Clinician burnout and satisfaction with resources in caring for complex patients

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• 作者：Robin R. Whitebird ; Ph.D. ; M.S.W.^a ; ^b ; ^{rrwhitebird@stthomas.edu} ; Leif I. Solberg ; M.D.^a ; A. Lauren Crain ; Ph.D.^a ; Rebecca C. Rossom ; M.D. ; M.S.^a ; Arne Beck ; Ph.D.^c ; Claire Neely ; M.D.^d ; Mark Dreskin ; M.D.^e ; Karen J. Coleman ; Ph.D.^e
• 关键词：Collaborative care ; Job satisfaction ; Burnout ; Depression
• 刊名：General Hospital Psychiatry
• 出版年：2017
• 出版时间：January-February 2017
• 年：2017
• 卷：44
• 期：Complete
• 页码：91-95
• 全文大小：269 K
• 卷排序：44

文摘

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