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Research ArticleOriginal Research

Caregiving Responsibilities, Organizational Policy, and Burnout Among Primary Care Clinicians and Staff

Rachel Willard-Grace, Eric McNey, Beatrice Huang and Kevin Grumbach
The Journal of the American Board of Family Medicine September 2024, 37 (5) 847-856; DOI: https://doi.org/10.3122/jabfm.2024.240011R1
Rachel Willard-Grace
From the Center for Excellence in Primary Care, Department of Family & Community Medicine, University of California San Francisco, San Francisco, California (RWG); UCSF Health, University of California San Francisco, San Francisco, California (EM); Department of Epidemiology and Biostatistics, University of California San Francisco, San Francisco, California (BH); Center for Excellence in Primary Care, Department of Family & Community Medicine, University of California San Francisco, San Francisco, California (KG).
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Eric McNey
From the Center for Excellence in Primary Care, Department of Family & Community Medicine, University of California San Francisco, San Francisco, California (RWG); UCSF Health, University of California San Francisco, San Francisco, California (EM); Department of Epidemiology and Biostatistics, University of California San Francisco, San Francisco, California (BH); Center for Excellence in Primary Care, Department of Family & Community Medicine, University of California San Francisco, San Francisco, California (KG).
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Beatrice Huang
From the Center for Excellence in Primary Care, Department of Family & Community Medicine, University of California San Francisco, San Francisco, California (RWG); UCSF Health, University of California San Francisco, San Francisco, California (EM); Department of Epidemiology and Biostatistics, University of California San Francisco, San Francisco, California (BH); Center for Excellence in Primary Care, Department of Family & Community Medicine, University of California San Francisco, San Francisco, California (KG).
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Kevin Grumbach
From the Center for Excellence in Primary Care, Department of Family & Community Medicine, University of California San Francisco, San Francisco, California (RWG); UCSF Health, University of California San Francisco, San Francisco, California (EM); Department of Epidemiology and Biostatistics, University of California San Francisco, San Francisco, California (BH); Center for Excellence in Primary Care, Department of Family & Community Medicine, University of California San Francisco, San Francisco, California (KG).
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References

  1. 1.↵
    1. Shanafelt TD,
    2. West CP,
    3. Dyrbye LN,
    4. Trockel M,
    5. Tutty M,
    6. Wang H
    , et al. Changes in burnout and satisfaction with work-life integration in physicians during the first 2 years of the COVID-19 pandemic. Mayo Clinic Proceedings; 2022: Elsevier.
  2. 2.↵
    1. Grumbach K,
    2. Knox M,
    3. Huang B,
    4. Hammer H,
    5. Kivlahan C,
    6. Willard-Grace R
    . A longitudinal study of trends in burnout during primary care transformation. Ann Fam Med 2019;17:S9–S16.
    OpenUrlAbstract/FREE Full Text
  3. 3.↵
    The Green Center. Quick COVID-19 primary care survey: Series 35 The Larry A. Green Center; 2022.
  4. 4.↵
    Office of the Assistant Secretary for Planning and Evaluation. Impact of the COVID-19 pandemic on the hospital and outpatient clinician workforce. Washington, DC: US Department of Health and Human Services. ASPE. 2022.
  5. 5.↵
    1. Roman C,
    2. Bane S,
    3. Opthof E
    . How Employers and States Can Support the Essential Workforce of Family Caregivers. Sage: Los Angeles, CA; 2021. p. 1045–7.
  6. 6.↵
    More than one-in-ten U.S. parents are also caring for an adult [press release]. 29 November 2018. PEW Research Center; Washington, DC.
  7. 7.↵
    Caregiving AFCaNAo. Caregiving in the U.S.: 2020 report.
  8. 8.↵
    1. Guille C,
    2. Frank E,
    3. Zhao Z,
    4. et al
    . Work-family conflict and the sex difference in depression among training physicians. JAMA Intern Med 2017;177:1766–72.
    OpenUrlPubMed
  9. 9.↵
    1. Dyrbye LN,
    2. Shanafelt TD,
    3. Balch CM,
    4. Satele D,
    5. Sloan J,
    6. Freischlag J
    . Relationship between work-home conflicts and burnout among American surgeons: a comparison by sex. Arch Surg 2011;146:211–7.
    OpenUrlCrossRefPubMedWeb of Science
  10. 10.↵
    1. Templeton K,
    2. Bernstein CA,
    3. Sukhera J,
    4. et al
    . Gender-based differences in burnout: issues faced by women physicians. NAM perspectives 2019.
  11. 11.↵
    1. Baptiste D,
    2. Fecher AM,
    3. Dolejs SC,
    4. et al
    . Gender differences in academic surgery, work-life balance, and satisfaction. J Surg Res 2017;218:99–107.
    OpenUrlPubMed
  12. 12.↵
    1. Riska E
    . Gender and medical careers. Maturitas 2011;68:264–7.
    OpenUrlCrossRefPubMed
  13. 13.↵
    1. Strong EA,
    2. De Castro R,
    3. Sambuco D,
    4. et al
    . Work–life balance in academic medicine: narratives of physician-researchers and their mentors. J Gen Intern Med 2013;28:1596–603.
    OpenUrlCrossRefPubMed
  14. 14.↵
    1. West CP,
    2. Dyrbye LN,
    3. Sloan JA,
    4. Shanafelt TD
    . Single item measures of emotional exhaustion and depersonalization are useful for assessing burnout in medical professionals. J Gen Intern Med 2009;24:1318–21.
    OpenUrlCrossRefPubMedWeb of Science
  15. 15.↵
    Behavioral Risk Factor Surveillance System 2020 Questionnaire. Atlanta, Georgia: U.S. Department of Health and Human Services, Centers for Disease Control and Prevention; 2020.
  16. 16.↵
    1. Rogers W
    . Regression standard errors in clustered samples. Stata technical bulletin 1994;3.
  17. 17.↵
    1. Williams RL
    . A note on robust variance estimation for cluster-correlated data. Biometrics 2000;56:645–6.
    OpenUrlCrossRefPubMedWeb of Science
  18. 18.↵
    1. Willard-Grace R,
    2. Hessler D,
    3. Rogers E,
    4. Dubé 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
  19. 19.↵
    1. Willard-Grace R,
    2. Knox M,
    3. Huang B,
    4. Hammer H,
    5. Kivlahan C,
    6. Grumbach K
    . Burnout and health care workforce turnover. Ann Fam Med 2019;17:36–41.
    OpenUrlAbstract/FREE Full Text
  20. 20.↵
    1. Hamidi MS,
    2. Bohman B,
    3. Sandborg C,
    4. et al
    . Estimating institutional physician turnover attributable to self-reported burnout and associated financial burden: a case study. BMC health Serv Res 2018;18:851–8.
    OpenUrlCrossRefPubMed
  21. 21.↵
    1. Willard-Grace R,
    2. Knox M,
    3. Huang B,
    4. Hammer H,
    5. Kivlahan C,
    6. Grumbach K
    . Primary care clinician burnout and engagement association with clinical quality and patient experience. J Am Board Fam Med 2021;34:542–52.
    OpenUrlAbstract/FREE Full Text
  22. 22.↵
    1. Vahey DC,
    2. Aiken LH,
    3. Sloane DM,
    4. Clarke SP,
    5. Vargas D
    . Nurse burnout and patient satisfaction. Med Care 2004;42:II57–II66.
    OpenUrlCrossRefPubMed
  23. 23.↵
    1. Garman AN,
    2. Corrigan PW,
    3. Morris S
    . Staff burnout and patient satisfaction: evidence of relationships at the care unit level. J Occup Health Psychol 2002;7:235–41.
    OpenUrlCrossRefPubMed
  24. 24.↵
    1. Sappenfield OR,
    2. Leong A,
    3. Lebrun-Harris LA
    . Prevalence, sociodemographic and household characteristics, and impacts of disrupted child care due to the COVID-19 pandemic in the US, April-July 2021. Child Youth Serv Rev 2023;149:106859.
    OpenUrlPubMed
  25. 25.↵
    1. Frogner BK,
    2. Dill JS
    , eds. Tracking turnover among health care workers during the COVID-19 pandemic: a cross-sectional study. JAMA health forum; 2022: American Medical Association.
  26. 26.↵
    1. Sullivan EE,
    2. Etz RS,
    3. Gonzalez MM,
    4. et al
    . Primary care in peril: how clinicians view the problems and solutions. N Engl J Med Catalyst Innovations in Care Delivery 2023;4:23–0029. CAT.
    OpenUrl
  27. 27.↵
    1. Fassiotto M,
    2. Simard C,
    3. Sandborg C,
    4. Valantine H,
    5. Raymond J
    . An integrated career coaching and time-banking system promoting flexibility, wellness, and success: a pilot program at Stanford University School of Medicine. Acad Med 2018;93:881–7.
    OpenUrlPubMed
  28. 28.↵
    1. Dahrouge S,
    2. Seale E,
    3. Hogg W,
    4. et al
    . A comprehensive assessment of family physician gender and quality of care: a cross-sectional analysis in Ontario, Canada. Med Care 2016;54:277–86.
    OpenUrlCrossRefPubMed
  29. 29.↵
    1. Rotenstein LS,
    2. Fong AS,
    3. Jeffery MM,
    4. et al
    . Gender differences in time spent on documentation and the electronic health record in a large ambulatory network. JAMA Netw Open 2022;5:e223935-e.
    OpenUrl
  30. 30.↵
    1. Rule A,
    2. Shafer CM,
    3. Micek MA,
    4. Baltus JJ,
    5. Sinsky CA,
    6. Arndt BG
    . Gender differences in primary care physicians’ electronic health record use over time: an observational study. J Gen Intern Med 2023;38:1570–2.
    OpenUrlPubMed
  31. 31.↵
    1. Jolly S,
    2. Griffith KA,
    3. DeCastro R,
    4. Stewart A,
    5. Ubel P,
    6. Jagsi R
    . Gender differences in time spent on parenting and domestic responsibilities by high-achieving young physician-researchers. Ann Intern Med 2014;160:344–53.
    OpenUrlCrossRefPubMedWeb of Science
  32. 32.↵
    1. Spataro BM,
    2. Tilstra SA,
    3. Rubio DM,
    4. McNeil MA
    . The toxicity of self-blame: sex differences in burnout and coping in internal medicine trainees. J Womens Health (Larchmt) 2016;25:1147–52.
    OpenUrlCrossRefPubMed
  33. 33.↵
    1. Sharma N,
    2. Chakrabarti S,
    3. Grover S
    . Gender differences in caregiving among family-caregivers of people with mental illnesses. World J Psychiatry 2016;6:7–17.
    OpenUrlPubMed
  34. 34.↵
    1. Yank V,
    2. Rennels C,
    3. Linos E,
    4. Choo EK,
    5. Jagsi R,
    6. Mangurian C
    . Behavioral health and burnout among physician mothers who care for a person with a serious health problem, long-term illness, or disability. JAMA Intern Med 2019;179:571–4.
    OpenUrlPubMed
  35. 35.↵
    1. Burrowes SAB,
    2. Casey SM,
    3. Pierre-Joseph N,
    4. et al
    . COVID-19 pandemic impacts on mental health, burnout, and longevity in the workplace among healthcare workers: a mixed methods study. J Interprof Educ Pract 2023;32:100661.
    OpenUrlPubMed
  36. 36.↵
    1. Eifert EK,
    2. Adams R,
    3. Morrison S,
    4. Strack R
    . Emerging trends in family caregiving using the life course perspective: Preparing health educators for an aging society. Am J Health Educ 2016;47:176–97.
    OpenUrl
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The Journal of the American Board of Family     Medicine: 37 (5)
The Journal of the American Board of Family Medicine
Vol. 37, Issue 5
September-October 2024
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Caregiving Responsibilities, Organizational Policy, and Burnout Among Primary Care Clinicians and Staff
Rachel Willard-Grace, Eric McNey, Beatrice Huang, Kevin Grumbach
The Journal of the American Board of Family Medicine Sep 2024, 37 (5) 847-856; DOI: 10.3122/jabfm.2024.240011R1

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Caregiving Responsibilities, Organizational Policy, and Burnout Among Primary Care Clinicians and Staff
Rachel Willard-Grace, Eric McNey, Beatrice Huang, Kevin Grumbach
The Journal of the American Board of Family Medicine Sep 2024, 37 (5) 847-856; DOI: 10.3122/jabfm.2024.240011R1
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