Respondent Characteristics, (n = 186)
| Characteristic | N (%) | Mean ± SD |
|---|---|---|
| Position | ||
| Physician (non-resident) | 153 (82.3) | |
| Nurse practitioner/physician assistant | 33 (17.7) | |
| Tenure at time of survey | ||
| Less than 2 years | 38 (20.5) | |
| 3 to 10 years | 78 (42.2) | |
| More than 10 years | 69 (37.3) | |
| Complexity-adjusted panel per clinical FTE | 1212 ± 460 | |
| Clinical FTE | 0.48 ± 0.30 | |
| Health system | ||
| University-based | 84 (45.2) | |
| County-based | 102 (54.8) | |
| Work in a residency-teaching clinic | 90 (48.4) | |
| High burnout* | 89 (51.2) | |
| Emotional exhaustion (score category)† | ||
| Overall score | 15.2 ± 7.4 | |
| Low exhaustion (0 to 10) | 49 (26.3) | |
| Moderate exhaustion (11 to 15) | 53 (28.5) | |
| High exhaustion (16 or more) | 84 (45.2) | |
| Cynicism (score category)† | ||
| Overall score | 7.6 ± 7.1 | |
| Low cynicism (0 to 5) | 94 (50.5) | |
| Moderate cynicism (6 to 10) | 40 (21.5) | |
| High cynicism (11 or more) | 52 (28.0) | |
| Engagement: Net Promoter Score (score category)‡ | ||
| Overall score | 7.3 ± 2.3 | |
| Detractor (0 to 6) | 46 (24.7) | |
| Passively satisfied (7 to 8) | 77 (41.4) | |
| Promoter (9 to 10) | 63 (33.9) | |
| Burnout-engagement phenotypes | ||
| Low burnout-low engagement | 45 (24.6) | |
| Low burnout-high engagement | 44 (24.0) | |
| High burnout-low engagement | 78 (42.6) | |
| High burnout-high engagement | 16 (8.7) | |
| HEDIS patient quality measures: Proportion of patients up-to-date or in control on HEDIS quality measures, mean (S.D.) | ||
| Cancer screening up to date | 71.9% (11.5%) | |
| Breast cancer screening up to date | 72.4% (14.3%) | |
| Cervical cancer screening up to date | 73.4% (11.0%) | |
| Colorectal cancer screening up to date | 69.6% (14.5%) | |
| Diabetes under control | 79.0% (13.0%) | |
| Hypertension under control | 72.0% (10.2%) | |
| CG-CAPHS patient experience measures: Proportion of top box scores on CG-CAHPS measures, mean (S.D.) | ||
| PCP communication | 86.5% (12.8%) | |
| Rating of PCP | 74.3% (17.1%) | |
| Recommend clinic‡ | 80.1% (16.3%) |
CG-CAHPS, Clinician and Group Survey-Consumer Assessment of Healthcare Providers and Systems; FTE, full-time equivalent; HEDIS, Health care Effectiveness Data and Information Set; MBI, Maslach Burnout Inventory; PCP, primary care physician.
↵* The term “burnout” is defined as reporting either high exhaustion or high cynicism.
↵† The MBI emotional exhaustion and cynicism subscales have a possible range of 1–30, with 30 being the most severe emotional exhaustion or cynicism.
↵‡ The Net Promoter Score refers to the likelihood to recommend clinic as place to work. This score has a possible range of 0–10, with 10 being the most positive rating. Scores are classified as Detractor (0–6), Passively satisfied (7–8), or Promoters (9–10).
SD, standard deviation.