An Organizational Intervention to Reduce Physician Burnout
Abstract
Executive summary Burnout is an individual's specific, personal, and intimate stress reaction to the workplace, characterized by emotional exhaustion, depersonalization, and reduced self-efficacy. Even though it particularly affects the helping professions, there has been relatively little exploration into the causes and determinants of burnout among physicians; instead, the focus has been on documenting the prevalence and consequences of physician burnout. Furthermore, while the theory of burnout is based on the relationship between the individual and his or her workplace, interventions have focused on improving the resilience of an individual to withstand this imbalance rather than identifying and ameliorating the cause.This study observed a natural experiment to measure changes in primary care providers' burnout before and after the implementation of a workload intervention that changed the work process within primary care clinics. Four clinics received the intervention, while four others served as comparisons. Among physicians in clinics receiving the intervention, the results show significant impacts, with an improvement in workload of 0.61 units (p = 0.037) and a decrease in the emotional exhaustion dimension of burnout of 6.989 units (p = 0.039).Self-care interventions are inconsistent with the theory of burnout; success of such interventions may be due to participants self-selecting these interventions, and individuals' inability to change their workplace without mana…
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The reduction in emotional exhaustion was sustained at the 6-month follow-up in the study by Gregory et al.
“the reduction in EE was also sustained at the 6-month follow-up in the study by Gregory et al.26”
From Workplace interventions to improve well-being and reduce burnout for nurses, physicians and allied healthcare professionals: a systematic review. (2023) · cites this paper as [26]
Both Gordon et al and Gregory et al implemented waitlist style control groups, and the final organisational peer support study (Wahl et al) did not implement a control group at all.
“Both Gordon et al56 and Gregory et al26 also implemented waitlist style control groups and the final organisational peer support study (Wahl et al52) did not implement a control group at all.”
From Workplace interventions to improve well-being and reduce burnout for nurses, physicians and allied healthcare professionals: a systematic review. (2023) · cites this paper as [26]
Only the study by Gregory et al conducted a follow-up beyond the finalisation of the intervention, whereby one outcome (workload) had nearly reverted to the baseline measurement (2.5-2.99-2.62).
“however only the study by Gregory et al26 conducted a follow-up beyond the finalisation of the intervention whereby one outcome (workload) had nearly reverted to the baseline measurement (2.5-2.99-2.62).”
From Workplace interventions to improve well-being and reduce burnout for nurses, physicians and allied healthcare professionals: a systematic review. (2023) · cites this paper as [26]
Only four studies reported statistically significant positive outcomes while implementing a large sample size, control group and postintervention follow-up.
“only four4 12 26 60 studies reported statistically significant positive outcomes while implementing a large sample size, control group and postintervention follow-up.”
From Workplace interventions to improve well-being and reduce burnout for nurses, physicians and allied healthcare professionals: a systematic review. (2023) · cites this paper as [26]
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- Authors
- Gregory, S. T., Menser, T., & Gregory, B. T.
- Affiliations
- Houston Methodist (US)
- Venue
- Journal of Healthcare Management
- Published
- 2018-09
- Volume
- 63
- Issue
- 5
- Pages
- 338-352
- ISSN
- 1096-9012 (ISSN-L)
- OpenAlex
- W2889171311
- Cited by
- 56
- References
- 41
- Citations by year
- 2026: 6 · 2025: 8 · 2024: 5 · 2023: 8 · 2022: 10 · 2021: 9 · 2020: 5 · 2019: 4 · 2018: 1
- FWCI
- 7.28
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Journal of Healthcare Management (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Health Professions › General Health Professions › Healthcare professionals’ stress and burnout
- Social Sciences › Psychology › Social Psychology › Stress and Burnout Research
- Health Sciences › Health Professions › Occupational Therapy › Occupational Health and Burnout
- Keywords
- physician burnout, emotional exhaustion, primary care physicians, organizational interventions, occupational stress, depersonalization, self-efficacy, self-care interventions, workflow redesign
- MeSH terms
- Adult, Burnout, Professional, Female, Humans, Male, Middle Aged, Physicians, Stress, Psychological, Organizational Policy, Workload, Workplace
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
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