Abstract
Purpose
The Healthy Work Place (HWP) study investigated methods to improve clinicians’ dissatisfaction and burnout. The purpose of this paper is to identify factors that influenced study enrollment and completion and assess effects of initial clinic site enrollment rates on clinician outcomes, including satisfaction, burnout, stress and intent to leave practice.
Design/methodology/approach
In total, 144 primary care clinicians (general internists, family physicians, nurse practitioners and physician assistants) at 14 primary care clinics were analyzed.
Findings
In total, 72 clinicians enrolled in the study and completed the first survey (50 percent enrollment rate). Of these, 10 did not complete the second survey (86 percent completion rate). Gender, type, burnout, stress and intervention did not significantly affect survey completion. Hence, widespread agreement about most moral/ethical issues (72 percent vs 22 percent; p=0.0060) and general agreement on treatment methods (81 percent vs 50 percent; p=0.0490) were reported by providers that completed both surveys as opposed to just the initial survey. Providers with high initial clinic site enrollment rates (=50 percent providers) obtained better outcomes, including improvements in or no worsening of satisfaction (odds ratio (OR)=19.16; p=0.0217) and burnout (OR=6.24; p=0.0418).
Social implications
More providers experiencing workplace agreement completed the initial and final surveys, and providers at sites with higher initial enrollment rates obtained better outcomes including a higher rate of improvement or no worsening of job satisfaction and burnout.
Originality/value
There is limited research on clinicians’ workplace and other factors that influence their participation in survey-based studies. The findings help us to understand how these factors may affect quality of data collecting and outcome. Thus, the study provides us insight for improvement of quality in primary care.
Subject
Health Policy,General Business, Management and Accounting
Reference23 articles.
1. Different response rates in a trial of two envelop styles in mail survey research;Epidemiology,1994
2. Response rates to mail surveys published in medical journals;Journal of Clinical Epidemiology,1997
3. Response rates in postal surveys of healthcare professionals between 1996 and 2005: an observational study;BMC Health Services Research,2009
4. Reported response rates to mailed physician questionnaires;Health Services Research,2001
5. Physicians’ characteristics influence patients’ adherence to medical treatment: results from the medical outcomes study;Journal of Health Psychology,1993
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