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Physician Burnout and Patient Satisfaction with Consultation in Primary Health Care Settings: Evidence of Relationships from a one-with-many Design

Fotios Anagnostopoulos, Evangelos Liolios, George Persefonis, Julie Slater, Kostas Kafetsios, Dimitris Niakas

Journal of Clinical Psychology in Medical Settings

Swansea University Author: Julie Slater

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DOI (Published version): 10.1007/s10880-011-9278-8

Abstract

Physician burnout, as a prolonged response to chronic emotional and interpersonal stressors on the job, has been associated with suboptimal patient care and deterioration in the patient-provider relationship. Although prior studies have identified a range of factors associated with decreased patient...

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Published in: Journal of Clinical Psychology in Medical Settings
ISSN: 1068-9583 1573-3572
Published: 2011
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URI: https://cronfa.swan.ac.uk/Record/cronfa13608
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first_indexed 2013-07-23T12:10:34Z
last_indexed 2018-02-09T04:44:25Z
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spelling v2 13608 2012-12-10 Physician Burnout and Patient Satisfaction with Consultation in Primary Health Care Settings: Evidence of Relationships from a one-with-many Design e667e92452b25f96740ecf4f104b88f3 Julie Slater Julie Slater true false 2012-12-10 HIS Physician burnout, as a prolonged response to chronic emotional and interpersonal stressors on the job, has been associated with suboptimal patient care and deterioration in the patient-provider relationship. Although prior studies have identified a range of factors associated with decreased patient satisfaction, most have been conducted in tertiary care settings, while staff burnout has been examined at the hospital unit-level. To examine the impact of physician burnout on patient satisfaction from consultation in the primary care setting, a cross-sectional survey was conducted in Western Greece. Using a one-with-many design, 30 physicians and 300 of their patients, randomly selected, responded to the survey. Results showed that patient satisfaction correlated significantly with physician emotional exhaustion (r = -.636, p<.01) and physician depersonalization (r = -.541, p<.01). Mixed-effects multi-level models indicated that 34.4% of total variation in patients' satisfaction occurred at the physician level, after adjustment for patients' characteristics. Moreover, physician emotional exhaustion and depersonalisation remained significant factors associated with patient satisfaction with consultation, after controlling for patient and physician characteristics. Patients of physicians with high-exhaustion and high depersonalisation had significantly lower satisfaction scores, compared with patients of physicians with low-exhaustion and low depersonalisation, respectively. Future studies need to explore the mechanisms by which physician burnout affects patient satisfaction. Journal Article Journal of Clinical Psychology in Medical Settings 1068-9583 1573-3572 Primary care, physician burnout, patient satisfaction, mixed effects, multilevel analysis 12 12 2011 2011-12-12 10.1007/s10880-011-9278-8 COLLEGE NANME Interprofessional Studies COLLEGE CODE HIS Swansea University 2023-06-26T17:03:49.8049750 2012-12-10T15:02:55.6508759 Faculty of Medicine, Health and Life Sciences Fotios Anagnostopoulos 1 Evangelos Liolios 2 George Persefonis 3 Julie Slater 4 Kostas Kafetsios 5 Dimitris Niakas 6
title Physician Burnout and Patient Satisfaction with Consultation in Primary Health Care Settings: Evidence of Relationships from a one-with-many Design
spellingShingle Physician Burnout and Patient Satisfaction with Consultation in Primary Health Care Settings: Evidence of Relationships from a one-with-many Design
Julie Slater
title_short Physician Burnout and Patient Satisfaction with Consultation in Primary Health Care Settings: Evidence of Relationships from a one-with-many Design
title_full Physician Burnout and Patient Satisfaction with Consultation in Primary Health Care Settings: Evidence of Relationships from a one-with-many Design
title_fullStr Physician Burnout and Patient Satisfaction with Consultation in Primary Health Care Settings: Evidence of Relationships from a one-with-many Design
title_full_unstemmed Physician Burnout and Patient Satisfaction with Consultation in Primary Health Care Settings: Evidence of Relationships from a one-with-many Design
title_sort Physician Burnout and Patient Satisfaction with Consultation in Primary Health Care Settings: Evidence of Relationships from a one-with-many Design
author_id_str_mv e667e92452b25f96740ecf4f104b88f3
author_id_fullname_str_mv e667e92452b25f96740ecf4f104b88f3_***_Julie Slater
author Julie Slater
author2 Fotios Anagnostopoulos
Evangelos Liolios
George Persefonis
Julie Slater
Kostas Kafetsios
Dimitris Niakas
format Journal article
container_title Journal of Clinical Psychology in Medical Settings
publishDate 2011
institution Swansea University
issn 1068-9583
1573-3572
doi_str_mv 10.1007/s10880-011-9278-8
college_str Faculty of Medicine, Health and Life Sciences
hierarchytype
hierarchy_top_id facultyofmedicinehealthandlifesciences
hierarchy_top_title Faculty of Medicine, Health and Life Sciences
hierarchy_parent_id facultyofmedicinehealthandlifesciences
hierarchy_parent_title Faculty of Medicine, Health and Life Sciences
document_store_str 0
active_str 0
description Physician burnout, as a prolonged response to chronic emotional and interpersonal stressors on the job, has been associated with suboptimal patient care and deterioration in the patient-provider relationship. Although prior studies have identified a range of factors associated with decreased patient satisfaction, most have been conducted in tertiary care settings, while staff burnout has been examined at the hospital unit-level. To examine the impact of physician burnout on patient satisfaction from consultation in the primary care setting, a cross-sectional survey was conducted in Western Greece. Using a one-with-many design, 30 physicians and 300 of their patients, randomly selected, responded to the survey. Results showed that patient satisfaction correlated significantly with physician emotional exhaustion (r = -.636, p<.01) and physician depersonalization (r = -.541, p<.01). Mixed-effects multi-level models indicated that 34.4% of total variation in patients' satisfaction occurred at the physician level, after adjustment for patients' characteristics. Moreover, physician emotional exhaustion and depersonalisation remained significant factors associated with patient satisfaction with consultation, after controlling for patient and physician characteristics. Patients of physicians with high-exhaustion and high depersonalisation had significantly lower satisfaction scores, compared with patients of physicians with low-exhaustion and low depersonalisation, respectively. Future studies need to explore the mechanisms by which physician burnout affects patient satisfaction.
published_date 2011-12-12T17:03:44Z
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score 11.037056

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