Evidence for the Quadruple Aim
A Systematic Review of the Literature on Physician Burnout and Patient Outcomes
Bibliographic Data
| ID | 9097328 |
|---|---|
| Authors | Cheryl Rathert (0000-0002-1996-1544, Virginia Commonwealth University, corresponding author), Edythe S Williams (0000-0001-6297-4837, University of Alabama), Eric S Williams (Department of Management, Culverhouse College of Commerce, The University of Alabama, Tuscaloosa, AL), Hillary Linhart (Virginia Commonwealth University, corresponding author) |
| Year | 2018 |
| Volume | 56 |
| Issue | 12 |
| Pages | 976-984 |
| Publication date | 2018-12-01 |
| Peer Reviewed | Yes |
| Open Access | No |
| Type | ARTICLE |
| Venue | Medical Care (JOURNAL) |
| Journal identifiers | ISSN: 0025-7079 • E-ISSN: 1537-1948 |
| Publisher | Ovid Technologies (Wolters Kluwer Health) (PUBLISHER) |
| DOI | 10.1097/mlr.0000000000000999 |
| PMID | 30339573 |
| OpenAlex | W2897609882 |
| Language | EN |
| Citations received | 9 |
| References cited | 48 |
BACKGROUND: Experts express concern that attaining of the Triple Aim of reducing health care costs, improving patient experiences and ultimately population health, may be compromised by high levels of burnout among physicians. Some have called for a fourth aim of improving the work environment for care providers. OBJECTIVES: Burnout has been linked to poor outcomes in many occupational settings. This study's aim was to investigate linkages between physician burnout and patient outcomes through a systematic review of the literature. RESEARCH DESIGN: Systematic search of 3 databases using Preferred Reporting Items for Systematic Reviews and Meta-analysis (PRISMA) guidelines. In total, 1201 articles were reviewed, and 28 were included in the final analysis. Studies needed to be empirical, measure physician burnout as a predictor, and include patient outcome measures. MEASURES: The majority of studies were cross-sectional and measured patient outcomes via physician perception self-reports (n=14). Five studies reported clinical measures (quality, errors), and 9 included patient ratings of their care. RESULTS: Studies using self-reports of suboptimal quality and errors found that physicians higher in burnout consistently reported worse quality, yet studies linking burnout to independent clinical outcomes found no relationships. Similarly, burnout was related to lower patient ratings of care, but when specific behaviors were rated there was no relationship. CONCLUSIONS: Although the interest in burnout's effects is strong, the lack of rigorous empirical studies examining patient outcomes is problematic. Future research should develop and test causal models to better understand which domains of patient care are influenced by physician burnout
Burnout · Family medicine · Health care · MEDLINE · Population · Systematic review · Clinical Psychology · Healthcare professionals’ stress and burnout · Medicine · Nursing · Perfectionism, Procrastination, Anxiety Studies · Psychology · Stress and Burnout Research
Evidence Relating Health Care Provider Burnout and Quality of Care
The Relationship of Medical Assistants’ Work Engagement with Their Concerns of Having Made an Important Medical Error
Workplace violence against hospital healthcare workers in China
The relationship between physician burnout and depression, anxiety, suicidality and substance abuse
Staff well‐being
There and back again. Examining the development of employee commitment during a prolonged crisis
Death anxiety and burnout in intensive care unit specialists facing the Covid-19 outbreak
Relationships between psychological trauma, resilience, and professional quality of life in personnel of an HIV Service Organization in the Southeast United States
Assessment of burnout and perceived stress among health professionals
Association of Perceived Medical Errors With Resident Distress and Empathy
The Triple Aim
Burnout and Medical Errors Among American Surgeons
From Triple to Quadruple Aim
Patient-Centered Care and Outcomes
Burnout and Self-Reported Patient Care in an Internal Medicine Residency Program
Conservation of resource caravans and engaged settings
Job burnout and depression
Rates of medication errors among depressed and burnt out residents
Patient perceptions of patient‐centred care
The measurement of experienced burnout
| Unique citing works | 9 |
|---|---|
| Citations per year | 1.29 |
| Citation span | 2019 - 2026 (8) |
| Citation velocity | current |
| Highly cited | No |
| Citation types | Neutral: 9 |