Original Article
Self-Report Study of Predictors of Physician Wellness, Burnout, and Quality of Patient Care
Abstract
Objective: The goal of this self-report study was to examine the relation of work variables, self-rated health and mental health status, and perceived social support to physician wellness, physician burnout, and quality of patient care.Methods: We administered a demographics questionnaire, the Physician Wellness Inventory, the Maslach Burnout Inventory, and the Patient Care Scale to a random sample of full physician members of the American Academy of Family Physicians. We performed regression analyses on self-reported health status, work variables, and social support data as predictor variables and the subscales from the Physician Wellness Inventory, Maslach Burnout Inventory, and Patient Care Scale as the outcome variables.
Results: The response rate was 22%. Self-reported mental health status significantly predicted all of the wellness scales, the burnout scales, and the quality of patient care. The ability to manage the workload was the second strongest predictor of multiple scales.
Conclusions: More work should be done to explore the factors related to physicians’ self-ratings of mental health status and what that means to them. Also, it is important to study whether self-rated mental health status is related to objective patient care quality measures.
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References
1. Eckleberry-Hunt J, Kirkpatrick H, Taku K, et al. Relation between physicians’ worklives and happiness. South Med J 2016;109:207-212.
2. Lemaire JB, Wallace JE. Not all coping strategies are created equal: a mixed methods study exploring physicians’ self reported coping strategies. BMC Health Serv Res 2010;10:208.
3. Zwack J, Schweitzer J. If every fifth physician is affected by burnout, what about the other four? Resilience strategies of experienced physicians. Acad Med 2013;88:382-389.
4. Stevenson AD, Phillips CB, Anderson KJ. Resilience among doctors who work in challenging areas: a qualitative study. Br J Gen Pract 2011;61:e404-e410.
5. Jensen PM, Trollope-Kumar K, Walters H, et al. Building physician resilience. Can Fam Physician 2008;54:722-729.
6. Wallace JE, Lemaire J. On physician well being--you'll get by with a little help from your friends. Soc Sci Med 2007;64:2565-2577.
7. Maslach C, Jackson S, Leiter M. Maslach Burnout Inventory Manual. 3rd ed. Palo Alto, CA: Consulting Psychologists Press, 1996.
8. Shanafelt TD, Boone S, Tan L, et al. Burnout and satisfaction with work-life balance among US physicians relative to the general US population. Arch Intern Med 2012;172:1377-1385.
9. Schernhammer ES, Colditz GA. Suicide rates among physicians: a quantitative and gender assessment (meta-analysis). Am J Psychiatry 2004;161:2295-2302.
10. Balch CM, Shanafelt T. Combating stress and burnout in surgical practice: a review. Adv Surg 2010;44:29-47.
11. Anagnostopoulos F, Liolios E, Persefonis G, et al. Physician burnout and patient satisfaction with consultation in primary health care settings: evidence of relationships from a one-with-many design. J Clin Psychol Med Settings 2012;19:401-410.
12. Wallace JE, Lemaire J. Physician well being and quality of patient care: an exploratory study of the missing link. Psychol Health Med 2009;14:545-552.
13. Wallace JE, Lemaire JB, Ghali WA. Physician wellness: a missing quality indicator. Lancet 2009;374:1714-1721.
14. Klimo P, Jr DeCuypere M, Ragel BT, et al. Career satisfaction and burnout among U.S. neurosurgeons: a feasibility and pilot study. World Neurosurg 2013;80:e59-e68.
15. Shanafelt TD, Balch CM, Bechamps GJ, et al. Burnout and career satisfaction among American surgeons. Ann Surg 2009;250:463-471.
16. Shanafelt TD, Hasan O, Dyrbye LN, et al. 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.
17. Wallace JE. Mental health and stigma in the medical profession. Health 2010;16:3-18.
18. Schernhammer E. Taking their own lives-the high rate of physician suicide. N Engl J Med 2005;352:2473-2476.
19. Scheurer D, McKean S, Miller J, et al. U.S. physician satisfaction: a systematic review. J Hosp Med 2009;4:560-568.
20. Shanafelt TD, Oreskovich MR, Dyrbye LN, et al. Avoiding burnout: the personal health habits and wellness practices of US surgeons. Ann Surg 2012;255:625-633.
21. Ruitenburg MM, Frings-Dresen MHW, Sluiter JK. The prevalence of common mental disorders among hospital physicians and their association with self-reported work ability: a cross-sectional study. BMC Health Serv Res 2012;12:292-298.
22. Halbesleben JRB, Buckley MR. Burnout in organizational life. http://journals.sagepub.com/doi/pdf/10.1016/j.jm.2004.06.004. Published July 14, 2004. Accessed January 12, 2017.
23. Schaufeli WB, Leiter MP, Maslach C. Burnout: 35 years of research and practice. Career Dev Int 2009;14:204-220.
24. Leiter MP, Durup J. The discriminant validity of burnout and depression: a confirmatory factor analytic study. Anxiety Stress Coping 1994;7:357-373.
25. Maslach C, Leiter M. Understanding the burnout experience: recent research and its implications for psychiatry. World Psychiatry 2016;15:103-111.
26. Firth-Cozens J, Greenhalgh J. Doctors’ perceptions of the links between stress and lowered clinical care. Soc Sci Med 1997;4:1017-1022.
27. Brooks SK, Gerada C, Chalder T. Review of literature on the mental health of doctors: are specialist services needed? J Ment Health 2011;20:146-156.
28. Maslach C, Leiter MP. The Truth About Burnout. San Francisco:Jossey-Bass , 1997.
