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Pediatric Provider and Staff Burnout in Federally Qualified Community Health Centers
Cameron Hill1, Stacy Justo, Hannah Park
1Department of Pediatrics, Boston Medical Center/Boston University Chobanian and Avedisian School of Medicine, Boston, Massachusetts (Mr Hill and Mss Justo, Park, and Morris and Drs Bair-Merritt and Feinberg); and Department of Psychiatry, UMass Chan Medical School, Worcester, Massachusetts (Dr Sheldrick).
Abstract:
This study examined changes in provider and staff burnout in 4 Boston-area federally qualified community health centers (FQHCs) participating in a pediatric behavioral health integration project. Utilizing the Maslach Burnout Inventory-Human Services Survey for Medical Personnel (MBI-HSSMP), the study found that emotional exhaustion among primary care providers ( M = 20.5; confidence interval [CI], 17.8-23.2) was higher ( P = .001) than that among behavioral health clinicians ( M = 13.6; CI, 10.4-16.8) and ( P = .00005) community health workers ( M = 10.8; CI, 7.3-14.2). Emotional exhaustion among staff increased ( P = .04) from baseline ( M = 16.8; CI, 15.0-18.6) to follow-up ( M = 20.8; CI, 17.5-24.2), but burnout at follow-up was lower than national averages. FQHCs are integral in caring for marginalized patients; therefore, supporting a stable workforce by minimizing burnout is essential.
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