Variable | Total (N = 1298) N (%) | Burnout | Clinic SDH Capacity | ||||
---|---|---|---|---|---|---|---|
Burned Out (N = 481) N (%) | Not Burned Out (N = 1444) N (%) | P Value | High SDH Capacity (N = 589) N (%) | Not High SDH Capacity (N = 709) N (%) | P Value | ||
Age (years) | |||||||
≤45 | 336 (25.9) | 103 (29.3) | 233 (24.6) | 168 (23.7) | 168 (28.5) | ||
46–55 | 518 (39.9) | 141 (40.2) | 377 (39.8) | 232 (40.3) | 286 (39.4) | ||
≥56 | 444 (34.2) | 107 (30.5) | 337 (35.6) | .12 | 189 (36.0) | 255 (32.1) | .11 |
Sex† | |||||||
Male | 573 (44.1) | 175 (49.9) | 398 (42.0) | 264 (44.8) | 325 (43.6) | ||
Female | 725 (55.9) | 176 (50.1) | 549 (58.0) | .012‡ | 325 (55.2) | 400 (56.4) | .65 |
Years in Practice | |||||||
≤13 | 3137 (32.7) | 120 (34.2) | 305 (32.2) | 223 (37.9) | 202 (28.5) | ||
14–21 | 2989 (32.1) | 120 (34.2) | 297 (31.4) | 185 (31.4) | 232 (32.7) | ||
≥22 | 3449 (35.1) | 111 (31.6) | 345 (36.4) | .27 | 181 (30.7) | 275 (38.8) | .0010‡ |
Race | |||||||
White | 931 (71.73) | 265 (75.5) | 666 (70.3) | 386 (65.5) | 545 (76.9) | ||
Non-white | 367 (28.3) | 86 (24.5) | 281 (29.7) | .066 | 203 (34.5) | 164 (23.1) | <.0001‡ |
Ethnicity | |||||||
Hispanic | 78 (6.01) | 13 (3.7) | 65 (6.9) | 40 (6.8) | 38 (5.4) | ||
Non-Hispanic | 1220 (94.0) | 338 (96.3) | 882 (93.1) | .033† | 549 (93.2) | 671 (94.6) | .28 |
% Direct patient care: | |||||||
≤50% | 139 (10.7) | 33 (9.4) | 106 (11.2) | 71 (12.1) | 68 (9.6) | ||
51%–79% | 91 (7.0) | 31 (8.8) | 60 (6.3) | 42 (7.13) | 49 (6.9) | ||
≥80% | 1068 (82.3) | 287 (81.8) | 781 (82.5) | .22 | 476 (80.8) | 592 (83.5) | .35 |
Workload control | |||||||
Poor | 74 (5.7) | 58 (16.5) | 16 (1.7) | 35 (5.9) | 39 (5.5) | ||
Marginal | 295 (22.7) | 159 (45.3) | 136 (14.4) | 108 (18.3) | 187 (26.4) | ||
Satisfactory | 485 (37.4) | 104 (29.6) | 381 (40.2) | 212 (36.0) | 273 (38.5) | ||
Good | 349 (26.9) | 26 (7.4) | 323 (34.1) | 180 (30.6) | 169 (23.8) | ||
Optimal | 95 (7.3) | 4 (1.1) | 91 (9.6) | <.0001‡ | 54 (9.17) | 41 (5.8) | <.0001‡ |
Team efficiency | |||||||
Poor/Marginal | 104 (8.0) | 62 (17.7) | 42 (4.4) | 33 (5.6) | 71 (10.0) | ||
Satisfactory | 306 (23.6) | 114 (32.5) | 192 (20.3) | 106 (18.0) | 200 (28.2) | ||
Good | 712 (54.9) | 151 (43.0) | 561 (59.2) | 353 (59.9) | 359 (50.6) | ||
Optimal | 176 (13.6) | 24 (6.84) | 152 (16.1) | <.0001‡ | 97 (16.5) | 79 (11.1) | <.0001‡ |
Home EHR time | |||||||
Excessive | 284 (21.9) | 141 (40.2) | 143 (15.1) | 99 (16.8) | 185 (26.1) | ||
Moderate | 385 (29.7) | 103 (29.3) | 282 (29.8) | 187 (31.8) | 198 (27.9) | ||
Satisfactory | 225 (17.3) | 33 (9.4) | 192 (20.3) | 111 (18.9) | 114 (16.1) | ||
Modest | 170 (13.1) | 32 (9.1) | 138 (14.6) | 82 (13.9) | 88 (12.4) | ||
Minimal/None | 234 (18.0) | 42 (12.0) | 192 (20.3) | <.0001‡ | 110 (18.7) | 124 (17.5) | .0020‡ |
EHR proficiency | |||||||
Poor/Marginal | 79 (6.1) | 31 (8.8) | 48 (5.1) | 29 (4.9) | 50 (7.1) | ||
Satisfactory | 336 (25.9) | 87 (24.8) | 249 (26.3) | 132 (22.4) | 204 (28.8) | ||
Good | 653 (50.3) | 176 (50.1) | 477 (50.4) | 310 (52.6) | 343 (48.4) | ||
Optimal | 230 (17.7) | 57 (16.2) | 173 (18.3) | .079 | 118 (20.0) | 112 (15.8) | .0080‡ |
Primary practice ownership | |||||||
Private | 767 (59.1) | 201 (57.3) | 566 (59.8) | 304 (51.6) | 463 (65.3) | ||
Hospital or HMO based | 309 (23.8) | 84 (23.9) | 225 (23.8) | 142 (24.1) | 167 (23.6) | ||
FQHC and similar | 136 (10.5) | 40 (11.4) | 96 (10.1) | 81 (13.8) | 55 (7.8) | ||
Other | 86 (6.6) | 26 (7.4) | 60 (6.3) | .78 | 62 (10.5) | 24 (3.4) | <.0001‡ |
Pharmacist on staff | 255 (19.7) | 75 (21.4) | 180 (19.0) | .34 | 175 (29.7) | 80 (11.3) | <.0001‡ |
Social work on staff | 241 (18.6) | 67 (19.1) | 174 (18.4) | .77 | 173 (29.4) | 68 (9.6) | <.0001‡ |
Behavior specialist on staff | 300 (23.1) | 92 (26.2) | 208 (22.0) | .11 | 191 (32.4) | 109 (15.4) | <.0001‡ |
Psychiatrist on staff | 142 (10.9) | 44 (12.5) | 98 (10.4) | .26 | 100 (45.4) | 42 (5.9) | <.0001‡ |
PCMH stage | |||||||
Not applying | 435 (33.5) | 113 (32.2) | 322 (34.0) | 171 (29.0) | 264 (37.2) | ||
Applying | 299 (23.0) | 80 (22.8) | 219 (23.1) | 110 (18.7) | 189 (26.7) | ||
Recognized | 564 (43.5) | 158 (45.0) | 406 (42.9) | .77 | 308 (52.3) | 256 (36.1) | <.0001‡ |
Vulnerable patient population† | |||||||
<10% | 395 (30.4) | 93 (26.5) | 302 (31.9) | 168 (28.5) | 227 (32.0) | ||
10%–19% | 343 (26.4) | 101 (28.8) | 242 (25.6) | 137 (23.3) | 206 (29.1) | ||
≥20% | 560 (43.1) | 157 (44.7) | 403 (42.6) | .16 | 284 (48.2) | 276 (38.9) | .0030‡ |
↵* See Appendix Table 1 for full results of respondent characteristics.
↵† P < .05 for differences between full sample and study sample.
↵‡ P < .05.
EHR, electronic health record; HMO, health maintenance organization; FQHC, federally qualified health center; SDH, social determinants of health; PCMH, patient-centered medical home.