The relationship between physician burnout and quality of healthcare in terms of safety and acceptability: a systematic review
Objectives This study reviews the current state of the published peer-reviewed literature related to physician burnout and two quality of care dimensions. The purpose of this systematic literature review is to address the question, ‘How does physician burnout affect the quality of healthcare related...
Saved in:
| Main Authors: | , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
BMJ Publishing Group
2017-06-01
|
| Series: | BMJ Open |
| Online Access: | https://bmjopen.bmj.com/content/7/6/e015141.full |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1832574288637460480 |
|---|---|
| author | Sarah Bonato Carolyn S Dewa Desmond Loong Lucy Trojanowski |
| author_facet | Sarah Bonato Carolyn S Dewa Desmond Loong Lucy Trojanowski |
| author_sort | Sarah Bonato |
| collection | DOAJ |
| description | Objectives This study reviews the current state of the published peer-reviewed literature related to physician burnout and two quality of care dimensions. The purpose of this systematic literature review is to address the question, ‘How does physician burnout affect the quality of healthcare related to the dimensions of acceptability and safety?’Design Using a multiphase screening process, this systematic literature review is based on publically available peer-reviewed studies published between 2002 and 2017. Six electronic databases were searched: (1) MEDLINE Current, (2) MEDLINE In-process, (3) MEDLINE Epub Ahead of Print, (4) PsycINFO, (5) Embase and (6) Web of Science.Setting Physicians practicing in civilian settings.Participants Practicing physicians who have completed training.Primary and secondary outcome measures Quality of healthcare related to acceptability (ie, patient satisfaction, physician communication and physician attitudes) and safety (ie, minimising risks or harm to patients).Results 4114 unique citations were identified. Of these, 12 articles were included in the review. Two studies were rated as having high risk of bias and 10 as having moderate risk. Four studies were conducted in North America, four in Europe, one in the Middle East and three in East Asia. Results of this systematic literature review suggest there is moderate evidence that burnout is associated with safety-related quality of care. Because of the variability in the way patient acceptability-related quality of care was measured and the inconsistency in study findings, the evidence supporting the relationship between burnout and patient acceptability-related quality of care is less strong.Conclusions The focus on direct care-related quality highlights additional ways that physician burnout affects the healthcare system. These studies can help to inform decisions about how to improve patient care by addressing physician burnout. Continued work looking at the relationship between dimensions of acceptability-related quality of care measures and burnout is needed to advance the field. |
| format | Article |
| id | doaj-art-49be174df4f5413a856f6f4e86bc2fd0 |
| institution | Kabale University |
| issn | 2044-6055 |
| language | English |
| publishDate | 2017-06-01 |
| publisher | BMJ Publishing Group |
| record_format | Article |
| series | BMJ Open |
| spelling | doaj-art-49be174df4f5413a856f6f4e86bc2fd02025-02-01T23:50:09ZengBMJ Publishing GroupBMJ Open2044-60552017-06-017610.1136/bmjopen-2016-015141The relationship between physician burnout and quality of healthcare in terms of safety and acceptability: a systematic reviewSarah Bonato0Carolyn S Dewa1Desmond Loong2Lucy Trojanowski3Centre for Addiction and Mental Health, Toronto, Ontario, Canada1 Department of Psychiatry and Behavioral Sciences, University of California, Davis, California, USA2 Centre for Research on Employment and Workplace Health, Centre for Addiction and Mental Health, Toronto, Canada2 Centre for Research on Employment and Workplace Health, Centre for Addiction and Mental Health, Toronto, CanadaObjectives This study reviews the current state of the published peer-reviewed literature related to physician burnout and two quality of care dimensions. The purpose of this systematic literature review is to address the question, ‘How does physician burnout affect the quality of healthcare related to the dimensions of acceptability and safety?’Design Using a multiphase screening process, this systematic literature review is based on publically available peer-reviewed studies published between 2002 and 2017. Six electronic databases were searched: (1) MEDLINE Current, (2) MEDLINE In-process, (3) MEDLINE Epub Ahead of Print, (4) PsycINFO, (5) Embase and (6) Web of Science.Setting Physicians practicing in civilian settings.Participants Practicing physicians who have completed training.Primary and secondary outcome measures Quality of healthcare related to acceptability (ie, patient satisfaction, physician communication and physician attitudes) and safety (ie, minimising risks or harm to patients).Results 4114 unique citations were identified. Of these, 12 articles were included in the review. Two studies were rated as having high risk of bias and 10 as having moderate risk. Four studies were conducted in North America, four in Europe, one in the Middle East and three in East Asia. Results of this systematic literature review suggest there is moderate evidence that burnout is associated with safety-related quality of care. Because of the variability in the way patient acceptability-related quality of care was measured and the inconsistency in study findings, the evidence supporting the relationship between burnout and patient acceptability-related quality of care is less strong.Conclusions The focus on direct care-related quality highlights additional ways that physician burnout affects the healthcare system. These studies can help to inform decisions about how to improve patient care by addressing physician burnout. Continued work looking at the relationship between dimensions of acceptability-related quality of care measures and burnout is needed to advance the field.https://bmjopen.bmj.com/content/7/6/e015141.full |
| spellingShingle | Sarah Bonato Carolyn S Dewa Desmond Loong Lucy Trojanowski The relationship between physician burnout and quality of healthcare in terms of safety and acceptability: a systematic review BMJ Open |
| title | The relationship between physician burnout and quality of healthcare in terms of safety and acceptability: a systematic review |
| title_full | The relationship between physician burnout and quality of healthcare in terms of safety and acceptability: a systematic review |
| title_fullStr | The relationship between physician burnout and quality of healthcare in terms of safety and acceptability: a systematic review |
| title_full_unstemmed | The relationship between physician burnout and quality of healthcare in terms of safety and acceptability: a systematic review |
| title_short | The relationship between physician burnout and quality of healthcare in terms of safety and acceptability: a systematic review |
| title_sort | relationship between physician burnout and quality of healthcare in terms of safety and acceptability a systematic review |
| url | https://bmjopen.bmj.com/content/7/6/e015141.full |
| work_keys_str_mv | AT sarahbonato therelationshipbetweenphysicianburnoutandqualityofhealthcareintermsofsafetyandacceptabilityasystematicreview AT carolynsdewa therelationshipbetweenphysicianburnoutandqualityofhealthcareintermsofsafetyandacceptabilityasystematicreview AT desmondloong therelationshipbetweenphysicianburnoutandqualityofhealthcareintermsofsafetyandacceptabilityasystematicreview AT lucytrojanowski therelationshipbetweenphysicianburnoutandqualityofhealthcareintermsofsafetyandacceptabilityasystematicreview AT sarahbonato relationshipbetweenphysicianburnoutandqualityofhealthcareintermsofsafetyandacceptabilityasystematicreview AT carolynsdewa relationshipbetweenphysicianburnoutandqualityofhealthcareintermsofsafetyandacceptabilityasystematicreview AT desmondloong relationshipbetweenphysicianburnoutandqualityofhealthcareintermsofsafetyandacceptabilityasystematicreview AT lucytrojanowski relationshipbetweenphysicianburnoutandqualityofhealthcareintermsofsafetyandacceptabilityasystematicreview |