Association of Primary Care Team Composition and Clinician Burnout in a Primary Care Practice Network

To determine the relationship of the emotional exhaustion domain of burnout with care team composition in a Midwestern primary care practice network. We studied 420 family medicine clinicians (253 physicians and 167 nurse practitioners/physician assistants [NP/PAs]) within a large integrated health...

Full description

Saved in:

Bibliographic Details
Published in:	Mayo Clinic proceedings. Innovations, quality & outcomes Vol. 4; no. 2; pp. 135 - 142
Main Authors:	Bruhl, Elliot J., MacLaughlin, Kathy L., Allen, Summer V., Horn, Jennifer L., Angstman, Kurt B., Garrison, Gregory M., Maxson, Julie A., McCauley, Debra K., Lampman, Michelle A., Thacher, Tom D.
Format:	Journal Article
Language:	English
Published:	Netherlands Elsevier Inc 01-04-2020 Elsevier
Subjects:	Original TCP PCP MBI FTE CA NP/PA FTE, full-time equivalent PCP, primary care provider MBI, Maslach Burnout Inventory CA, clinical assistant TCP, time in clinical practice NP/PA, nurse practitioner/physician assistant
Online Access:	Get full text
Tags:	Add Tag No Tags, Be the first to tag this record!

Description
Summary:	To determine the relationship of the emotional exhaustion domain of burnout with care team composition in a Midwestern primary care practice network. We studied 420 family medicine clinicians (253 physicians and 167 nurse practitioners/physician assistants [NP/PAs]) within a large integrated health system throughout 59 Midwestern communities. The observational cross-sectional study utilized a single-question clinician self-assessment of the emotional exhaustion domain of burnout on a scale of 0 (never) to 6 (daily) conducted between March 1 and April 2, 2018, and administrative data collected between January 1, 2017, and December 31, 2017. We used a multivariable linear mixed model for data analysis, adjusted for clinical- and team-level factors, including clinician sex, panel size and complexity, clinician type (physician or NP/PA), clinician full-time equivalent (FTE), total care team panel size, and number of clinicians on the care team. Among 217 survey respondents (51.7%), the median frequency of the emotional exhaustion domain of burnout was once per week. Adjusted analyses revealed that a greater proportion of physician FTE on the care team was associated with a lower emotional exhaustion domain of burnout among individual clinicians (P=.05). Female clinicians had a higher emotional exhaustion domain of burnout than male clinicians (P=.05). None of the other variables in the model were associated with emotional exhaustion. Primary care teams containing both physicians and NP/PAs had lower levels of emotional exhaustion with increasing proportion of physician FTE. More work is needed to explore what other variables may be associated with burnout in primary care team-based practices.
Bibliography:	ObjectType-Article-1 SourceType-Scholarly Journals-1 ObjectType-Feature-2 content type line 23
ISSN:	2542-4548 2542-4548
DOI:	10.1016/j.mayocpiqo.2019.12.008