Factors Related to Clinician Burnout: Adjusted Binary Logistic Regression Models for Family Practice Physicians and Advanced Practice Clinicians
| Mini Z | Mini Z + Independent Variables | |
|---|---|---|
| Variables | OR (95% CI) | OR (95% CI) |
| High satisfaction | 0.18 (0.06-0.52)** | 0.18 (0.05-0.62)** |
| High stress | 16.40 (6.42-41.90)*** | 13.43 (4.90-36.79)*** |
| Values aligned | 0.39 (0.14-1.09) | 0.44 (0.15-1.31) |
| Lack of workload control | 1.83 (0.81-4.13) | 1.75 (0.73-4.20) |
| EMR time pressure | 1.46 (0.63-3.40) | 1.46 (0.60-3.56) |
| High teamwork | 1.42 (0.51-3.94) | 1.31 (0.44-3.92) |
| Chaos in work atmosphere | 2.25 (1.06-4.78)* | 2.02 (0.90-4.52) |
| High home EMR time | 1.13 (0.46-2.77) | 1.85 (0.68-5.04) |
| High intent to leave in 2 years | 2.11 (0.84-5.30) | |
| Negative work experiences due to gender* | 0.92 (0.11-8.09) | |
| APC† | 2.53 (0.99-6.42) | |
| Part-time‡ | 0.24 (0.07-0.81)* | |
| Rural clinician | 0.60 (0.27-1.36) | |
| Gender§ | ||
| Female | 0.65 (0.25-1.69) | 0.55 (0.17-1.72) |
| Other‖ | 1.36 (0.15-12.62) | 0.52 (0.04-6.51) |
| BIPOC/multiracial¶ | 0.16 (0.03-1.02) | 0.22 (0.03-1.74) |
| N | 212 | 209 |
| Likelihood Ratio χ2 (df) | 113.68 (11)*** | 123.93 (16)*** |
| Pearson’s χ2 Model Fit (df) | 100.84 (103) | 150.47 (164) |
| McKelvey & Zavoina’s pseudo R2 | 0.586 | 0.645 |
Note: Models adjusted for gender (male, female, or other/prefer not to answer) and race (white or BIPOC/multiple race/ethnicity). ***P < .001, **P < .01, *P <.05.
↵*Negative experiences at work due to race was omitted due to collinearity.
↵†Compared to physicians.
↵‡Compared to full-time employment.
↵§Compared to males.
↵‖Includes other, prefer not to answer, binary, transgender.
↵¶Compared to white.
Abbreviations: APC, advanced practice clinician; BIPOC, black, Indigenous, and people of color; CI, confidence interval; df, degrees of freedom; n/a, not applicable; OR, odds ratio; EMR, electronic medical record.