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Gen Hosp Psychiatry. 2017 Jan - Feb;44:91-95. doi: 10.1016/j.genhosppsych.2016.03.004. Epub 2016 Jul 16.

Clinician burnout and satisfaction with resources in caring for complex patients.

Author information

1
HealthPartners Institute for Education and Research, Minneapolis, MN, USA; School of Social Work, University of St. Thomas, St. Paul, MN, USA. Electronic address: rrwhitebird@stthomas.edu.
2
HealthPartners Institute for Education and Research, Minneapolis, MN, USA.
3
Kaiser Permanente Colorado Institute for Health Research, Denver, CO, USA.
4
Institute for Clinical Systems Improvement, Minneapolis, MN, USA.
5
Kaiser Permanente Southern California, Pasadena, CA, USA.

Abstract

OBJECTIVE:

To describe primary care clinicians' self-reported satisfaction, burnout and barriers for treating complex patients.

METHODS:

We conducted a survey of 1554 primary care clinicians in 172 primary care clinics in 18 health care systems across 8 states prior to the implementation of a collaborative model of care for patients with depression and diabetes and/or cardiovascular disease.

RESULTS:

Of the clinicians who responded to the survey (n=709; 46%), we found that a substantial minority (31%) were experiencing burnout that was associated with lower career satisfaction (P<.0001) and lower satisfaction with resources to treat complex patients (P<.0001). Less than 50% of clinicians rated their ability to treat complex patients as very good to excellent with 21% rating their ability as fair to poor. The majority of clinicians (72%) thought that a collaborative model of care would be very helpful for treating complex patients.

CONCLUSIONS:

Burnout remains a problem for primary care clinicians and is associated with low job satisfaction and low satisfaction with resources to treat complex patients. A collaborative care model for patients with mental and physical health problems may provide the resources needed to improve the quality of care for these patients.

KEYWORDS:

Burnout; Collaborative care; Depression; Job satisfaction

[Indexed for MEDLINE]

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