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Associations of Primary Care Provider Burnout with Quality Improvement, Patient Experience Measurement, Clinic Culture, and Job Satisfaction.
- Source :
-
Journal of general internal medicine [J Gen Intern Med] 2024 Jul; Vol. 39 (9), pp. 1567-1574. Date of Electronic Publication: 2024 Jan 25. - Publication Year :
- 2024
-
Abstract
- Background: Burnout among providers negatively impacts patient care experiences and safety. Providers at Federally Qualified Health Centers (FQHC) are at high risk for burnout due to high patient volumes; inadequate staffing; and balancing the demands of patients, families, and team members.<br />Objective: Examine associations of provider burnout with their perspectives on quality improvement (QI), patient experience measurement, clinic culture, and job satisfaction.<br />Design: We conducted a cross-sectional provider survey about their perspectives including the single-item burnout measure. We fit separate regression models, controlling for provider type, gender, being multilingual, and fixed effects for clinic predicting outcome measures from burnout.<br />Participants: Seventy-four providers from 44 clinics in large, urban FQHC (52% response rate; n = 174).<br />Main Measures: Survey included a single-item, self-defined burnout measure adapted from the Physician Worklife Survey, and measures from the RAND AMA Study survey, Heath Tracking Physician survey, TransforMed Clinician and Staff Questionnaire, Physician Worklife Survey, Minimizing Errors Maximizing Outcomes survey, and surveys by Friedberg et al.  <superscript>31</superscript> and Walling et al.  <superscript>32</superscript> RESULTS: Thirty percent of providers reported burnout. Providers in clinics with more facilitative leadership reported not being burned out (compared to those reporting burnout; p-values < 0.05). More pressures related to patient care and lower job satisfaction were associated with burnout (p-values < 0.05).<br />Conclusions: Creating provider-team relationships and environments where providers have the time and space necessary to discuss changes to improve care, ideas are shared, leadership supports QI, and QI is monitored and discussed were related to not being burned out. Reducing time pressures and improving support needed for providers to address the high-need levels of FQHC patients can also decrease burnout. Such leadership and support to improving care may be a separate protective factor against burnout. Research is needed to further examine which aspects of leadership drive down burnout and increase provider involvement in change efforts and improving care.<br /> (© 2024. The Author(s).)
- Subjects :
- Humans
Male
Female
Cross-Sectional Studies
Primary Health Care standards
Adult
Middle Aged
Organizational Culture
Surveys and Questionnaires
Physicians, Primary Care psychology
Physicians, Primary Care standards
Burnout, Professional psychology
Burnout, Professional epidemiology
Job Satisfaction
Quality Improvement
Patient Satisfaction
Subjects
Details
- Language :
- English
- ISSN :
- 1525-1497
- Volume :
- 39
- Issue :
- 9
- Database :
- MEDLINE
- Journal :
- Journal of general internal medicine
- Publication Type :
- Academic Journal
- Accession number :
- 38273070
- Full Text :
- https://doi.org/10.1007/s11606-024-08633-w