jefferson Scale of Physician Empathy and the Maslach Burnout Inventory were used to measure empathy and burnout, respectively. The number of visits and the number of diagnoses coded per visit were obtained through the Region’s electronic health record.ResultsTwo hundred and sixty-seven healthcare professionals (physicians and nurses, 52.6% participation of the total in the region) with 301 657 patients under their care. Healthcare professionals’ degree of burnout and empathy was associated with the number of annual visits per patient under their care. Burned out nurses and physicians received fewer visits (4.5vs3.7 in nurses and 18.1vs18.9 in physicians), whereas more empathic physicians received more visits per patient (19.4vs17.2, p<0.05) and documented more diagnoses per visit (10.2vs9.7, p=0.001). Less burned out and less empathic nurses documented more diagnoses per visit (10.2vs10.0 and 8.2vs9.9, p<0.05).ConclusionsThe number of annual primary care visits per patient that healthcare professionals receive is closely associated with healthcare professionals’ empathy and burnout. These results should serve to promote empathic skills and establish organisational changes that promote efficiency in the practice and, in turn, reduce the degree of burnout of healthcare professionals.

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“…Although electronic health records (EHRs) were expected to transform the way care is delivered (6,7) by improving quality, safety, and efficiency, the reality is that EHRs have increased the burden of administrative, data-collection, and "desktop medicine" work borne by health care providers (8)(9)(10). There is growing concern about provider burnout (11)(12)(13)(14). In fact, some are calling for a modification to the Institute for Healthcare Improvement's so-called "triple aim" of population health, patient experience, and cost, believing that a fourth aim focused on provider well-being is essential to address burnout (15).…”

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CM-SHARE: Development, Integration, and Adoption of an Electronic Health Record–Linked Digital Health Solution to Support Care for Diabetes in Primary Care

et al. 2019

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■ IN BRIEF Chronic conditions such as diabetes are largely managed by primary care providers (PCPs), with significant patient self-management. This article describes the development, pilot testing, and fine-tuning of a Web-based digital health solution to help PCPs manage patients with cardiometabolic diseases during routine office encounters. It shows that such products can be successfully integrated into primary care settings when they address important unmet needs and are developed with input from end-users.

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Burnout in Young Family Physicians: Variation Across States

Cited by 16 publications

References 6 publications

Associations Between Burnout and Practice Organization in Family Physicians

Associations Between Burnout and Practice Organization in Family Physicians

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

CM-SHARE: Development, Integration, and Adoption of an Electronic Health Record–Linked Digital Health Solution to Support Care for Diabetes in Primary Care

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