Degree of primary care integration predicts job satisfaction and emotional exhaustion among rural medical and behavioral healthcare providers.

IF 1.2 4区 医学 Q3 FAMILY STUDIES Families Systems & Health Pub Date : 2024-09-01 Epub Date: 2024-07-25 DOI:10.1037/fsh0000905
Ivie English, Julia J Cameron, Duncan G Campbell
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Abstract

Introduction: Minimal research on integrated primary care (IPC) or integrated behavioral health (IBH) has examined clinics in rural communities. The relationships between provider burnout, job satisfaction, and IBH/IPC practices remain understudied, particularly in rural settings.

Method: We employed an online survey of 147 medical and behavioral health care providers in primary care settings throughout Montana. Respondents self-identified as predominantly White/European American (89.4%) and female (76.7%). We tested whether degree of adherence to IBH/IPC practices concurrently predicted providers' reports of emotional exhaustion (EE), a dimension of burnout, and job satisfaction. Data were collected during the COVID-19 pandemic, in 2020.

Results: In multiple linear regression analyses, providers' reports of IBH/IPC practices significantly predicted EE (B = -0.036, p < .01) and job satisfaction (B = 0.123, p < .05), suggesting that higher levels of integration were linked to less EE and greater job satisfaction.

Discussion: Our findings contribute to the evidence base regarding the potential usefulness of IBH/IPC models. Specifically, because existing research links provider burnout and low job satisfaction with provider retention difficulties and diminished health, poor patient satisfaction and outcomes, and cost inefficiencies, our findings have potential to inform policy-level discussions regarding the use of IBH/IPC models in rural states like Montana. (PsycInfo Database Record (c) 2024 APA, all rights reserved).

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初级保健整合程度可预测农村医疗和行为保健提供者的工作满意度和情感衰竭程度。
导言:有关综合初级保健(IPC)或综合行为健康(IBH)的研究很少涉及农村社区的诊所。对医疗服务提供者的职业倦怠、工作满意度和 IBH/IPC 实践之间的关系仍然研究不足,尤其是在农村地区:我们对蒙大拿州初级医疗机构的 147 名医疗和行为保健提供者进行了在线调查。受访者自我认同主要为白人/欧美人(89.4%)和女性(76.7%)。我们测试了 IBH/IPC 实践的坚持程度是否同时预测了医疗服务提供者的情感衰竭 (EE) 报告(职业倦怠的一个维度)和工作满意度。数据是在 2020 年 COVID-19 大流行期间收集的:在多元线性回归分析中,医疗服务提供者对 IBH/IPC 实践的报告可显著预测 EE(B = -0.036,p < .01)和工作满意度(B = 0.123,p < .05),这表明较高的整合水平与较少的 EE 和较高的工作满意度相关:我们的研究结果为 IBH/IPC 模型的潜在实用性提供了证据基础。具体而言,由于现有研究将医疗服务提供者的职业倦怠和低工作满意度与医疗服务提供者的留任困难和健康状况下降、患者满意度和治疗效果不佳以及成本效率低下联系在一起,我们的研究结果有可能为有关在蒙大拿州等农村地区使用 IBH/IPC 模式的政策讨论提供信息。(PsycInfo Database Record (c) 2024 APA,保留所有权利)。
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来源期刊
Families Systems & Health
Families Systems & Health HEALTH CARE SCIENCES & SERVICES-PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH
CiteScore
1.50
自引率
7.70%
发文量
81
审稿时长
>12 weeks
期刊介绍: Families, Systems, & Health publishes clinical research, training, and theoretical contributions in the areas of families and health, with particular focus on collaborative family healthcare.
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