Abstract
Physician burnout is a critical factor influencing the quality of care delivered in
various healthcare settings. Although the prevalence and consequences of burnout have
been well documented for physicians in various jurisdictions, no studies to date have
reported on burnout in the postacute and long-term care setting. In this exploratory
study, we sought to quantify the prevalence of burnout among 3 cohorts of physicians,
each practicing in nursing homes in the United States (US), Canada, or The Netherlands.
International comparisons were solicited to highlight cultural and health system factors
potentially impacting burnout levels. Using standard survey techniques, a total of
721 physicians were solicited to participate (Canada 393; US 110; The Netherlands
218). Physicians agreeing to participate were asked to complete the “Maslach Burnout
Inventory” using the Survey Monkey platform. A total of 118 surveys were completed
from The Netherlands, 59 from Canada, and 65 from the US for response rates of 54%,
15%, and 59%, respectively. While US physicians demonstrated more negative scores
in the emotional exhaustion subscale compared with their counterparts in Canada and
The Netherlands, there were no meaningful differences on the depersonalization and
personal accomplishments subscales. Factors explaining these differences are explored
as well as approaches to future research on physician burnout in postacute and long-term
care.
Keywords
To read this article in full you will need to make a payment
Purchase one-time access:
Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online accessOne-time access price info
- For academic or personal research use, select 'Academic and Personal'
- For corporate R&D use, select 'Corporate R&D Professionals'
Subscribe:
Subscribe to Journal of the American Medical Directors AssociationAlready a print subscriber? Claim online access
Already an online subscriber? Sign in
Register: Create an account
Institutional Access: Sign in to ScienceDirect
References
- National Nursing Home Quality Improvement Campaign.(Available at:)https://www.nhqualitycampaign.org/Date accessed: August 28, 2017
- Improving the Quality of Care in Nursing Homes.The National Academies Press, Washington, DC1986
- Nursing home physician specialists: A response to the workforce crisis in long term care.Ann Intern Med. 2009; 150: 411-413
- Nursing home medical staff organization: Correlates with quality indicators.J Am Med Dir Assoc. 2011; 12: 655-659
- Association between proportion of provider clinical effort in nursing homes and potentially avoidable hospitalizations and medical costs of nursing home residents.J Am Geriatr Soc. 2013; 61: 1750-1757
- Examining the rationale and processes behind the development of AMDA's competencies for post –acute and long-term care medicine.Annals of Long-Term Care and Aging. 2014; 22: 36-39
- Maslach Burnout Inventory Manual.Mind Garden, Menlo Park, CA1986 and 2010
- Early predictors of job burnout and engagement.J Appl Psych. 2008; 93: 498-512
- Burnout: 35 years of research and practice.Career Development Int. 2009; 14: 204-220
- Midcareer burnout in generalist and specialist physicians.JAMA. 2002; 288: 1447-1450
- The well-being of physicians.Am J Med. 2003; 114: 513-519
- Changes in burnout and satisfaction with work-life balance in physicians and the general US working population between 2011 and 2014.Mayo Clin Proc. 2015; 90: 1600-1613
- Predicting and preventing physician burnout: Results from the United States and The Netherlands.Am J Med. 2001; 111: 170-175
- Stress, burnout, and strategies for reducing them.Can Fam Phys. 2008; 54: 234-235
- Burnout and engagement among resident doctors in The Netherlands: A national study.Med Educ. 2010; 44: 236-247
- Mail and Telephone Surveys: The Total Design Method.John Wiley & Sons, New York1978
- Factors Affecting Physician Professional Satisfaction and Their Implications for Patient Care, Health Systems, and Health Policy.RAND Corporation, Santa Monica, CA2013 (Available at: https://www.rand.org/pubs/research_reports/RR439.html)
- Intervention to promote physician well-being, job satisfaction and professionalism.JAMA Intern Med. 2014; 174: 527-533
Article info
Footnotes
The authors declare no conflicts of interest.
Identification
Copyright
© 2017 AMDA - The Society for Post-Acute and Long-Term Care Medicine.