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Peter Vedsted

Influence of patient multimorbidity on GP burnout: a survey and register-based study in Danish general practice

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Influence of patient multimorbidity on GP burnout: a survey and register-based study in Danish general practice. / Pedersen, Anette Fischer; Nørøxe, Karen Busk; Vedsted, Peter.

I: British Journal of General Practice, Bind 70, Nr. 691, 02.2020, s. e95-e101.

Publikation: Bidrag til tidsskrift/Konferencebidrag i tidsskrift /Bidrag til avisTidsskriftartikelForskningpeer review

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Pedersen, Anette Fischer ; Nørøxe, Karen Busk ; Vedsted, Peter. / Influence of patient multimorbidity on GP burnout: a survey and register-based study in Danish general practice. I: British Journal of General Practice. 2020 ; Bind 70, Nr. 691. s. e95-e101.

Bibtex

@article{667c2d7bcf8943148f5a5e35a4a0d90f,
title = "Influence of patient multimorbidity on GP burnout: a survey and register-based study in Danish general practice",
abstract = "BACKGROUND: Patient multimorbidity and GP burnout are increasing problems in primary care and are potentially related.AIM: To examine whether patient multimorbidity was associated with GP burnout in a Danish primary care setting.DESIGN AND SETTING: Questionnaire data from 1676 Danish GPs and register data on their patients.METHOD: GPs completed the Maslach Burnout Inventory. Patients listed in a national registry with ≥2 chronic physical diseases from a list of 10 were classified with multimorbidity. For each practice, crude and sex- and age-standardised rates of multimorbidity were calculated, the latter computed as a weighted average with the weights taken from a reference population (5 646 976 Danish citizens). Data were analysed with logistic regression and adjusted analyses included GPs' age and sex, number of GPs in practice, and socioeconomic deprivation among patients as covariates.RESULTS: A high crude rate of patient multimorbidity increased GPs' likelihood of burnout (odds ratio [OR] 1.79, 95% confidence interval [CI] = 1.13 to 2.82), and when adjusting for covariates the association remained significant when comparing GPs in the third highest quartile of the multimorbidity rate against GPs in the lowest quartile (OR 1.64, 95% CI = 1.02 to 2.64). The sex- and age-standardised patient multimorbidity rate was not associated with GPs' likelihood of burnout.CONCLUSION: A high crude rate of patient physical multimorbidity increased the likelihood of burnout among GPs. The sex- and age-standardised rate of multimorbidity was not related to GPs' likelihood of burnout. Thus, the absolute amount of multimorbidity, and not the relative, affects the GP's burnout risk. GPs with high numbers of patients with complex needs should be supported to prevent suboptimal care and GP burnout.",
keywords = "burnout, psychological, multimorbidity, primary health care, questionnaire design, reference standards, registries",
author = "Pedersen, {Anette Fischer} and N{\o}r{\o}xe, {Karen Busk} and Peter Vedsted",
note = "{\textcopyright}The Authors.",
year = "2020",
month = feb,
doi = "10.3399/bjgp20X707837",
language = "English",
volume = "70",
pages = "e95--e101",
journal = "British Journal of General Practice",
issn = "0960-1643",
publisher = "Royal College of General Practitioners",
number = "691",

}

RIS

TY - JOUR

T1 - Influence of patient multimorbidity on GP burnout: a survey and register-based study in Danish general practice

AU - Pedersen, Anette Fischer

AU - Nørøxe, Karen Busk

AU - Vedsted, Peter

N1 - ©The Authors.

PY - 2020/2

Y1 - 2020/2

N2 - BACKGROUND: Patient multimorbidity and GP burnout are increasing problems in primary care and are potentially related.AIM: To examine whether patient multimorbidity was associated with GP burnout in a Danish primary care setting.DESIGN AND SETTING: Questionnaire data from 1676 Danish GPs and register data on their patients.METHOD: GPs completed the Maslach Burnout Inventory. Patients listed in a national registry with ≥2 chronic physical diseases from a list of 10 were classified with multimorbidity. For each practice, crude and sex- and age-standardised rates of multimorbidity were calculated, the latter computed as a weighted average with the weights taken from a reference population (5 646 976 Danish citizens). Data were analysed with logistic regression and adjusted analyses included GPs' age and sex, number of GPs in practice, and socioeconomic deprivation among patients as covariates.RESULTS: A high crude rate of patient multimorbidity increased GPs' likelihood of burnout (odds ratio [OR] 1.79, 95% confidence interval [CI] = 1.13 to 2.82), and when adjusting for covariates the association remained significant when comparing GPs in the third highest quartile of the multimorbidity rate against GPs in the lowest quartile (OR 1.64, 95% CI = 1.02 to 2.64). The sex- and age-standardised patient multimorbidity rate was not associated with GPs' likelihood of burnout.CONCLUSION: A high crude rate of patient physical multimorbidity increased the likelihood of burnout among GPs. The sex- and age-standardised rate of multimorbidity was not related to GPs' likelihood of burnout. Thus, the absolute amount of multimorbidity, and not the relative, affects the GP's burnout risk. GPs with high numbers of patients with complex needs should be supported to prevent suboptimal care and GP burnout.

AB - BACKGROUND: Patient multimorbidity and GP burnout are increasing problems in primary care and are potentially related.AIM: To examine whether patient multimorbidity was associated with GP burnout in a Danish primary care setting.DESIGN AND SETTING: Questionnaire data from 1676 Danish GPs and register data on their patients.METHOD: GPs completed the Maslach Burnout Inventory. Patients listed in a national registry with ≥2 chronic physical diseases from a list of 10 were classified with multimorbidity. For each practice, crude and sex- and age-standardised rates of multimorbidity were calculated, the latter computed as a weighted average with the weights taken from a reference population (5 646 976 Danish citizens). Data were analysed with logistic regression and adjusted analyses included GPs' age and sex, number of GPs in practice, and socioeconomic deprivation among patients as covariates.RESULTS: A high crude rate of patient multimorbidity increased GPs' likelihood of burnout (odds ratio [OR] 1.79, 95% confidence interval [CI] = 1.13 to 2.82), and when adjusting for covariates the association remained significant when comparing GPs in the third highest quartile of the multimorbidity rate against GPs in the lowest quartile (OR 1.64, 95% CI = 1.02 to 2.64). The sex- and age-standardised patient multimorbidity rate was not associated with GPs' likelihood of burnout.CONCLUSION: A high crude rate of patient physical multimorbidity increased the likelihood of burnout among GPs. The sex- and age-standardised rate of multimorbidity was not related to GPs' likelihood of burnout. Thus, the absolute amount of multimorbidity, and not the relative, affects the GP's burnout risk. GPs with high numbers of patients with complex needs should be supported to prevent suboptimal care and GP burnout.

KW - burnout, psychological

KW - multimorbidity

KW - primary health care

KW - questionnaire design

KW - reference standards

KW - registries

U2 - 10.3399/bjgp20X707837

DO - 10.3399/bjgp20X707837

M3 - Journal article

C2 - 31932298

VL - 70

SP - e95-e101

JO - British Journal of General Practice

JF - British Journal of General Practice

SN - 0960-1643

IS - 691

ER -