SynthesisBMJ open2017
The relationship between physician burnout and quality of healthcare in terms of safety and acceptability: a systematic review.
Synthesis in BMJ open, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06418581 (Investigation on Burnout of Physicians), which is not on this map. Cited by 199 papers, 14 of them syntheses that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
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.
Investigation on Burnout of Physicians
Who cites it
199 citing papers in PubMed, 14 syntheses or guidelines pooled it.
- Efficacy and Acceptability of Digital and Web-Based Interventions for Stress and Burnout Among Physicians: A Systematic Review and Meta-analysis.Academic psychiatry : the journal of the American Association of Directors of Psychiatric Residency Training and the Association for Academic Psychiatry · 2026Pooled it
- Healthcare workers' sustainable employability in relation to quality of care: an umbrella review.BMJ open · 2025Pooled it
- Indicators associated with job morale of physicians in low- and middle-income countries during the COVID- 19 pandemic: a systematic review and meta-analysis.BMC health services research · 2025Pooled it
- Physician's Burnout during the COVID-19 Pandemic: A Systematic Review and Meta-Analysis.International journal of environmental research and public health · 2023Pooled it
- Associations of physician burnout with career engagement and quality of patient care: systematic review and meta-analysis.BMJ (Clinical research ed.) · 2022Pooled it
- What are the barriers and facilitators to seeking help for mental health in NHS doctors: a systematic review and qualitative study.BMC psychiatry · 2022Pooled it
- Pooled it
- Burnout prevalence among European physicians: a systematic review and meta-analysis.International archives of occupational and environmental health · 2022Pooled it
- Factors associated with nurse well-being in relation to electronic health record use: A systematic review.Journal of the American Medical Informatics Association : JAMIA · 2021Pooled it
- A systematic review of contributing factors of and solutions to electronic health record-related impacts on physician well-being.Journal of the American Medical Informatics Association : JAMIA · 2021Pooled it
- Indicators Associated With Job Morale Among Physicians and Dentists in Low-Income and Middle-Income Countries: A Systematic Review and Meta-analysis.JAMA network open · 2020Pooled it
- Occupational Burnout Syndrome in Polish Physicians: A Systematic Review.International journal of environmental research and public health · 2019Pooled it
- Evidence Relating Health Care Provider Burnout and Quality of Care: A Systematic Review and Meta-analysis.Annals of internal medicine · 2019Pooled it
- Association Between Physician Burnout and Patient Safety, Professionalism, and Patient Satisfaction: A Systematic Review and Meta-analysis.JAMA internal medicine · 2018Pooled it
- Trial
- Trial
- Digital Mindfulness Training for Burnout Reduction in Physicians: Clinician-Driven Approach.JMIR formative research · 2025Trial
- We are all ordinary: the shared visual narratives of daily life promote the patients' positive attitudes toward doctors.BMC psychology · 2024Trial
- Trial
- Assessing the Impact of a Shinrin-Yoku (Forest Bathing) Intervention on Physician/Healthcare Professional Burnout: A Randomized, Controlled Trial.International journal of environmental research and public health · 2022Trial
139 more citing papers are in PubMed but not listed here.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectivesThis study reviews the current state of the published peer-reviewed literature related to physician burnout and two quality of care dimensions. The purpose of this systematic literature review is to address the question, 'How does physician burnout affect the quality of healthcare related to the dimensions of acceptability and safety?'
designUsing a multiphase screening process, this systematic literature review is based on publically available peer-reviewed studies published between 2002 and 2017. Six electronic databases were searched: (1)
settingPhysicians practicing in civilian settings.
participantsPracticing physicians who have completed training. PRIMARY AND SECONDARY OUTCOME MEASURES: Quality of healthcare related to acceptability (ie, patient satisfaction, physician communication and physician attitudes) and safety (ie, minimising risks or harm to patients).
results4114 unique citations were identified. Of these, 12 articles were included in the review. Two studies were rated as having high risk of bias and 10 as having moderate risk. Four studies were conducted in North America, four in Europe, one in the Middle East and three in East Asia. Results of this systematic literature review suggest there is moderate evidence that burnout is associated with safety-related quality of care. Because of the variability in the way patient acceptability-related quality of care was measured and the inconsistency in study findings, the evidence supporting the relationship between burnout and patient acceptability-related quality of care is less strong.
conclusionsThe focus on direct care-related quality highlights additional ways that physician burnout affects the healthcare system. These studies can help to inform decisions about how to improve patient care by addressing physician burnout. Continued work looking at the relationship between dimensions of acceptability-related quality of care measures and burnout is needed to advance the field.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.