Burnout of intrinsically motivated GPs when exposed to external regulation: A combined panel data survey and cluster randomized field experiment.

Autor: Pedersen LB; Research Unit for General Practice, Institute of Public Health, University of Southern Denmark, Odense, Denmark; DaCHE - Danish Centre for Health Economics Research, Institute of Public Health, University of Southern Denmark, Odense, Denmark. Electronic address: lib@sdu.dk., Hvidt EA; Research Unit for General Practice, Institute of Public Health, University of Southern Denmark, Odense, Denmark; Department for the Study of Culture, University of Southern Denmark, Odense, Denmark., Waldorff FB; Research Unit for General Practice, Institute of Public Health, University of Southern Denmark, Odense, Denmark; Research Unit for General Practice, Department of Public Health, University of Copenhagen, Copenhagen, Denmark., Andersen MK; Research Unit for General Practice, Institute of Public Health, University of Southern Denmark, Odense, Denmark.
Jazyk: angličtina
Zdroj: Health policy (Amsterdam, Netherlands) [Health Policy] 2021 Apr; Vol. 125 (4), pp. 459-466. Date of Electronic Publication: 2021 Jan 30.
DOI: 10.1016/j.healthpol.2021.01.004
Abstrakt: Burnout among general practitioners (GPs) is a problem in many countries. Research indicates that burnout is less likely to occur among intrinsically motivated employees. Based on self-determination theory, we investigate 1) whether intrinsically motivated GPs are less burned out than their colleagues, and 2) whether the most intrinsically motivated GPs are more likely to burn out when exposed to an external regulatory accreditation programme. General practices in Denmark were cluster randomized to mandatory accreditation in 2016, 2017 or 2018. We measure GPs' intrinsic motivation and burnout levels one and two years into the accreditation process. We use a balanced panel of GPs (n = 846) to estimate mixed effects ordered logit models. We find that GPs with high intrinsic motivation are less burned out than their colleagues. However, the most intrinsically motivated GPs are significantly more burned out when exposed to accreditation compared to their colleagues. We conclude that being intrinsically motivated may not shield from burnout when external regulation is imposed.
Competing Interests: Declaration of Competing Interest The authors report no declarations of interest.
(Copyright © 2021 The Author(s). Published by Elsevier B.V. All rights reserved.)
Databáze: MEDLINE
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