Descriptive study of association between quality of care and empathy and burnout in primary care

Abstract Background The doctor-patient relationship is a crucial aspect of primary-care practice Research on associations between quality of care provision and burnout and empathy in a primary care setting could improve this relationship. Methods Cross-sectional study of family physicians (108) and...

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Main Authors: Oriol Yuguero, Josep Ramon Marsal, Miquel Buti, Montserrat Esquerda, Jorge Soler-González
Format: Article
Language:English
Published: BMC 2017-09-01
Series:BMC Medical Ethics
Subjects:
Online Access:http://link.springer.com/article/10.1186/s12910-017-0214-9
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author Oriol Yuguero
Josep Ramon Marsal
Miquel Buti
Montserrat Esquerda
Jorge Soler-González
author_facet Oriol Yuguero
Josep Ramon Marsal
Miquel Buti
Montserrat Esquerda
Jorge Soler-González
author_sort Oriol Yuguero
collection DOAJ
description Abstract Background The doctor-patient relationship is a crucial aspect of primary-care practice Research on associations between quality of care provision and burnout and empathy in a primary care setting could improve this relationship. Methods Cross-sectional study of family physicians (108) and nurses (112) of twenty-two primary care centers in the health district of Lleida, Spain. Empathy and burnout were measured using the Jefferson Physician Empathy Scale and the Maslach Burnout Inventory, while quality of care delivery was evaluated using Quality Standard Indicator scores. JPSE and MBI results were grouped into low, medium, and high scores to analyze associations with QSI scores and sociodemographic variables. Results The mean QSI score recorded for the family physicians and nurses was 665 (out of a total of 1000). Higher, albeit insignificant, QSI scores were observed for practitioners with high burnout. No differences were observed according to level of empathy (p > 0.05). The differences with respect to sex, age, and area of practice (urban vs rural center) were not significant. Practitioners with low empathy had higher QSI scores than those with high empathy (672.8 vs. 654.4) while those with high burnout had higher scores than those with low burnout (702 vs. 671). Conclusions Burnout and empathy did not significantly influence quality of care delivery scores in 22 primary care centers. More studies, however, are needed to investigate the unexpected trend observed that suggests that physicians and nurses with higher levels of burnout provide higher quality care.
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spelling doaj.art-44baaf536d244f1089f78cd017e3d7612022-12-22T03:49:03ZengBMCBMC Medical Ethics1472-69392017-09-011811810.1186/s12910-017-0214-9Descriptive study of association between quality of care and empathy and burnout in primary careOriol Yuguero0Josep Ramon Marsal1Miquel Buti2Montserrat Esquerda3Jorge Soler-González4Institut Universitari d’Investigació en Atenció Primària Jordi Gol (IDIAP Jordi Gol)Unitat de Suport a la Recerca Lleida, Institut Universitari d’Investigació en Atenció Primària Jordi Gol (IDIAP Jordi Gol)Institut Català de la SalutInstitut Universitari d’Investigació en Atenció Primària Jordi Gol (IDIAP Jordi Gol)Institut Universitari d’Investigació en Atenció Primària Jordi Gol (IDIAP Jordi Gol)Abstract Background The doctor-patient relationship is a crucial aspect of primary-care practice Research on associations between quality of care provision and burnout and empathy in a primary care setting could improve this relationship. Methods Cross-sectional study of family physicians (108) and nurses (112) of twenty-two primary care centers in the health district of Lleida, Spain. Empathy and burnout were measured using the Jefferson Physician Empathy Scale and the Maslach Burnout Inventory, while quality of care delivery was evaluated using Quality Standard Indicator scores. JPSE and MBI results were grouped into low, medium, and high scores to analyze associations with QSI scores and sociodemographic variables. Results The mean QSI score recorded for the family physicians and nurses was 665 (out of a total of 1000). Higher, albeit insignificant, QSI scores were observed for practitioners with high burnout. No differences were observed according to level of empathy (p > 0.05). The differences with respect to sex, age, and area of practice (urban vs rural center) were not significant. Practitioners with low empathy had higher QSI scores than those with high empathy (672.8 vs. 654.4) while those with high burnout had higher scores than those with low burnout (702 vs. 671). Conclusions Burnout and empathy did not significantly influence quality of care delivery scores in 22 primary care centers. More studies, however, are needed to investigate the unexpected trend observed that suggests that physicians and nurses with higher levels of burnout provide higher quality care.http://link.springer.com/article/10.1186/s12910-017-0214-9Primary careQuality of careMedical ethicsDoctor-patient relationshipHealth economics
spellingShingle Oriol Yuguero
Josep Ramon Marsal
Miquel Buti
Montserrat Esquerda
Jorge Soler-González
Descriptive study of association between quality of care and empathy and burnout in primary care
BMC Medical Ethics
Primary care
Quality of care
Medical ethics
Doctor-patient relationship
Health economics
title Descriptive study of association between quality of care and empathy and burnout in primary care
title_full Descriptive study of association between quality of care and empathy and burnout in primary care
title_fullStr Descriptive study of association between quality of care and empathy and burnout in primary care
title_full_unstemmed Descriptive study of association between quality of care and empathy and burnout in primary care
title_short Descriptive study of association between quality of care and empathy and burnout in primary care
title_sort descriptive study of association between quality of care and empathy and burnout in primary care
topic Primary care
Quality of care
Medical ethics
Doctor-patient relationship
Health economics
url http://link.springer.com/article/10.1186/s12910-017-0214-9
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