Associations Between Burnout and Practice Organization in Family Physicians
| Autor: | Anastasia J. Coutinho, Lars E. Peterson, Jessica Creager |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2019 |
| Předmět: |
Response rate (survey)
Teamwork medicine.medical_specialty business.industry media_common.quotation_subject health care facilities manpower and services Stressor education Odds ratio Burnout Logistic regression 03 medical and health sciences 0302 clinical medicine Family medicine health services administration Depersonalization medicine 030212 general & internal medicine medicine.symptom Family Practice business Emotional exhaustion psychological phenomena and processes media_common Original Research |
| Zdroj: | Ann Fam Med |
| Popis: | 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. |
| Databáze: | OpenAIRE |
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