TY - JOUR T1 - Primary Care Clinician Burnout and Engagement Association With Clinical Quality and Patient Experience JF - The Journal of the American Board of Family Medicine JO - J Am Board Fam Med SP - 542 LP - 552 DO - 10.3122/jabfm.2021.03.200515 VL - 34 IS - 3 AU - Rachel Willard-Grace AU - Margae Knox AU - Beatrice Huang AU - Hali Hammer AU - Coleen Kivlahan AU - Kevin Grumbach Y1 - 2021/05/01 UR - http://www.jabfm.org/content/34/3/542.abstract N2 - Background: Burnout and engagement are commonly conceptualized as opposite ends of a spectrum, and there is concern that high clinician burnout and lack of engagement may adversely impact patient care.Methods: We matched self-reported data on burnout and engagement for 182 primary care clinicians with data on clinical quality (cancer screenings, hypertension and diabetes control) and patient experience (Clinician and Group Survey-Consumer Assessment of Healthcare Providers and Systems [CG-CAHPS] communication scores, overall rating, and likelihood to recommend the clinic). Multivariable linear regression models examined burnout, engagement, or burnout-engagement phenotype (eg, high burnout-low engagement) as predictors of quality and patient experience.Results: One-third of clinicians in this sample did not fall along the spectrum of low burnout-high engagement to high burnout-low engagement. Neither burnout nor engagement on their own was associated with quality or patient experience measures. However, clinicians with high burnout who also were highly engaged had the highest average ratings for all 3 patient experience domains: clinician communication, overall rating of the clinician, and overall rating of the clinic.Discussion: The results of our study challenge the assumptions that burnout and engagement are opposite ends of a spectrum and that burnout or low engagement adversely impact quality of care and patient experience. Greater understanding is needed of how best to support dedicated clinicians who may provide quality care at the expense of their personal well-being. ER -