ArticleJournal of general internal medicine2017
The Association of Team-Specific Workload and Staffing with Odds of Burnout Among VA Primary Care Team Members.
Article in Journal of general internal medicine, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04356274 (Participatory System Dynamics vs Audit and Feedback), which is not on this map. Cited by 65 papers.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Participatory System Dynamics vs Audit and Feedback: A Cluster Randomized Trial of Mechanisms of Implementation Change to Expand Reach of Evidence-based Addiction and Mental Health Care
Who cites it
65 citing papers in PubMed.
- Actions Reported by Physicians With Large Improvements in Burnout and Professional Fulfillment.JAMA network open · 2026Article
- Panel Fullness, Burnout, and Intention to Leave Among Veterans Health Administration Primary Care Practitioners.JAMA network open · 2026Article
- Understanding burnout and engagement during medical residency: a multifactorial and longitudinal approach.BMC medical education · 2026Article
- Using lifestyle medicine to treat patients can reduce practitioner burnout: a conceptual model derived from healthcare staff interviews.BMC health services research · 2026Article
- The role of Advanced Practice Providers in improving primary care capacity: practice perspectives on challenges and opportunities.Frontiers in medicine · 2026Article
- No Band-Aids for papercuts: understanding and addressing challenges of administrative workload in primary care in Canada.Family practice · 2025Article
- Monitoring Redeployment-Associated Burnout in Healthcare Workers: A Real-Time Approach Using Ecological Momentary Assessment.Healthcare (Basel, Switzerland) · 2025Article
- Impact of Primary Care Team Configuration on Access and Quality of Care.Journal of general internal medicine · 2025Observational
- Primary care physicians' experiences with inbox triage.JAMIA open · 2025Article
- Understanding burnout in physician assistants/associates through the lens of Conservation of Resources theory.Health affairs scholar · 2025Article
- Lower Burnout Among Hospital Nurses in California Attributed to Better Nurse Staffing Ratios.Policy, politics & nursing practice · 2025Article
- Expanding Patient-Centered Medical Home Teams in Primary Care: Qualitative Evaluation of Implementation Experiences from a Multi-site Pilot Within the VA Healthcare System.Journal of general internal medicine · 2025Article
- Burnout Among Primary Care Practitioners and Staff in VA Clinics Using Virtual Contingency Staffing.JAMA network open · 2025Article
- Primary care staff members' experiences with managing electronic health record inbox messages.Journal of the American Medical Informatics Association : JAMIA · 2025Article
- Team climate, job satisfaction, burnout and practice performance: results of a national survey of staff in general practices in England.BMC primary care · 2025Article
- Team and Electronic Health Record Features and Burnout Among Family Physicians.JAMA network open · 2024Article
- Churning the tides of care: when nurse turnover makes waves in patient access to primary care.BMC nursing · 2024Article
- Preclinical Evaluation of Electronic Health Records (EHRs) to Predict Poor Control of Chronic Respiratory Diseases in Primary Care: A Novel Approach to Focus Our Efforts.Journal of clinical medicine · 2024Article
- The effect of general practice team composition and climate on staff and patient experiences: a systematic review.BJGP open · 2024Article
- Article
5 more citing papers are in PubMed but not listed here.
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Authors and funding
10 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundWork-related burnout is common in primary care and is associated with worse patient safety, patient satisfaction, and employee mental health. Workload, staffing stability, and team completeness may be drivers of burnout. However, few studies have assessed these associations at the team level, and fewer still include members of the team beyond physicians.
objectiveTo study the associations of burnout among primary care providers (PCPs), nurse care managers, clinical associates (MAs, LPNs), and administrative clerks with the staffing and workload on their teams.
designWe conducted an individual-level cross-sectional analysis of survey and administrative data in 2014.
participantsPrimary care personnel at VA clinics responding to a national survey. MAIN MEASURES: Burnout was measured with a validated single-item survey measure dichotomized to indicate the presence of burnout. The independent variables were survey measures of team staffing (having a fully staffed team, serving on multiple teams, and turnover on the team), and workload both from survey items (working extended hours), and administrative data (patient panel overcapacity and average panel comorbidity). KEY
resultsThere were 4610 respondents (estimated response rate of 20.9%). The overall prevalence of burnout was 41%. In adjusted analyses, the strongest associations with burnout were having a fully staffed team (odds ratio [OR] = 0.55, 95% CI 0.47-0.65), having turnover on the team (OR = 1.67, 95% CI 1.43-1.94), and having patient panel overcapacity (OR = 1.19, 95% CI 1.01-1.40). The observed burnout prevalence was 30.1% lower (28.5% vs. 58.6%) for respondents working on fully staffed teams with no turnover and caring for a panel within capacity, relative to respondents in the inverse condition.
conclusionsComplete team staffing, turnover among team members, and panel overcapacity had strong, cumulative associations with burnout. Further research is needed to understand whether improvements in these factors would lower burnout.
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