Display Settings:

Format

Send to:

Choose Destination
See comment in PubMed Commons below
J Gen Intern Med. 2008 Oct;23(10):1581-8. doi: 10.1007/s11606-008-0702-1. Epub 2008 Jul 10.

Physician burnout and patient-physician communication during primary care encounters.

Author information

  • 1Johns Hopkins University School of Medicine, Johns Hopkins Bayview Medical Center, Mason Lord Building Center Tower, 5200 Eastern Avenue, Suite 2300, Baltimore, MD 21224, USA. neda@jhmi.edu

Abstract

BACKGROUND:

Although previous studies suggest an association between provider burnout and suboptimal self-reported communication, no studies relate physician burnout to observed patient-physician communication behaviors.

OBJECTIVE:

To investigate the relationship between physician burnout and observed patient-physician communication outcomes in patient-physician encounters.

DESIGN:

Longitudinal study of enrollment data from a trial of interventions to improve patient adherence to hypertension treatment.

SETTING:

Fifteen urban community-based clinics in Baltimore, MD.

PARTICIPANTS:

Forty physicians and 235 of their adult hypertensive patients, with oversampling of ethnic minorities and poor persons. Fifty-three percent of physicians were women, and the average practice experience was 11.2 years. Among the 235 patients, 66% were women, 60% were African-American, and 90% were insured.

MEASUREMENTS:

Audiotape analysis of communication during outpatient encounters (one per patient) using the Roter Interaction Analysis System and patients' ratings of satisfaction with and trust and confidence in the physician.

RESULTS:

The median time between the physician burnout assessment and the patient encounter was 15.1 months (range 5.6-30). Multivariate analyses revealed no significant differences in physician communication based on physician burnout. However, compared with patients of low-burnout physicians, patients of high-burnout physicians gave twice as many negative rapport-building statements (incident risk ratio 2.06, 95% CI 1.58-2.86, p < 0.001). Physician burnout was not significantly associated with physician or patient affect, patient-centeredness, verbal dominance, or length of the encounter. Physician burnout was also not significantly associated with patients' ratings of their satisfaction, confidence, or trust.

CONCLUSIONS:

Physician burnout was not associated with physician communication behaviors nor with most measures of patient-centered communication. However, patients engaged in more rapport-building behaviors. These findings suggest a complex relationship between physician burnout and patient-physician communication, which should be investigated and linked to patient outcomes in future research.

PMID:
18618195
[PubMed - indexed for MEDLINE]
PMCID:
PMC2533387
Free PMC Article

Images from this publication.See all images (1)Free text

FigureĀ 1
PubMed Commons home

PubMed Commons

0 comments
How to join PubMed Commons

    Supplemental Content

    Full text links

    Icon for Springer Icon for PubMed Central
    Loading ...
    Write to the Help Desk