ArticleJournal of general internal medicine2020
National Burnout Trends Among Physicians Working in the Department of Veterans Affairs.
Article in Journal of general internal medicine, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 30 papers.
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Who cites it
30 citing papers in PubMed, 52 citations in OpenAlex.
- Impact of Evidence-Based Quality Improvement on Tailoring VA's Patient-Centered Medical Home Model to Women Veterans' Needs.Journal of general internal medicine · 2024Trial
- Effect of a National VHA Medical Scribe Pilot on Provider Productivity, Wait Times, and Patient Satisfaction in Cardiology and Orthopedics.Journal of general internal medicine · 2023Trial
- Assessing the Relationship Between Work-Related Factors and Mental Health in Public Health Doctors During National Health Emergencies.Journal of Korean medical science · 2026Article
- "Kind of Feel Like the Lone Outpost": A Qualitative Exploration of Barriers to Professional Development for Rural Primary Care Providers at the Veterans Health Administration.The Journal of rural health : official journal of the American Rural Health Association and the National Rural Health Care Association · 2026Article
- Comparing Work Experiences of Internal Medicine Physicians in Veterans Affairs and Non-Federal Hospitals: A National Survey.Journal of general internal medicine · 2026Article
- Secure Messages, Video Visits, and Burnout Among Primary Care Providers in the Veterans Health Administration: National Survey Study.Journal of medical Internet research · 2025Article
- Comparing the effectiveness of implementation strategies to improve liver and colon cancer screening for Veterans: protocol for a large cluster-randomized implementation study.Implementation science : IS · 2025Article
- Burnout Among Primary Care Practitioners and Staff in VA Clinics Using Virtual Contingency Staffing.JAMA network open · 2025Article
- Development of the TrendBurden Survey: Assessing Perceived Documentation Burden among Health Professionals in the United States.Applied clinical informatics · 2025Article
- Addressing Clinician Burnout and Turnover: A Call for Systemic Action.Medical care · 2025Article
- Hearing Patient Stories: Use of Medical Humanities on a Large-Scale, Virtual Platform to Improve Clinician Engagement.Federal practitioner : for the health care professionals of the VA, DoD, and PHS · 2025Article
- Implementation of the Acute Inpatient Medicine-High Reliability, Learning Environment, and Workforce Development Initiative (AIM-HI) in rural Veterans Health Administration hospitals: A mixed methods evaluation protocol.Journal of hospital medicine · 2025Article
- Integrating Buprenorphine for Opioid Use Disorder into Rural, Primary Care Settings.Journal of general internal medicine · 2024Article
- The Importance of Autonomy and Performance Goals in Perceived Workload Among Behavioral Health Providers.Psychiatric services (Washington, D.C.) · 2024Article
- Burnout and Perceived Workload Among Behavioral Health Providers During the COVID-19 Pandemic: Importance of Supervisory, Leadership, and Organizational Support.American journal of health promotion : AJHP · 2024Article
- Assessment of Obstructive Sleep Apnea Among Patients With Chronic Obstructive Pulmonary Disease in Primary Care.Chronic obstructive pulmonary diseases (Miami, Fla.) · 2024Article
- Primary Care as a Protective Factor: A Vision to Transform Health Care Delivery and Overcome Disparities in Health.The Permanente journal · 2024Review
- Autonomy in work location decision and burnout in behavioral health providers: Lessons learned from COVID-19.Journal of affective disorders reports · 2023Article
- Burnout, employee engagement, and changing organizational contexts in VA primary care during the early COVID-19 pandemic.BMC health services research · 2023Article
- Behavioral Health Provider Burnout and Mental Health Care in the Veterans Health Administration.Journal of general internal medicine · 2023Article
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Authors and funding
6 authors at 3 institutions in 1 country.
Funding
Abstract
backgroundHeterogeneity of existing physician burnout studies impairs analyses of longitudinal trends, geographic distribution, and organizational factors impacting physician burnout. The Department of Veterans Affairs (VA) is one of the largest integrated healthcare systems in the USA, offering a unique opportunity to study burnout across VA sites and time.
objectiveTo characterize longitudinal burnout trends of VA physicians and assess organizational characteristics and geographic distribution associated with physician burnout.
designLongitudinal study of the VA All Employee Survey during 2013-2017.
participantsSelf-identified physicians practicing in one of nine clinical service areas at 140 VA sites nationwide. MAIN MEASURES: We identified burnout using a validated definition adapted from the Maslach Burnout Inventory and characterized burnout trends for physicians in different clinical service areas. We used clustering analysis to categorize sites based on their burnout rates over time, and compared organizational characteristics and geographic distribution of high, medium, and low burnout categories. KEY
resultsWe identified 40,382 physician responses from 140 VA sites. Mean burnout rates across all physicians ranged from 34.3% in 2013 to a high of 39.0% in 2014. Primary care physicians had the highest burnout. High burnout sites were more likely to be rural and non-teaching, have lower complexity (i.e., offer fewer advanced clinical services), and have fewer unique patients per site.
conclusionsVA physician burnout was lower than previously described in many non-VA studies and was relatively stable over time. These findings may be due to unique characteristics of the VA practice environment. Nonetheless, with over a third of VA physicians reporting burnout, organizational interventions are needed. Primary care physicians and those practicing at small, rural sites have higher rates of burnout and may warrant more focused attention. Our results can guide targeted interventions to promote VA physician well-being and inform efforts to address burnout in diverse clinical settings.
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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.