Effect of burnout among physicians on observed adverse patient outcomes: a literature review

Abstract Background Physician burnout has potentially harmful effects for both physicians and their patients. Despite relationships between physician burnout and lowered patient satisfaction and clinician-rated adverse patient outcomes, there is scarce literature regarding effects on objective patie...

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Main Authors: Kashan Yasin Mangory, Lavin Yadgar Ali, Karin Isaksson Rø, Reidar Tyssen
Format: Article
Language:English
Published: BMC 2021-04-01
Series:BMC Health Services Research
Subjects:
Online Access:https://doi.org/10.1186/s12913-021-06371-x
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author Kashan Yasin Mangory
Lavin Yadgar Ali
Karin Isaksson Rø
Reidar Tyssen
author_facet Kashan Yasin Mangory
Lavin Yadgar Ali
Karin Isaksson Rø
Reidar Tyssen
author_sort Kashan Yasin Mangory
collection DOAJ
description Abstract Background Physician burnout has potentially harmful effects for both physicians and their patients. Despite relationships between physician burnout and lowered patient satisfaction and clinician-rated adverse patient outcomes, there is scarce literature regarding effects on objective patient outcomes. This study aimed to examine the relationship between physician burnout and observed adverse patient outcomes via a review of the literature. Methods A search was performed on the MEDLINE, EMBASE and PsychINFO databases, using keywords and Medical Subject Headings. The identified studies were in English, published from 2007 to 2019, measured burnout among physicians using the Maslach Burnout Inventory (MBI), and included observed adverse patient outcomes. In total, 360 eligible articles were identified, and 11 were included in the final review. All included studies measured patient outcomes by observed clinical measures (e.g. quality of care and medical errors). Results Four studies found a clear significant relationship between physician burnout and observed adverse patient outcomes, while 6 did not. One study found a significant relationship with one of the MBI subscales. Burnout was, in contrast to depression, only partly associated with observed patient outcomes. Conclusions This review illustrates the need for a validation of physician burnout measured by MBI with respect to observed patient outcomes. Further studies are required to investigate the effects of physician burnout on observed quality of their patient care.
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spelling doaj.art-6384a7329ca14c3da4a6bf703037cc022022-12-21T22:09:07ZengBMCBMC Health Services Research1472-69632021-04-012111810.1186/s12913-021-06371-xEffect of burnout among physicians on observed adverse patient outcomes: a literature reviewKashan Yasin Mangory0Lavin Yadgar Ali1Karin Isaksson Rø2Reidar Tyssen3Faculty of Medicine, University of OsloFaculty of Medicine, University of OsloInstitute for Studies of the Medical ProfessionDepartment of Behavioural Medicine, Institute of Basic Medical Sciences, Faculty of Medicine, University of OsloAbstract Background Physician burnout has potentially harmful effects for both physicians and their patients. Despite relationships between physician burnout and lowered patient satisfaction and clinician-rated adverse patient outcomes, there is scarce literature regarding effects on objective patient outcomes. This study aimed to examine the relationship between physician burnout and observed adverse patient outcomes via a review of the literature. Methods A search was performed on the MEDLINE, EMBASE and PsychINFO databases, using keywords and Medical Subject Headings. The identified studies were in English, published from 2007 to 2019, measured burnout among physicians using the Maslach Burnout Inventory (MBI), and included observed adverse patient outcomes. In total, 360 eligible articles were identified, and 11 were included in the final review. All included studies measured patient outcomes by observed clinical measures (e.g. quality of care and medical errors). Results Four studies found a clear significant relationship between physician burnout and observed adverse patient outcomes, while 6 did not. One study found a significant relationship with one of the MBI subscales. Burnout was, in contrast to depression, only partly associated with observed patient outcomes. Conclusions This review illustrates the need for a validation of physician burnout measured by MBI with respect to observed patient outcomes. Further studies are required to investigate the effects of physician burnout on observed quality of their patient care.https://doi.org/10.1186/s12913-021-06371-xPhysician burnoutPatient outcomeMedical error
spellingShingle Kashan Yasin Mangory
Lavin Yadgar Ali
Karin Isaksson Rø
Reidar Tyssen
Effect of burnout among physicians on observed adverse patient outcomes: a literature review
BMC Health Services Research
Physician burnout
Patient outcome
Medical error
title Effect of burnout among physicians on observed adverse patient outcomes: a literature review
title_full Effect of burnout among physicians on observed adverse patient outcomes: a literature review
title_fullStr Effect of burnout among physicians on observed adverse patient outcomes: a literature review
title_full_unstemmed Effect of burnout among physicians on observed adverse patient outcomes: a literature review
title_short Effect of burnout among physicians on observed adverse patient outcomes: a literature review
title_sort effect of burnout among physicians on observed adverse patient outcomes a literature review
topic Physician burnout
Patient outcome
Medical error
url https://doi.org/10.1186/s12913-021-06371-x
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