A Cluster Randomized Trial of Interventions to Improve Work Conditions and Clinician Burnout in Primary Care: Results from the Healthy Work Place (HWP) Study

Journal of General Internal Medicine
Mark LinzerMichael Barbouche

Abstract

Work conditions in primary care are associated with physician burnout and lower quality of care. We aimed to assess if improvements in work conditions improve clinician stress and burnout. Primary care clinicians at 34 clinics in the upper Midwest and New York City participated in the study. This was a cluster randomized controlled trial. Work conditions, such as time pressure, workplace chaos, and work control, as well as clinician outcomes, were measured at baseline and at 12-18 months. A brief worklife and work conditions summary measure was provided to staff and clinicians at intervention sites. Diverse interventions were grouped into three categories: 1) improved communication; 2) changes in workflow, and 3) targeted quality improvement (QI) projects. Multilevel regressions assessed impact of worklife data and interventions on clinician outcomes. A multilevel analysis then looked at clinicians whose outcome scores improved and determined types of interventions associated with improvement. Of 166 clinicians, 135 (81.3%) completed the study. While there was no group treatment effect of baseline data on clinician outcomes, more intervention clinicians showed improvements in burnout (21.8% vs 7.1% less burned out, p = 0.01) an...Continue Reading

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Citations

Jan 2, 2016·Journal of Neurosurgery·Kyle A Smith, Morgan B Glusman
Apr 26, 2015·Journal of General Internal Medicine·Colin P West, Karen E Hauer
May 4, 2016·Journal of General Internal Medicine·Mark LinzerKay Ovington
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Sep 3, 2016·Frontiers in Psychology·Monica PedrazzaFranco Bressan
Sep 11, 2016·Journal of General Internal Medicine·Mark LinzerMichael Barbouche
May 5, 2017·Academic Medicine : Journal of the Association of American Medical Colleges·Jonathan A RippHasan Bazari
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