Article Figures & Data
Tables
- Table 1.
Survey Assessing the Negative Impressions That Physicians Might Have of Fibromyalgia Patients*
Item Number Survey Statement 1 Fibromyalgia patients have difficulty specifying their symptoms 2 Fibromyalgia patients exaggerate their symptoms 3 Fibromyalgia patients do not comply with therapeutic prescriptions 4 Fibromyalgia patients have had some negative experience with health professionals 5 Fibromyalgia patients have little initiative 6 Fibromyalgia patients do not assume their share of the responsibilities in their treatment 7 Fibromyalgia patients are never happy 8 Fibromyalgia patients consume more time of health care professionals 9 Fibromyalgia patients consume more medications 10 Fibromyalgia patients rely more on the internet than on health care professionals 11 Fibromyalgia patients always ask for more information about their disease 12 Fibromyalgia patients feel more frustrated by their illness 13 Fibromyalgia patients are excessively dramatic ↵* Measured by 4-point Likert scales ranging from absolutely agree to absolutely disagree. Original in Spanish.
- Table 2.
Comparison between Family Physicians Recruited from the Spanish Society of Primary Care Physicians and Family Physicians Randomly Selected from Spanish Primary Health Care Centers
Parameter Values for SEMERGEN Members (n = 278) Values for Spanish Primary Health Care Centers (n = 114) t Statistic for χ2 Test P Sex, n (%) 0.90 0.34 Female 139 (50) 63 (55.3) Male 139 (50) 51 (44.7) Age, mean (SD) 49.3 (11.2) 51.8 (9.1) −2.3 0.02 Professional expertise (y), mean (SD) 22.3 (11.2) 24.8 (9.3) −2.3 0.03 MBI, mean (SD) Emotional Exhaustion 31.4 (20.9) 30.0 (20.6) 0.6 0.55 Personal Accomplishment 56.6 (21.0) 56.3 (21.2) 0.1 0.90 Depersonalization 18.1 (20.6) 14.2 (15.8) 2.0 0.05 SEMERGEN, Spanish Society of Primary Care Physicians; SD, standard deviation; MBI, Maslach Burnout Inventory.
- Table 3.
Description of the Global Sample and Comparison between Clusters of Family Physicians Based on Their Burnout Scores
Parameter Total Sample (n = 392) Values for Cluster 1 (n = 293) Values for Cluster 2 (n = 99) Statistics for χ2 Test P for Univariate Logistic Regression t P Sex, n (%) Female 202 (52) 152 (52) 50 (51) 0.1 0.81 0.81 Male 190 (48) 141 (48) 49 (49) Age, mean (SD) 50.0 (10.7) 50.8 (10.5) 47.6 (11.1) 2.6 0.01 0.01 Professional expertise (y), mean (SD) 23.0 (10.7) 23.7 (10.6) 21.2 (11.0) 2.0 0.04 0.04 Origin of sampling, n (%) SEMERGEN 278 (71) 201 (69) 77 (78) 3.0 0.08 0.08 Spanish Primary Health Care Centers 114 (29) 92 (31) 22 (22) MBI, mean (SD) Emotional Exhaustion 31.0 (20.8) 22.5 (14.2) 55.9 (17.0) −19.2 <0.01 Personal Accomplishment 56.5 (21.1) 61.0 (20.7) 43.3 (16.1) 8.8 <0.01 Depersonalization 17.0 (19.4) 8.4 (10.1) 42.5 (17.7) -18.1 <0.01 Workload, n (%) Proportion of fibromyalgia visits 10.8 (23.7) 9.9 (23.0) 13.5 (25.6) −1.2 0.22 0.22 Fibromyalgia patients require more regular visits than other chronic pain patients (Yes) 255 (65) 176 (60) 79 (80) 12.7 <0.01 <0.01 Fibromyalgia patients require more extra visits than other chronic pain patients (Yes) 164 (42) 101 (35) 63 (64) 25.9 <0.01 <0.01 Fibromyalgia patients require more time per visit than other chronic pain patients (Yes) 311 (79) 221 (75) 90 (91) 10.8 <0.01 <0.01 More than 50% of fibromyalgia patients require medical reports (Yes) 189 (48) 123 (42) 66 (67) 18.1 <0.01 <0.01 Sick-leave in fibromyalgia patients increases workload compared to other disorders (Yes) 152 (39) 85 (29) 67 (68) 46.6 <0.01 <0.01 Hinders the treatment (Yes) 134 (88) 73 (86) 61 (91) 1.0 0.33 0.33 Increases number of visits (Yes) 143 (94) 79 (93) 64 (96) 0.5 0.50 0.50 Resources, n (%) Personal Perceived knowledge of fibromyalgia (Relatively high or Very high) 172 (44) 132 (45) 40 (40) 0.6 0.42 0.39 Did not receive education about fibromyalgia 109 (28) 78 (27) 31 (31) 0.8 0.37 0.37 Education about fibromyalgia acquired by self-study 267 (68) 201 (69) 66 (67) 0.1 0.72 0.72 Undergraduate education about fibromyalgia 60 (15) 44 (15) 16 (16) 0.1 0.79 0.79 Education about fibromyalgia acquired by workshops 157 (40) 123 (42) 34 (34) 1.8 0.18 0.18 Knowledge and use of Clinical Guides 291 (74) 229 (78) 62 (63) 9.3 <0.01 <0.01 External Availability of a treatment protocol for fibromyalgia at own work center 22 (6) 18 (6) 4 (4) 0.6 0.43 0.43 Support from nurse 82 (21) 73 (25) 9 (9) 11.2 <0.01 <0.01 Support from specialists (diagnostic) 360 (2) 271 (93) 89 (90) 0.7 0.41 0.41 Support from specialists (treatment) 354 (90) 265 (90) 89 (90) 0.03 0.87 0.87 Beliefs about fibromyalgia Etiology of fibromyalgia (psychosomatic) 166 (42) 107 (37) 59 (60) 16.1 <0.01 <0.01 Fibromyalgia is an irreversibly disabling disorder (yes) 190 (49) 152 (52) 38 (38) 5.4 0.02 0.02 Negative impression of fibromyalgia patients 59.2 (12.7) 56.7 (11.7) 66.4 (12.5) −7.0 <0.01 <0.01 Perceived degree of treatment efficacy 55.0 (14.8) 56.2 (14.7) 51.2 (14.5) 2.94 <0.01 <0.01 SEMERGEN, Spanish Society of Primary Care Physicians; SD, standard deviation; MBI, Maslach Burnout Inventory.
- Table 4.
Multivariate Logistic Regression Analysis of the Subgrouping of Family Physicians Based on Their Burnout Scores*
Parameter B SE Odds Ratio (95% CI) Change in −2 log likelihood (P) Nagelkerke R2 Step 1 Origin of sampling −0.47 0.27 0.62 (0.37–1.07) 3.13 (0.08) 0.01 Step 2 Origin of sampling −0.41 0.27 0.67 (0.39–1.14) 5.67 (0.02) 0.03 Age −0.03 0.01 0.97 (0.05–0.99) Step 3 46.42 (<0.01) 0.19 Origin of sampling −0.41 0.29 0.66 (0.37–1.18) Age −0.03 0.01 0.97 (0.95–0.99) Workload (sick leave in FM increases workload) 1.67 0.26 5.29 (3.21–8.72) Step 4 14.43 (<0.01) 0.24 Origin of sampling −0.44 0.30 0.64 (0.36–1.15) Age −0.03 0.01 0.97 (0.95–0.99) Workload (sick leave in FM increases workload) 1.71 0.26 5.50 (3.30–9.18) Support from nurses −1.38 0.40 0.25 (0.11–0.56) Step 5 19.71 (<0.01) 0.30 Origin of sampling −0.40 0.31 0.67 (0.37–1.23) Age −0.03 0.01 0.97 (0.95–0.99) Workload (sick leave in FM increases workload) 1.43 0.27 4.16 (2.44–7.01) Support from nurses −1.13 0.41 0.32 (0.15–0.72) Negative impression of fibromyalgia patients 0.05 0.01 1.05 (1.03–1.08) ↵* SE, standard error; FM, fibromyalgia; CI, confidence interval.
