Patient-Centered Medical Home Implementation and Burnout Among VA Primary Care Employees

J Ambul Care Manage. 2017 Apr-Jun;40(2):158-166. doi: 10.1097/JAC.0000000000000160.

Abstract

Burnout is widespread throughout primary care and is associated with negative consequences for providers and patients. The relationship between the patient-centered medical home model and burnout remains unclear. Using survey data from 8135 and 7510 VA primary care employees in 2012 and 2013, respectively, we assessed whether clinic-level medical home implementation was independently associated with burnout prevalence and estimated whether burnout changed among this workforce from 2012 to 2013. Adjusting for differences in respondent and clinic characteristics, we found that burnout was common among primary care employees, increased by 3.9% from 2012 to 2013, and was not associated with the extent of medical home implementation.

MeSH terms

  • Ambulatory Care Facilities / organization & administration
  • Attitude of Health Personnel*
  • Burnout, Professional*
  • Cross-Sectional Studies
  • Health Personnel / psychology*
  • Health Plan Implementation / organization & administration*
  • Health Plan Implementation / standards
  • Hospitals, Veterans / organization & administration
  • Humans
  • Models, Organizational
  • Patient-Centered Care / organization & administration*
  • Patient-Centered Care / trends
  • United States
  • Veterans Health* / trends
  • Workforce