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Research ArticleOriginal Research

Burnout and Commitment to Primary Care: Lessons From the Early Impacts of COVID-19 on the Workplace Stress of Primary Care Practice Teams

Erin L. Kelly, Amy Cunningham, Randa Sifri, Oriana Pando, Kelsey Smith and Christine Arenson
The Annals of Family Medicine January 2022, 20 (1) 57-62; DOI: https://doi.org/10.1370/afm.2775
Erin L. Kelly
1Department of Family and Community Medicine, Thomas Jefferson University, Philadelphia, Pennsylvania
2Center for Social Medicine and Humanities, University of California, Los Angeles, California
PhD
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  • For correspondence: erin.kelly3@jefferson.edu
Amy Cunningham
1Department of Family and Community Medicine, Thomas Jefferson University, Philadelphia, Pennsylvania
PhD
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Randa Sifri
1Department of Family and Community Medicine, Thomas Jefferson University, Philadelphia, Pennsylvania
MD
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Oriana Pando
1Department of Family and Community Medicine, Thomas Jefferson University, Philadelphia, Pennsylvania
MPH
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Kelsey Smith
1Department of Family and Community Medicine, Thomas Jefferson University, Philadelphia, Pennsylvania
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Christine Arenson
1Department of Family and Community Medicine, Thomas Jefferson University, Philadelphia, Pennsylvania
3Family Medicine and Community Health, University of Minnesota, Minneapolis, Minnesota
MD
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    Figure 1.

    Mapping of initial thematic codes onto job demands-control-social support model domains, burnout, and commitment to primary care.

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    Table 1.

    Participant Demographic and Workplace Characteristics (n = 33)

    Characteristic
    Age, y, mean (SD)44.5 (11.9)
    Sex, No. (%)
        Female27 (81.8)
    Race/ethnicity, No. (%)
        White27 (81.8)
        Black  5 (15.2)
        Asian1 (3.0)
    Role, No. (%)a
        Physician8 (24.2)
        Physician assistant/nurse practitioner   3 (9.1)
        Medical assistant/nurse7 (21.2)
        Office manager7 (21.2)
        Administrative staff4 (12.1)
        Behavioral health consultant4 (12.1)
    Thomas Jefferson Health Campus, No. (%)
        Northeast7 (21.2)
        Center City9 (27.3)
        Abington9 (27.3)
        New Jersey8 (24.2)
    Years at practice, mean (SD)12.5 (11.9)
    Years in field, mean (SD)16.8 (12.2)
    • aParticipants could indicate that they had multiple roles, and the majority of medical assistants also had administrative roles in scheduling, billing, or reception.

Additional Files

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  • Supplemental materials in pdf below

    Supplemental Appendix. Interviews about how practices were transformed and how workplace stress and burnout were affected by COVID-19.

    • Kelly.pdf -

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The Annals of Family Medicine: 20 (1)
The Annals of Family Medicine: 20 (1)
Vol. 20, Issue 1
1 Jan 2022
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Burnout and Commitment to Primary Care: Lessons From the Early Impacts of COVID-19 on the Workplace Stress of Primary Care Practice Teams
Erin L. Kelly, Amy Cunningham, Randa Sifri, Oriana Pando, Kelsey Smith, Christine Arenson
The Annals of Family Medicine Jan 2022, 20 (1) 57-62; DOI: 10.1370/afm.2775

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Burnout and Commitment to Primary Care: Lessons From the Early Impacts of COVID-19 on the Workplace Stress of Primary Care Practice Teams
Erin L. Kelly, Amy Cunningham, Randa Sifri, Oriana Pando, Kelsey Smith, Christine Arenson
The Annals of Family Medicine Jan 2022, 20 (1) 57-62; DOI: 10.1370/afm.2775
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Subjects

  • Domains of illness & health:
    • Mental health
  • Methods:
    • Qualitative methods
  • Other research types:
    • Professional practice
  • Other topics:
    • COVID-19

Keywords

  • COVID-19
  • occupational stress
  • burnout, psychological
  • job demands-control-social support model

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