title: Clinician burnout and satisfaction with resources in caring for complex patients.
abstract: To describe primary care clinicians' self-reported satisfaction, burnout and barriers for treating complex patients.
  
  
  
  We conducted a survey of 1554 primary care clinicians in 172 primary care clinics in 18 health care systems across 8 states prior to the implementation of a collaborative model of care for patients with depression and diabetes and/or cardiovascular disease.
  
  
  
  Of the clinicians who responded to the survey (n=709; 46%), we found that a substantial minority (31%) were experiencing burnout that was associated with lower career satisfaction (P<.0001) and lower satisfaction with resources to treat complex patients (P<.0001). Less than 50% of clinicians rated their ability to treat complex patients as very good to excellent with 21% rating their ability as fair to poor. The majority of clinicians (72%) thought that a collaborative model of care would be very helpful for treating complex patients.
  
  
  
  Burnout remains a problem for primary care clinicians and is associated with low job satisfaction and low satisfaction with resources to treat complex patients. A collaborative care model for patients with mental and physical health problems may provide the resources needed to improve the quality of care for these patients.
authors.affiliation: HealthPartners Institute for Education and Research, Minneapolis, MN, USA; School of Social Work, University of St. Thomas, St. Paul, MN, USA. Electronic address: rrwhitebird@stthomas.edu.
authors.forename: Robin R
authors.initials: RR
authors.lastname: Whitebird
authors.affiliation: HealthPartners Institute for Education and Research, Minneapolis, MN, USA.
authors.forename: Leif I
authors.initials: LI
authors.lastname: Solberg
authors.affiliation: HealthPartners Institute for Education and Research, Minneapolis, MN, USA.
authors.forename: A Lauren
authors.initials: AL
authors.lastname: Crain
authors.affiliation: HealthPartners Institute for Education and Research, Minneapolis, MN, USA.
authors.forename: Rebecca C
authors.initials: RC
authors.lastname: Rossom
authors.affiliation: Kaiser Permanente Colorado Institute for Health Research, Denver, CO, USA.
authors.forename: Arne
authors.initials: A
authors.lastname: Beck
authors.affiliation: Institute for Clinical Systems Improvement, Minneapolis, MN, USA.
authors.forename: Claire
authors.initials: C
authors.lastname: Neely
authors.affiliation: Kaiser Permanente Southern California, Pasadena, CA, USA.
authors.forename: Mark
authors.initials: M
authors.lastname: Dreskin
authors.affiliation: Kaiser Permanente Southern California, Pasadena, CA, USA.
authors.forename: Karen J
authors.initials: KJ
authors.lastname: Coleman
mesh_terms: D000328:Adult; D002055:Burnout, Professional / Q000453:epidemiology*; D002318:Cardiovascular Diseases / Q000453:epidemiology / Q000628:therapy; D019033:Delivery of Health Care, Integrated / Q000706:statistics & numerical data*; D003863:Depression / Q000453:epidemiology*; D003866:Depressive Disorder / Q000453:epidemiology / Q000628:therapy; D003920:Diabetes Mellitus / Q000453:epidemiology / Q000628:therapy; D005260:Female; D006801:Humans; D007588:Job Satisfaction; D008297:Male; D008875:Middle Aged; D009722:Nurse Practitioners / Q000706:statistics & numerical data; D010823:Physician Assistants / Q000706:statistics & numerical data; D010820:Physicians / Q000706:statistics & numerical data; D011320:Primary Health Care / Q000706:statistics & numerical data*
keywords: Burnout; Collaborative care; Depression; Job satisfaction