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Area of Science:

  • Medical research
  • Physician well-being
  • Healthcare management

Background:

  • Physician burnout affects physicians, patients, and healthcare systems.
  • High burnout rates (up to 63%) are reported among family physicians.
  • Structural causes of burnout are suspected, but the link with practice organization is unclear.

Purpose of the Study:

  • To investigate the association between practice organization and burnout in family physicians.
  • To identify specific practice characteristics contributing to physician burnout.

Main Methods:

  • Cross-sectional study using 2017 American Board of Family Medicine (ABFM) registration data.
  • Burnout assessed via validated questions on emotional exhaustion and depersonalization.
  • Practice environment (work stressors, teamwork) and organization (ownership) were measured.

Main Results:

  • Burnout rate was 43.7% among 1,437 family physicians.
  • Hospital-owned practices and partial ownership showed a positive association with burnout (OR=1.68 and OR=1.67).
  • After controlling for practice environment, no practice organization variable remained significantly associated with burnout.

Conclusions:

  • Physician burnout is not solely attributable to practice organization.
  • No specific practice type or ownership status independently predicts burnout.
  • All practice types can focus on mitigating burnout effectively.