Burnout Rate Lower Among Small Primary Care Providers
July 11, 2018
AHRQ Stats: Use of Electronic Health or Medical Records
More than 90 percent of medical practices that were visited and served as patients’ usual source of care in 2015 used an electronic health or medical record system. (Source: AHRQ, Medical Expenditure Panel Survey Statistical Brief #509: Characteristics of Practices Used as Usual Source of Care Providers during 2015, by Age—Results from the MEPS Medical Organizations Survey.)
- Burnout Rate Lower Among Small Primary Care Providers.
- AHRQ Appoints New Members to Agency’s National Advisory Council.
- AHRQ Study Proposes Staffing Levels for High-Quality, Comprehensive Primary Care.
- Opioid Overdose Survivors More Likely To Die of Other Causes Within a Year.
- AHRQ Recruiting Long-Term Care Facilities for Antibiotic Stewardship Project.
- Featured Studies on the Nation's Health Systems.
- AHRQ in the Professional Literature.
The burnout rate among providers at small New York City primary care practices was significantly lower than rates reported in national surveys, according to a study published in the Journal of the American Board of Family Medicine. AHRQ-funded researchers conducted an analysis of data gathered between 2015 and 2017 from 235 providers at 174 small, independent primary care practices. They found a burnout rate of 13.5 percent, compared to the 2014 national rate of 54 percent. Researchers suggested that the lower rates among small practice providers could be attributed to higher amounts of independence and autonomy, as well as these organizations’ greater capacity to learn and adapt. Data for the study were drawn from the HealthyHearts NYC trial, which is part of AHRQ's EvidenceNow initiative. Access the abstract.
AHRQ is pleased to welcome 10 new members to the agency’s National Advisory Council. The panel, which includes representatives from health plans, providers, purchasers, consumers and researchers, advises the agency director and the Secretary of HHS on AHRQ activities and priorities for a national health services research agenda. The new members are:
- Dr. Karen Amstutz, M.D., M.B.A., corporate chief medical officer, Magellan Healthcare.
- Cathy J. Bradley, Ph.D., associate director of cancer prevention and control, University of Colorado Cancer Center.
- Sheila Burke, M.P.A, R.N., F.A.A.N., faculty member at John F. Kennedy School of Government at Harvard University, and a chair of the public policy group at Baker Donelson.
- Beth Ann Daugherty, B.S.N., R.N., M.P.H., vice president of patient care services and chief nurse officer, Sparrow Clinton Hospital, St. Johns, Michigan.
- Barbara A. Fain, J.D., M.P.P., executive director, Betsy Lehman Center for Patient Safety.
- Tina Hernandez-Boussard, Ph.D., M.P.H., M.S., associate professor of medicine, biomedical data sciences, and surgery at Stanford University.
- Andrew Masica, M.D., M.S., vice president and chief clinical effectiveness officer, Baylor Scott & White Health.
- Sally C. Morton, M.S., Ph.D., MSc, dean, College of Science, Lay Nam Chang Dean’s Chair, and professor of statistics, Virginia Polytechnic Institute and State University.
- Jerry Penso, M.D., M.B.A, president and chief executive officer, American Medical Group Association (AMGA), president of the AMGA Foundation.
- William Shrank, M.D., M.S., chief medical officer, University of Pittsburgh Medical Center Health Plan.
In addition, AHRQ will select seven more members to serve on the council beginning in spring 2019. The deadline for nominations is Aug. 8. Access the Federal Register notice for more information.
A primary care practice may need 37 team members, including eight primary care clinicians, to provide high-quality, comprehensive care for a panel of 10,000 adult patients, according to a new study by a team that included AHRQ researchers. The study in the Journal of General Internal Medicine identified specific functions that comprise high-quality primary care and then estimated the resources necessary to provide it. The total costs for the practice to deliver this care averages $45 per patient per month. Researchers also estimated requirements for high-quality primary care in specific care environments:
- For 10,000 adults with a high proportion of older patients: 52 staff, including 12 primary care clinicians, at $64 per patient per month.
- For 10,000 patients with high social needs: 50 staff, including 10 primary care clinicians, at $56 per patient per month.
- For 5,000 adults in a rural area: 22 staff, including four primary care clinicians, at $46 per patient per month.
The research is aligned with AHRQ’s ongoing efforts to support quality improvement in primary care. Access the abstract.
Patients who live through an opioid overdose seem to be more likely to die of another cause within a year, an AHRQ-funded study has found. The study, published in JAMA Psychiatry, found that patients who had suffered a nonfatal opioid overdose in the previous year died at approximately 24 times the rate of the general population. Causes of death included drug use-associated diseases, cancer, HIV, viral hepatitis and suicide. The authors concluded that these findings point to the importance of coordinating medical, substance use and mental health management after an opioid overdose. In the study, researchers examined more than 76,000 records of Medicaid patients from 2001 to 2007 who had been treated for a nonfatal opioid overdose, then compared those records with National Death Index records to identify patients who had died within a year after being treated for the overdose. Access the abstract.
AHRQ is seeking long-term care facilities to join a national project that aims to reduce harms related to inappropriate use of antibiotics while preserving antibiotics’ effectiveness for future generations. The 12-month project is offered at no charge, and will begin in December. Continuing education credits are available. For more details, register to attend one of the following one-hour webinars:
AHRQ's Comparative Health System Performance Initiative funds studies about how health care delivery systems promote evidence-based practices and patient-centered outcomes research in delivering care. Publications include:
- Overcoming Challenges to US Payment Reform: Could a Place-Based Approach Help?
- A Comprehensive Theory of Integration.
- A Systematic Review of Vertical Integration and Quality of Care, Efficiency and Patient-Centered Outcomes.
Access the initiative's Compendium of U.S. Health Systems, 2016, the first publicly available database that gives researchers, policymakers and health care administrators a snapshot of the nation's health systems.
Comorbidities and complications of spinal fusion for scoliosis. Berry JG, Glotzbecker M, Rodean J, et al. Pediatrics 2017 Mar;139(3). Epub 2017 Feb 2. Access the abstract on PubMed®.
Association between flexible duty hour policies and general surgery resident examination performance: a Flexibility in Duty Hour Requirements for Surgical Trainees (FIRST) trial analysis. Blay E, Jr., Hewitt DB, Chung JW, et al. J Am Coll Surg 2017 Feb;224(2):137-42. Epub 2016 Nov 21. Access the abstract on PubMed®.
Parent experience of care and decision making for children who snore. Boss EF, Links AR, Saxton R, et al. JAMA Otolaryngol Head Neck Surg 2017 Mar 1;143(3):218-25. Access the abstract on PubMed®.
Meals enhancing nutrition after discharge: findings from a pilot randomized controlled trial. Buys DR, Campbell AD, Godfryd A, et al. J Acad Nutr Diet 2017 Apr;117(4):599-608. Epub 2017 Jan 5. Access the abstract on PubMed®.
A family-centered rounds checklist, family engagement, and patient safety: a randomized trial. Cox ED, Jacobsohn GC, Rajamanickam VP, et al. Pediatrics 2017 May;139(5). Access the abstract on PubMed®.
Physical activity and incident hypertension in African Americans: the Jackson Heart Study. Diaz KM, Booth JN 3rd, Seals SR, et al. Hypertension 2017 Mar;69(3):421-7. Epub 2017 Jan 30. Access the abstract on PubMed®.
Outcomes in older patients with grade III cholecystitis and cholecystostomy tube placement: a propensity score analysis. Dimou FM, Adhikari D, Mehta HB, et al. J Am Coll Surg 2017 Apr;224(4):502-11.e1. Epub 2017 Jan 6. Access the abstract on PubMed®.
Application of the Third International Consensus Definitions for Sepsis (Sepsis-3) Classification: a retrospective population-based cohort study. Donnelly JP, Safford MM, Shapiro NI, et al. Lancet Infect Dis 2017 Jun;17(6):661-70. Epub 2017 Mar 4. Access the abstract on PubMed®.