Article Figures & Data
Tables
Parameter Sample, n (%) Burnout No, n (%) Yes, n (%) P Value* OR (95% CI)† Burnout Burnout total 1024 (80.1) 249 (19.5) Health Care Professionals 0.002 Physicians 139 (11.0) 93 (68.4) 43 (31.6) 1.75 (1.09-2.82) Advanced practice clinicians‡ 99 (7.8) 82 (82.8) 17 (17.2) 1.01 (0.54-1.88) Clinical support staff§ 451 (35.6) 365 (81.1) 85 (18.9) 1.29 (0.87-1.91) Administrative staff‖ 578 (45.6) 477 (82.5) 101 (17.5) Reference ↵* The P value is based on χ2 analysis testing the association between burnout and the type of health care professional.
↵† OR stands for odds ratios calculated from a logistic regression model that has been adjusted for practice size, single- or multispecialty practice, whether a practice is located in an underserved area, and number of hours worked per week
↵‡ Advanced practice clinicians include nurse practitioners and physician assistants.
↵§ Clinical support staff includes licensed practical nurses and medical assistants.
↵‖ Administrative staff includes office managers, receptionists, and medical billing professionals.
Bold text indicates statistically significant finding.
OR, odds ratio; CI, confidence interval.
- Table 2.
Differences in the Change Diagnostic Index Domains by Health Care Professional Role at the Practice (n = 1273)
Domains of the Change Diagnostic Index Sample Mean (SD) Physicians Mean (SD) Advanced Practice Clinicians* Mean (SD) Clinical Support Staff† Mean (SD) Administrative Staff‡ Mean (SD) P Value Global 2.19 (0.75) 2.29 (0.82) 2.21 (0.71) 2.19 (0.76) 2.16 (0.73) 0.332 Anxiety 2.50 (0.84) 2.77 (0.88) 2.57 (0.83) 2.46 (0.83) 2.44 (0.83) 0.000 Frustration 1.83 (0.71) 1.76 (0.71) 1.80 (0.73) 1.85 (0.72) 1.83 (0.70) 0.627 Delayed development 2.00 (0.72) 1.98 (0.69) 1.98 (0.66) 2.02 (0.72) 1.99 (0.73) 0.911 Rejection of environment 1.97 (0.75) 2.01 (0.78) 2.04 (0.71) 1.99 (0.77) 1.94 (0.74) 0.438 Refusal 1.74 (0.67) 1.66 (0.64) 1.72 (0.63) 1.78 (0.71) 1.72 (0.64) 0.266 Withdrawal 1.70 (0.70) 1.60 (0.76) 1.69 (0.66) 1.73 (0.72) 1.71 (0.68) 0.353 ↵* Advanced practice clinicians include nurse practitioners and physician assistants.
↵† Clinical support staff includes licensed practical nurses and medical assistants.
↵‡ Administrative staff includes office managers, receptionists, and medical billing professionals.
Bold text indicates statistically significant finding.
SD, standard deviation.
- Table 3.
Logistic Regression for Burnout among Health Care Professionals Based on the Change Diagnostic Index (n = 1273)
The Change Diagnostic Index Entire Sample Burnout, OR (95% CI)* Physicians Burnout, OR (95% CI)* Advanced Practice Clinicians† Burnout, OR (95% CI)* Clinical Support Staff‡ Burnout, OR (95% CI)* Administrative Staff§ Burnout, OR (95% CI)* Global 0.83 (0.55–1.23) 1.19 (0.43–3.34) 0.22 (0.02–2.24) 0.76 (0.37–1.55) 0.90 (0.49–1.69) Anxiety 2.26 (1.67–3.07) 3.22 (1.42–7.31) 7.97 (1.74–36.5) 1.65 (1.02–2.73) 2.31 (1.39–3.85) Frustration 1.64 (1.05–2.56) 3.46 (0.65–18.4) 4.25 (0.07–245.1) 1.32 (0.72–2.42) 2.04 (0.89–4.65) Delayed development 2.03 (1.34–3.08) 0.65 (0.22–1.96) 8.45 (0.22–326.7) 3.89 (1.79–8.49) 2.02 (1.01–4.02) Rejection of environment 1.85 (1.16–2.93) 1.93 (0.75–4.93) 57.2 (1.56–2109.2) 1.69 (0.89–3.21) 1.33 (0.57–3.07) Refusal 0.76 (0.47–1.23) 0.61 (0.12–3.07) 0.01 (0.0004–3.41) 0.82 (0.44–1.53) 0.83 (0.39–1.71) Withdrawal 1.09 (0.75–1.59) 4.15 (1.18–14.5) 3.52 (0.38–32.3) 0.78 (0.39–1.59) 0.97 (0.51–1.87) ↵* Adjusted for practice size, single- or multispecialty practice, whether a practice is located in an underserved area, and number of hours worked per week.
↵† Advanced practice clinicians include nurse practitioners and physician assistants.
↵‡ Clinical support staff includes licensed practical nurses and medical assistants.
↵§ Administrative staff includes office managers, receptionists, and medical billing professionals.
Bold text indicates a statistically significant finding.
OR, odds ratio; CI, confidence interval.