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Research ArticleOriginal Research

Physician Burnout and Higher Clinic Capacity to Address Patients' Social Needs

Emilia De Marchis, Margae Knox, Danielle Hessler, Rachel Willard-Grace, J. Nwando Olayiwola, Lars E. Peterson, Kevin Grumbach and Laura M. Gottlieb
The Journal of the American Board of Family Medicine January 2019, 32 (1) 69-78; DOI: https://doi.org/10.3122/jabfm.2019.01.180104
Emilia De Marchis
From Department of Family & Community Medicine, University of California San Francisco, San Francisco (ED, DH, JNO, LMG), Center for Excellence in Primary Care, Department of Family & Community Medicine, University of California San Francisco, San Francisco (MK, RW-G, KG), American Board of Family Medicine, Lexington, KY (LEP).
MD
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Margae Knox
From Department of Family & Community Medicine, University of California San Francisco, San Francisco (ED, DH, JNO, LMG), Center for Excellence in Primary Care, Department of Family & Community Medicine, University of California San Francisco, San Francisco (MK, RW-G, KG), American Board of Family Medicine, Lexington, KY (LEP).
MPH
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Danielle Hessler
From Department of Family & Community Medicine, University of California San Francisco, San Francisco (ED, DH, JNO, LMG), Center for Excellence in Primary Care, Department of Family & Community Medicine, University of California San Francisco, San Francisco (MK, RW-G, KG), American Board of Family Medicine, Lexington, KY (LEP).
PhD
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Rachel Willard-Grace
From Department of Family & Community Medicine, University of California San Francisco, San Francisco (ED, DH, JNO, LMG), Center for Excellence in Primary Care, Department of Family & Community Medicine, University of California San Francisco, San Francisco (MK, RW-G, KG), American Board of Family Medicine, Lexington, KY (LEP).
MPH
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J. Nwando Olayiwola
From Department of Family & Community Medicine, University of California San Francisco, San Francisco (ED, DH, JNO, LMG), Center for Excellence in Primary Care, Department of Family & Community Medicine, University of California San Francisco, San Francisco (MK, RW-G, KG), American Board of Family Medicine, Lexington, KY (LEP).
MD, MPH
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Lars E. Peterson
From Department of Family & Community Medicine, University of California San Francisco, San Francisco (ED, DH, JNO, LMG), Center for Excellence in Primary Care, Department of Family & Community Medicine, University of California San Francisco, San Francisco (MK, RW-G, KG), American Board of Family Medicine, Lexington, KY (LEP).
MD, PhD
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Kevin Grumbach
From Department of Family & Community Medicine, University of California San Francisco, San Francisco (ED, DH, JNO, LMG), Center for Excellence in Primary Care, Department of Family & Community Medicine, University of California San Francisco, San Francisco (MK, RW-G, KG), American Board of Family Medicine, Lexington, KY (LEP).
MD
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Laura M. Gottlieb
From Department of Family & Community Medicine, University of California San Francisco, San Francisco (ED, DH, JNO, LMG), Center for Excellence in Primary Care, Department of Family & Community Medicine, University of California San Francisco, San Francisco (MK, RW-G, KG), American Board of Family Medicine, Lexington, KY (LEP).
MD, MPH
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References

  1. 1.↵
    1. Bodenheimer T,
    2. Sinsky C
    . From triple to quadruple aim: care of the patient requires care of the provider. Ann Fam Med 2014;12:573–6.
    OpenUrlAbstract/FREE Full Text
  2. 2.↵
    1. Shanafelt T,
    2. Goh J,
    3. Sinsky C
    . The business case for investing in physician well-being. JAMA Intern Med 2017;177:1826–1832.
    OpenUrl
  3. 3.↵
    1. Shanafelt TD,
    2. Hasan O,
    3. Dyrbye LN,
    4. 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;90:1600–13.
    OpenUrlCrossRefPubMed
  4. 4.↵
    1. Dyrbye LN,
    2. Varkey P,
    3. Boone SL,
    4. Satele DV,
    5. Sloan JA,
    6. Shanafelt TD
    . Physician satisfaction and burnout at different career stages. Mayo Clin Proc 2013;88:1358–67.
    OpenUrlCrossRefPubMedWeb of Science
  5. 5.↵
    1. Spinelli WM,
    2. Fernstrom KM,
    3. Galos DL,
    4. Britt HR
    . Extending our understanding of burnout and its associated factors: providers and staff in primary care clinics. Eval Health Prof 2016;39:282–98.
    OpenUrlCrossRefPubMed
  6. 6.↵
    1. Willard-Grace R,
    2. Hessler D,
    3. Rogers E,
    4. Dube K,
    5. Bodenheimer T,
    6. Grumbach K
    . Team structure and culture are associated with lower burnout in primary care. J Am Board Fam Med 2014;27:229–38.
    OpenUrlAbstract/FREE Full Text
  7. 7.↵
    1. Rabatin J,
    2. Williams E,
    3. Baier Manwell L,
    4. Schwartz MD,
    5. Brown RL,
    6. Linzer M
    . Predictors and outcomes of burnout in primary care physicians. J Prim Care Community Health 2016;7:41–3.
    OpenUrlCrossRefPubMed
  8. 8.↵
    1. McMurray JE,
    2. Linzer M,
    3. Konrad TR,
    4. Douglas J,
    5. Shugerman R,
    6. Nelson K
    . The work lives of women physicians: results from the physician work life study. J Gen Intern Med 2000;15:9.
    OpenUrl
  9. 9.↵
    1. Linzer M,
    2. Poplau S,
    3. Babbott S,
    4. et al
    . Worklife and wellness in academic general internal medicine: results from a national survey. J Gen Intern Med 2016;31:1004–10.
    OpenUrlPubMed
  10. 10.↵
    1. Spinelli WM,
    2. Fernstrom KM,
    3. Britt HR,
    4. Pratt R
    . “Seeing the patient is the joy:”. a focus group analysis of burnout in outpatient providers. Fam Med 2016;48:6.
    OpenUrl
  11. 11.↵
    1. Ginossar T,
    2. Oetzel J,
    3. Hill R,
    4. Avila M,
    5. Archiopoli A,
    6. Wilcox B
    . HIV health-care providers' burnout: can organizational culture make a difference? AIDS Care 2014;26:1605–8.
    OpenUrl
  12. 12.↵
    1. Bronkhorst B,
    2. Tummers L,
    3. Steijn B,
    4. Vijverberg D
    . Organizational climate and employee mental health outcomes: a systematic review of studies in health care organizations. Health Care Manage Rev 2015;40:254–71.
    OpenUrl
  13. 13.↵
    1. Shanafelt TD,
    2. Gorringe G,
    3. Menaker R,
    4. et al
    . Impact of organizational leadership on physician burnout and satisfaction. Mayo Clin Proc 2015;90:432–40.
    OpenUrlCrossRefPubMed
  14. 14.↵
    1. Hayashi AS,
    2. Selia E,
    3. McDonnell K
    . Stress and provider retention in underserved communities. J Health Care Poor Underserved 2009;20:597–604.
    OpenUrlCrossRefPubMed
  15. 15.↵
    1. Lewis SE,
    2. Nocon RS,
    3. Tang H,
    4. et al
    . Patient-centered medical home charcteristics and staff morale in safety net clinics. Arch Intern Med 2012;172:9.
    OpenUrlCrossRef
  16. 16.↵
    1. Graber JE,
    2. Huang ES,
    3. Drum ML,
    4. et al
    . Predicting changes in staff morale and burnout at community health centers participating in the health disparities collaboratives. Health Serv Res 2008;43:1403–23.
    OpenUrlCrossRefPubMedWeb of Science
  17. 17.↵
    1. Friedberg MW,
    2. Reid RO,
    3. Timbie JW,
    4. et al
    . Federally qualified health center clinicians and staff increasingly dissatisfied with workplace conditions. Health Aff (Millwood) 2017;36:1469–75.
    OpenUrlAbstract/FREE Full Text
  18. 18.↵
    1. Olayiwola JN,
    2. Willard-Grace R,
    3. Dube K,
    4. et al
    . Higher perceived clinic capacity to address patients' social needs associated with lower burnout in primary care providers. J Health Care Poor Underserved 2018;29:15.
    OpenUrl
  19. 19.↵
    1. Rohland BM,
    2. Kruse GR,
    3. Rohrer JE
    . Validation of a single-item measure of burnout against the Maslach Burnout Inventory among physicians. Stress and Health 2004;20:75–9.
    OpenUrlCrossRef
  20. 20.↵
    1. Dolan ED,
    2. Mohr D,
    3. Lempa M,
    4. et al
    . Using a single item to measure burnout in primary care staff: a psychometric evaluation. J Gen Intern Med 2015;30:582–7.
    OpenUrlCrossRefPubMed
  21. 21.↵
    1. Rassolian M,
    2. Peterson LE,
    3. Fang B,
    4. et al
    . Workplace factors associated with burnout of family physicians. JAMA Intern Med 2017;177:1036–8.
    OpenUrl
  22. 22.↵
    1. Bachrach D,
    2. Lipson M,
    3. Pfister H,
    4. Wallis K
    . Addressing social determinants of health: the business case for provider investment. New York: The Commonwealth Fund; 2014.
  23. 23.↵
    Institute for Alternative Futures. Community health centers leveraging the social determinants of health. Alexandria, VA: Institute for Alternative Futures; 2012.
  24. 24.↵
    1. Hussein T,
    2. Collins M
    . The community cure for health care. Stanford Social Innovation Review. 2016 Jul 21.
  25. 25.↵
    1. Alley DE,
    2. Asomugha CN,
    3. Conway PH,
    4. Sanghavi DM
    . Accountable health communities–addressing social needs through Medicare and Medicaid. N Engl J Med 2016;374:8–11.
    OpenUrlCrossRefPubMed
  26. 26.↵
    1. Nelson KM,
    2. Helfrich C,
    3. Sun H,
    4. et al
    . Implementation of the patient-centered medical home in the Veterans Health Administration: associations with patient satisfaction, quality of care, staff burnout, and hospital and emergency department use. JAMA Intern Med 2014;174:1350–8.
    OpenUrl
  27. 27.↵
    1. Reid RJ,
    2. Coleman K,
    3. Johnson EA,
    4. et al
    . The group health medical home at year two: cost savings, higher patient satisfaction, and less burnout for providers. Health Aff (Millwood) 2010;29:835–43.
    OpenUrlAbstract/FREE Full Text
  28. 28.↵
    1. Wong W,
    2. Anderson K,
    3. Dankwa-Mullan I,
    4. Simon MA,
    5. Vega WA
    . The patient-centered medical home: a path toward health equity? Washington DC: Institute of Medicine; 2012.
  29. 29.↵
    1. Billioux A,
    2. Verlander K,
    3. Anthony S,
    4. Alley D
    . Standardized screening for health-related social needs in clinical settings. The accountable health communities screening tool. National Academy of Medicine 2017:9.
  30. 30.↵
    1. Adler NE,
    2. Stead WW
    . Patients in context—EHR capture of social and behavioral determinants of health. N Engl J Med 2015;372:4.
    OpenUrl
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The Journal of the American Board of Family   Medicine: 32 (1)
The Journal of the American Board of Family Medicine
Vol. 32, Issue 1
January-February 2019
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Physician Burnout and Higher Clinic Capacity to Address Patients' Social Needs
Emilia De Marchis, Margae Knox, Danielle Hessler, Rachel Willard-Grace, J. Nwando Olayiwola, Lars E. Peterson, Kevin Grumbach, Laura M. Gottlieb
The Journal of the American Board of Family Medicine Jan 2019, 32 (1) 69-78; DOI: 10.3122/jabfm.2019.01.180104

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Physician Burnout and Higher Clinic Capacity to Address Patients' Social Needs
Emilia De Marchis, Margae Knox, Danielle Hessler, Rachel Willard-Grace, J. Nwando Olayiwola, Lars E. Peterson, Kevin Grumbach, Laura M. Gottlieb
The Journal of the American Board of Family Medicine Jan 2019, 32 (1) 69-78; DOI: 10.3122/jabfm.2019.01.180104
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