The Effects of a Primary Care Transformation Initiative on Primary Care Physician Burnout and Workplace Experience

Journal of General Internal Medicine
Deborah N PeikesLaura L Sessums

Abstract

Physician burnout is associated with deleterious effects for physicians and their patients and might be exacerbated by practice transformation. Assess the effect of the Comprehensive Primary Care (CPC) initiative on primary care physician experience. Prospective cohort study conducted with about 500 CPC and 900 matched comparison practices. Mail surveys of primary care physicians, selected using cross-sectional stratified random selection 11 months into CPC, and a longitudinal design with sample replacement 44 months into CPC. Primary care physicians in study practices. A multipayer primary care transformation initiative (October 2012-December 2016) that required care delivery changes and provided enhanced payment, data feedback, and learning support. Burnout, control over work, job satisfaction, likelihood of leaving current practice within 2 years. More than 1000 physicians responded (over 630 of these in CPC practices) in each round (response rates 70-81%, depending on round and research group). Physician experience outcomes were similar for physicians in CPC and comparison practices. About one third of physician respondents in CPC and comparison practices reported high levels of burnout in each round (32 and 29% in 2013 [P ...Continue Reading

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Citations

Apr 16, 2020·BMC Health Services Research·Wen Jun WongSheamini Sivasampu
Nov 9, 2018·Journal of General Internal Medicine·Karin Nelson, Greg Stewart
Jul 15, 2020·The British Journal of General Practice : the Journal of the Royal College of General Practitioners·Christine CohidonNicolas Senn

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