ArticleJournal of the American Board of Family Medicine : JABFM2024
Physician and Advanced Practice Clinician Burnout in Rural and Urban Settings.
Article in Journal of the American Board of Family Medicine : JABFM, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 1 of them a synthesis that pooled it.
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Who cites it
9 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Stress and retention challenges among rural and regional physicians: a mixed-methods systematic review and framework for action.Journal of public health (Oxford, England) · 2026Pooled it
- A Cross-sectional Examination of Burnout in Physicians and Nurse Practitioners in Hawaii.Journal of occupational and environmental medicine · 2026Article
- A Comparison of Attitudes About Rural Practice Among Family Physicians in Japan and Oregon.Journal of general and family medicine · 2026Article
- Perspectives of Adolescents and Young Adults, Caregivers, and Health Care Providers on Regional Cancer Care: Qualitative Study.JMIR cancer · 2026Article
- Rural specialty care for Veterans with the chronic overlapping pain conditions: Fibromyalgia, migraine, or irritable bowel syndrome.The Journal of rural health : official journal of the American Rural Health Association and the National Rural Health Care Association · 2026Article
- Article
- Cancer Care Experiences Among Adolescents, Caregivers, and Health Care Providers in a Regional Canadian Context: Protocol for a Qualitative Study.JMIR research protocols · 2025Article
- Re: Physician and Advanced Practice Clinician Burnout in Rural and Urban Settings.Journal of the American Board of Family Medicine : JABFM · 2025Article
- Attitudes of medical students in Croatia toward rural medicine education and practice.Frontiers in medicine · 2025Article
Corrections and comments
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Authors and funding
8 authors.
Funding
Abstract
introductionRecruiting rural-practicing clinicians is a high priority. In this study, we explored burnout and contributing work conditions among rural, urban, and family practice physicians and advanced practice clinicians (APCs) in an Upper Midwestern health care system.
methodsThe Mini Z burnout reduction measure was administered by anonymous electronic survey in March 2022. We conducted bivariate analyses of study variables, then assessed relationships of study variables to burnout with multivariate binary logistic regression.
resultsOf 1118 clinicians (63% response rate), 589 physicians and 496 APCs were included in this study (n = 1085). Most were female (56%), physicians (54%), and White (86%), while 21% were in family practice, 46% reported burnout, and 349 practiced rurally. Rural and urban clinician burnout rates were comparable (45% vs 47%). Part-time work protected against burnout for family practice and rural clinicians, but not urban clinicians. In multivariate models for rural clinicians, stress (OR: 8.53, 95% CI: 4.09 to 17.78,
conclusionsBurnout was comparable between rural and urban physicians and APCs. Part-time work was associated with decreased burnout in rural and family practice clinicians. Addressing burnout drivers (stress, workload control, chaos) may improve rural work environments, reduce turnover, and aid rural clinician recruitment. Addressing stress may be particularly impactful in family practice.
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