Observational studyJournal of general internal medicine2020
The Relationship Between Primary Care Physician Burnout and Patient-Reported Care Experiences: a Cross-sectional Study.
Observational study 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 22 papers, 1 of them a synthesis 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.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
22 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Patient-reported experiences and patient-reported experience measures in primary care, home care, and community settings. A scoping review.Frontiers in rehabilitation sciences · 2026Pooled it
- Prevalence of burnout and contributing factors among physicians in Burundi: A cross-sectional study.The South African journal of psychiatry : SAJP : the journal of the Society of Psychiatrists of South Africa · 2026Article
- Evaluation of multisectoral interprofessional collaboration for non-communicable disease management within a municipal setting: a mixed methods study.BMC primary care · 2025Article
- [Association between burnout and quality of care in primary care].Atencion primaria · 2025Observational
- ChatGPT as a Virtual Patient: Written Empathic Expressions During Medical History Taking.Medical science educator · 2025Article
- A mixed method exploration of job morale of physicians working in public healthcare settings in Kazakhstan during the COVID-19 pandemic.Journal of health, population, and nutrition · 2025Article
- The number of patient scheduled hours resulting in a 40-hour work week by physician specialty and setting: a cross-sectional study using electronic health record event log data.Journal of the American Medical Informatics Association : JAMIA · 2025Article
- Prevalence and correlates of depression, anxiety, and burnout among physicians and postgraduate medical trainees: a scoping review of recent literature.Frontiers in public health · 2025Article
- Associations of the Consumer Assessment of Healthcare Providers and Systems (CAHPS) Clinician and Group Survey Scores with Interventions and Site, Provider, and Patient Factors: A Systematic Review of the Evidence.Journal of patient experience · 2024Article
- The future of flourishing in veterinary medicine: a systems-informed positive psychology approach in veterinary education.Frontiers in veterinary science · 2024Review
- How the CAHPS Clinician and Group Patient Experience Survey Data Have Been Used in Research: A Systematic Review.Journal of patient-centered research and reviews · 2024Review
- Behavioral Health Provider Burnout and Mental Health Care in the Veterans Health Administration.Journal of general internal medicine · 2023Article
- Association of Clinician Practice Ownership With Ability of Primary Care Practices to Improve Quality Without Increasing Burnout.JAMA health forum · 2023Article
- Article
- The Impact of Mental Health on Antibiotic Prescribing.Joint Commission journal on quality and patient safety · 2022Article
- Relationship Between Physician Burnout And The Quality And Cost Of Care For Medicare Beneficiaries Is Complex.Health affairs (Project Hope) · 2022Article
- Physician Burnout in General Hospitals Turned into Coronavirus Disease 2019 Priority Hospitals in Japan.JMA journal · 2022Article
- Visit Linearity in Primary Care Visits for Patients with Chronic Pain on Long-term Opioid Therapy.Journal of general internal medicine · 2022Article
- Experience of Community Neurologists Providing Care for Patients With Neurodegenerative Illness During the COVID-19 Pandemic.Neurology · 2021Article
- Impact of burnout, secondary traumatic stress and compassion satisfaction on hand hygiene of healthcare workers during the COVID-19 pandemic.Nursing open · 2021Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundPrimary care physician (PCP) burnout is prevalent and on the rise. Physician burnout may negatively affect patient experience of care.
objectiveTo identify the direct impact of PCP burnout on patient experience in various domains of care.
designA cross-sectional observational study using physician well-being (PWB) surveys collected in 2016-2017, linked to responses from patient experience of care surveys. Patient demographics and practice characteristics were derived from the electronic health record. Linked data were analyzed at the physician level.
settingA large non-profit multi-specialty ambulatory healthcare organization in northern California.
participantsA total of 244 physicians practicing internal medicine or family medicine who responded to the PWB survey (response rate 72%), and 30,701 completed experience surveys from patients seeing these physicians. MEASUREMENTS: Burnout was measured with a validated single-item question with a 5-point scale ranging from (1) enjoy work to (5) completely burned out and seeking help. Patient experience of patient-provider communication, access, and overall rating of provider was measured with Clinician & Group Consumer Assessment of Healthcare Providers & Systems (CG-CAHPS) survey. Patient experience scores (0-100 scale) were adjusted for age, gender, race/ethnicity, and English proficiency.
resultsPhysician burnout had a negative impact on patient-reported experience of patient-provider communication but not on access or overall rating of providers. A one-level increase in burnout was associated with 0.43 decrease in adjusted patient-provider communication experience score (P < 0.01). LIMITATIONS: Data came from a single large healthcare organization. Patterns may differ for small- and mid-sized practices.
conclusionPhysician burnout adversely affects patient-provider communication in primary care visits. Efforts to improve physician work environments could have a meaningful positive impact on patient experience as well as physician well-being.
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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.