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Physician Burnout and Patient Satisfaction with Consultation in Primary Health Care Settings: Evidence of Relationships from a one-with-many Design
Physician burnout, as a prolonged response to chronic emotional and interpersonal stressors on the job, has been associated with suboptimal patient care and deterioration in the patient–provider relationship. Although prior studies have identified a range of factors associated with decreased patient...
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| Published in: | Journal of clinical psychology in medical settings 2012-12, Vol.19 (4), p.401-410 |
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| Main Authors: | , , , , , |
| Format: | Article |
| Language: | English |
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| cites | cdi_FETCH-LOGICAL-c372t-acece0496c265280c45aa0ef0d998f3e2c7ecb6e8d22148b3ebb45d12e2c9b503 |
| container_end_page | 410 |
| container_issue | 4 |
| container_start_page | 401 |
| container_title | Journal of clinical psychology in medical settings |
| container_volume | 19 |
| creator | Anagnostopoulos, Fotios Liolios, Evangelos Persefonis, George Slater, Julie Kafetsios, Kostas Niakas, Dimitris |
| description | Physician burnout, as a prolonged response to chronic emotional and interpersonal stressors on the job, has been associated with suboptimal patient care and deterioration in the patient–provider relationship. Although prior studies have identified a range of factors associated with decreased patient satisfaction, most have been conducted in tertiary care settings, with staff burnout examined at the hospital unit-level. To examine the impact of physician burnout on patient satisfaction from consultation in the primary care setting, a cross-sectional survey was conducted in Western Greece. Using a one-with-many design, 30 physicians and 300 of their patients, randomly selected, responded to the survey. Results showed that patient satisfaction correlated significantly with physician emotional exhaustion (
r
= −.636,
p
|
| doi_str_mv | 10.1007/s10880-011-9278-8 |
| format | article |
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r
= −.636,
p
< .01) and physician depersonalization (
r
= −.541,
p
< .01). Mixed-effects multilevel models indicated that 34.4% of total variation in patients’ satisfaction occurred at the physician level, after adjustment for patients’ characteristics. Moreover, physician emotional exhaustion and depersonalization remained significant factors associated with patient satisfaction with consultation, after controlling for patient and physician characteristics. Patients of physicians with high-exhaustion and high-depersonalization had significantly lower satisfaction scores, compared with patients of physicians with low-exhaustion and low-depersonalization, respectively. Future studies need to explore the mechanisms by which physician burnout affects patient satisfaction.</description><identifier>ISSN: 1068-9583</identifier><identifier>EISSN: 1573-3572</identifier><identifier>DOI: 10.1007/s10880-011-9278-8</identifier><identifier>PMID: 22327237</identifier><language>eng</language><publisher>Boston: Springer US</publisher><subject>Adult ; Aged ; Aged, 80 and over ; Burnout ; Burnout, Professional ; Clinical outcomes ; Communication ; Cross-Sectional Studies ; Depersonalization ; Family Medicine ; Female ; General Practice ; Greece ; Health Care Surveys ; Health Psychology ; Hospitals ; Humans ; Male ; Medicine ; Medicine & Public Health ; Mental Fatigue ; Middle Aged ; Multivariate Analysis ; Patient Satisfaction ; Physician-Patient Relations ; Physicians ; Primary care ; Primary Health Care ; Questionnaires</subject><ispartof>Journal of clinical psychology in medical settings, 2012-12, Vol.19 (4), p.401-410</ispartof><rights>Springer Science+Business Media, LLC 2012</rights><rights>Springer Science+Business Media, LLC 2012.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c372t-acece0496c265280c45aa0ef0d998f3e2c7ecb6e8d22148b3ebb45d12e2c9b503</citedby><cites>FETCH-LOGICAL-c372t-acece0496c265280c45aa0ef0d998f3e2c7ecb6e8d22148b3ebb45d12e2c9b503</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,776,780,27903,27904</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/22327237$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Anagnostopoulos, Fotios</creatorcontrib><creatorcontrib>Liolios, Evangelos</creatorcontrib><creatorcontrib>Persefonis, George</creatorcontrib><creatorcontrib>Slater, Julie</creatorcontrib><creatorcontrib>Kafetsios, Kostas</creatorcontrib><creatorcontrib>Niakas, Dimitris</creatorcontrib><title>Physician Burnout and Patient Satisfaction with Consultation in Primary Health Care Settings: Evidence of Relationships from a one-with-many Design</title><title>Journal of clinical psychology in medical settings</title><addtitle>J Clin Psychol Med Settings</addtitle><addtitle>J Clin Psychol Med Settings</addtitle><description>Physician burnout, as a prolonged response to chronic emotional and interpersonal stressors on the job, has been associated with suboptimal patient care and deterioration in the patient–provider relationship. Although prior studies have identified a range of factors associated with decreased patient satisfaction, most have been conducted in tertiary care settings, with staff burnout examined at the hospital unit-level. To examine the impact of physician burnout on patient satisfaction from consultation in the primary care setting, a cross-sectional survey was conducted in Western Greece. Using a one-with-many design, 30 physicians and 300 of their patients, randomly selected, responded to the survey. Results showed that patient satisfaction correlated significantly with physician emotional exhaustion (
r
= −.636,
p
< .01) and physician depersonalization (
r
= −.541,
p
< .01). Mixed-effects multilevel models indicated that 34.4% of total variation in patients’ satisfaction occurred at the physician level, after adjustment for patients’ characteristics. Moreover, physician emotional exhaustion and depersonalization remained significant factors associated with patient satisfaction with consultation, after controlling for patient and physician characteristics. Patients of physicians with high-exhaustion and high-depersonalization had significantly lower satisfaction scores, compared with patients of physicians with low-exhaustion and low-depersonalization, respectively. Future studies need to explore the mechanisms by which physician burnout affects patient satisfaction.</description><subject>Adult</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Burnout</subject><subject>Burnout, Professional</subject><subject>Clinical outcomes</subject><subject>Communication</subject><subject>Cross-Sectional Studies</subject><subject>Depersonalization</subject><subject>Family Medicine</subject><subject>Female</subject><subject>General Practice</subject><subject>Greece</subject><subject>Health Care Surveys</subject><subject>Health Psychology</subject><subject>Hospitals</subject><subject>Humans</subject><subject>Male</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Mental Fatigue</subject><subject>Middle Aged</subject><subject>Multivariate Analysis</subject><subject>Patient Satisfaction</subject><subject>Physician-Patient Relations</subject><subject>Physicians</subject><subject>Primary care</subject><subject>Primary Health Care</subject><subject>Questionnaires</subject><issn>1068-9583</issn><issn>1573-3572</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2012</creationdate><recordtype>article</recordtype><recordid>eNp1Uc1uEzEQthAVLYUH4IIscTaM7f3xcoNQaKVKjWh7trze2cRVYgfbC8pz8MJ1uqWceprRfD-jmY-Qdxw-coD2U-KgFDDgnHWiVUy9ICe8biWTdStelh4axbpayWPyOqU7AOiUFK_IsRBStEK2J-Tvcr1Pzjrj6dcp-jBlavxAlyY79Jlel5pGY7MLnv5xeU0Xwadpk83DxHm6jG5r4p6eo9kcYBORXmPOzq_SZ3r22w3oLdIw0p-4eVCltdslOsawpYYGj-zgy7bG7-k3TG7l35Cj0WwSvn2sp-T2-9nN4pxdXv24WHy5ZFa2IjNj0SJUXWNFUwsFtqqNARxh6Do1ShS2Rds3qAYheKV6iX1f1QMXBen6GuQp-TD77mL4NWHK-i6UH5SVuthVUDeiqgqLzywbQ0oRR72bT9Yc9CEGPcegSwz6EINWRfP-0Xnqtzg8Kf79vRDETEgF8iuM_1c_73oPl92VXw</recordid><startdate>20121201</startdate><enddate>20121201</enddate><creator>Anagnostopoulos, Fotios</creator><creator>Liolios, Evangelos</creator><creator>Persefonis, George</creator><creator>Slater, Julie</creator><creator>Kafetsios, Kostas</creator><creator>Niakas, Dimitris</creator><general>Springer US</general><general>Springer Nature B.V</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>M0S</scope><scope>M1P</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PSYQQ</scope></search><sort><creationdate>20121201</creationdate><title>Physician Burnout and Patient Satisfaction with Consultation in Primary Health Care Settings: Evidence of Relationships from a one-with-many Design</title><author>Anagnostopoulos, Fotios ; Liolios, Evangelos ; Persefonis, George ; Slater, Julie ; Kafetsios, Kostas ; Niakas, Dimitris</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c372t-acece0496c265280c45aa0ef0d998f3e2c7ecb6e8d22148b3ebb45d12e2c9b503</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2012</creationdate><topic>Adult</topic><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Burnout</topic><topic>Burnout, Professional</topic><topic>Clinical outcomes</topic><topic>Communication</topic><topic>Cross-Sectional Studies</topic><topic>Depersonalization</topic><topic>Family Medicine</topic><topic>Female</topic><topic>General Practice</topic><topic>Greece</topic><topic>Health Care Surveys</topic><topic>Health Psychology</topic><topic>Hospitals</topic><topic>Humans</topic><topic>Male</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Mental Fatigue</topic><topic>Middle Aged</topic><topic>Multivariate Analysis</topic><topic>Patient Satisfaction</topic><topic>Physician-Patient Relations</topic><topic>Physicians</topic><topic>Primary care</topic><topic>Primary Health Care</topic><topic>Questionnaires</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Anagnostopoulos, Fotios</creatorcontrib><creatorcontrib>Liolios, Evangelos</creatorcontrib><creatorcontrib>Persefonis, George</creatorcontrib><creatorcontrib>Slater, Julie</creatorcontrib><creatorcontrib>Kafetsios, Kostas</creatorcontrib><creatorcontrib>Niakas, Dimitris</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni)</collection><collection>ProQuest Central</collection><collection>AUTh Library subscriptions: ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest One Psychology</collection><jtitle>Journal of clinical psychology in medical settings</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Anagnostopoulos, Fotios</au><au>Liolios, Evangelos</au><au>Persefonis, George</au><au>Slater, Julie</au><au>Kafetsios, Kostas</au><au>Niakas, Dimitris</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Physician Burnout and Patient Satisfaction with Consultation in Primary Health Care Settings: Evidence of Relationships from a one-with-many Design</atitle><jtitle>Journal of clinical psychology in medical settings</jtitle><stitle>J Clin Psychol Med Settings</stitle><addtitle>J Clin Psychol Med Settings</addtitle><date>2012-12-01</date><risdate>2012</risdate><volume>19</volume><issue>4</issue><spage>401</spage><epage>410</epage><pages>401-410</pages><issn>1068-9583</issn><eissn>1573-3572</eissn><abstract>Physician burnout, as a prolonged response to chronic emotional and interpersonal stressors on the job, has been associated with suboptimal patient care and deterioration in the patient–provider relationship. Although prior studies have identified a range of factors associated with decreased patient satisfaction, most have been conducted in tertiary care settings, with staff burnout examined at the hospital unit-level. To examine the impact of physician burnout on patient satisfaction from consultation in the primary care setting, a cross-sectional survey was conducted in Western Greece. Using a one-with-many design, 30 physicians and 300 of their patients, randomly selected, responded to the survey. Results showed that patient satisfaction correlated significantly with physician emotional exhaustion (
r
= −.636,
p
< .01) and physician depersonalization (
r
= −.541,
p
< .01). Mixed-effects multilevel models indicated that 34.4% of total variation in patients’ satisfaction occurred at the physician level, after adjustment for patients’ characteristics. Moreover, physician emotional exhaustion and depersonalization remained significant factors associated with patient satisfaction with consultation, after controlling for patient and physician characteristics. Patients of physicians with high-exhaustion and high-depersonalization had significantly lower satisfaction scores, compared with patients of physicians with low-exhaustion and low-depersonalization, respectively. Future studies need to explore the mechanisms by which physician burnout affects patient satisfaction.</abstract><cop>Boston</cop><pub>Springer US</pub><pmid>22327237</pmid><doi>10.1007/s10880-011-9278-8</doi><tpages>10</tpages></addata></record> |
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| ispartof | Journal of clinical psychology in medical settings, 2012-12, Vol.19 (4), p.401-410 |
| issn | 1068-9583 1573-3572 |
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| subjects | Adult Aged Aged, 80 and over Burnout Burnout, Professional Clinical outcomes Communication Cross-Sectional Studies Depersonalization Family Medicine Female General Practice Greece Health Care Surveys Health Psychology Hospitals Humans Male Medicine Medicine & Public Health Mental Fatigue Middle Aged Multivariate Analysis Patient Satisfaction Physician-Patient Relations Physicians Primary care Primary Health Care Questionnaires |
| title | Physician Burnout and Patient Satisfaction with Consultation in Primary Health Care Settings: Evidence of Relationships from a one-with-many Design |
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