Predictors and Outcomes of Burnout Among Primary Care Providers in the United States: A Systematic Review

被引:68
作者
Abraham, Cilgy M. [1 ]
Zheng, Katherine [1 ]
Poghosyan, Lusine [1 ]
机构
[1] Columbia Univ, New York, NY 10032 USA
关键词
burnout; clinicians; predictors; primary care; outcomes; PRIMARY-HEALTH-CARE; CENTERED MEDICAL HOME; PHYSICIAN BURNOUT; SINGLE-ITEM; SATISFACTION; STRESS; ASSOCIATION; PREVALENCE; CLINICIAN; WORKFORCE;
D O I
10.1177/1077558719888427
中图分类号
R19 [保健组织与事业(卫生事业管理)];
学科分类号
摘要
Primary care providers (PCPs) in the United States work in challenging environments and may be at risk for burnout. This article identifies the predictors and outcomes of burnout among PCPs in the United States. A comprehensive literature search of eight databases was conducted to identify studies investigating predictors or outcomes of PCP burnout. The Joanna Briggs Institute's critical appraisal checklists for cross-sectional and cohort studies were used for quality appraisal. Overall, 21 studies met inclusion criteria, had sufficient quality, reported personal and/or organizational predictors of burnout, and described burnout outcomes at the patient, provider, or organizational level. Prevalence of PCP burnout ranged from 13.5% to 60%. The primary care practice environment was the most common predictor of PCP burnout. In conclusion, developing interventions to improve the practice environment may help reduce PCP burnout. Future studies using robust study designs and standardized instruments to consistently measure burnout are needed.
引用
收藏
页码:387 / 401
页数:15
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