Adjusted Associations of Family Physicians With Burnout (N = 1,437)
| Characteristics | Model 1 Personal OR (95% CI) | Model 2 Personal and Practice OR (95% CI) | Model 3 Personal, Practice, and Environment OR (95% CI) |
|---|---|---|---|
| Personal | |||
| Age, y | |||
| <40 | 0.99 (0.68-1.43) | 0.99 (0.68-1.45) | 0.98 (0.63-1.51) |
| 40-49 | Reference | Reference | Reference |
| 50-59 | 0.85 (0.66-1.08) | 0.87 (0.68-1.12) | 0.76 (0.57-1.02) |
| ≥60 | 0.56 (0.40-0.77) | 0.57 (0.41-0.79) | 0.54 (0.37-0.78) |
| Female sex | 1.14 (0.92-1.42) | 1.20 (0.96-1.51) | 1.07 (0.82-1.39) |
| US medical graduate | 1.20 (0.92-1.56) | 1.16 (0.89-1.52) | 0.84 (0.61-1.14) |
| Doctor of Osteopathy degree | 0.74 (0.53-1.05) | 0.71 (0.50-1.01) | 0.77 (0.52-1.14) |
| Faculty | 0.78 (0.62-0.98) | 0.82 (0.64-1.05) | 0.91 (0.68-1.21) |
| Practice organization | |||
| Practice type | |||
| Solo private practice | … | 0.69 (0.39-1.21) | 0.72 (0.38-1.35) |
| Group private practice | … | Reference | Reference |
| Federally qualified health center | … | 1.29 (0.73-2.27) | 1.02 (0.50-2.05) |
| Other public | … | 1.30 (0.73-2.31) | 1.09 (0.55-2.13) |
| Hospital-owned | … | 1.68 (1.1-2.46) | 1.22 (0.78-1.89) |
| Academic health center | … | 0.96 (0.54-1.70) | 0.75 (0.39-1.47) |
| Health maintenance organization | … | 1.12 (0.67-1.89) | 0.74 (0.40-1.39) |
| Federal | … | 1.78 (0.95-3.32) | 1.21 (0.59-2.51) |
| Miscellaneous Practice ownership | … | 1.34 (0.75-2.38) | 1.46 (0.75-2.86) |
| Self-employed | … | 0.58 (0.29-1.14) | 0.70 (0.3-1.53) |
| Sole owner | … | 1.50 (0.85-2.65) | 1.12 (0.59-2.14) |
| Partial owner | … | 1.67 (1.13-2.46) | 1.32 (0.84-2.06) |
| No ownership | … | Reference | Reference |
| Practice environment | |||
| Vulnerable patients, % | |||
| <10 | … | … | Reference |
| 10-49 | … | … | 1.14 (0.86-1.51) |
| ≥50 | … | … | 0.93 (0.62-1.38) |
| I feel a great deal of stress because of my job (agree/strongly agree) | … | … | 3.95 (3.02-5.16) |
| My control over my workload is (satisfactory/good/optimal) | … | … | 0.58 (0.43-0.80) |
| Sufficiency of time for documentation is (satisfactory/good/optimal) | … | … | 0.64 (0.47-0.86) |
| Which number best describes the atmosphere in your primary work area? (4 or 5; 5 = hectic, chaotic) | … | … | 1.37 (1.02-1.86) |
| My professional values are well aligned with those of my department leaders (agree/strongly agree) | … | … | 0.48 (0.36-0.62) |
| The degree to which my care team works efficiently together is (Satisfactory/Good/Optimal) | … | … | 1.29 (0.78-2.15) |
| The amount of time I spend on the EHR at home is (excessive/moderately high) | … | … | 1.16 (0.89-1.52) |
| Satisfaction with Hours Worked (very satisfied/satisfied) | … | … | 0.73 (0.55-0.97) |
EHR = electronic heatht record; OR = odds ratio; US = United States.