PMID- 30962078
OWN - NLM
STAT- MEDLINE
DCOM- 20200325
LR  - 20200325
IS  - 1873-5134 (Electronic)
IS  - 0738-3991 (Linking)
VI  - 102
IP  - 8
DP  - 2019 Aug
TI  - Provider burnout and patient-provider communication in the context of 
      hypertension care.
PG  - 1452-1459
LID - S0738-3991(18)30385-9 [pii]
LID - 10.1016/j.pec.2019.03.014 [doi]
AB  - OBJECTIVE: Burnout is prevalent among healthcare providers and associated with 
      poor patient-provider communication. Patient-provider communication is essential 
      for effective care, particularly among patients with conditions such as 
      hypertension. We examined the association between provider burnout and 
      patient-provider communication in hypertension care. METHODS: We used 
      cross-sectional data from 26 primary care providers and their 80 patients with 
      hypertension. Patient-provider primary care visits were audiotaped and providers 
      completed surveys. Patients were 65% Black/African American and 58% female. 
      Providers were 54% white and 65% female. Patient-provider communication was coded 
      using the Medical Interaction Process System (MIPS). We also assess 
      provider-reported level of burnout and suboptimal patient care using validated 
      surveys. RESULTS: Our findings show an inverse association between burnout and 
      relationship building communication (e.g., displaying empathy) (b=-4.7 p < .05) 
      and between relationship building communication and suboptimal patient care 
      (b=-0.6 p < .05) in multivariate, adjusted models. CONCLUSION: Given the role of 
      patient-provider communication, our work highlights provider burnout as a 
      potentially significant hindrance to patient-provider relationship building in 
      hypertension care. PRACTICE IMPLICATIONS: Future research should examine the 
      factors that contribute to provider burnout in order to mitigate their negative 
      effects on patient-provider communication and patient care.
CI  - Copyright (c) 2019 Elsevier B.V. All rights reserved.
FAU - Robbins, Rebecca
AU  - Robbins R
AD  - Center for Healthful Behavior Change, Department of Population Health, NYU School 
      of Medicine, New York, NY, USA.
FAU - Butler, Mark
AU  - Butler M
AD  - Center for Healthful Behavior Change, Department of Population Health, NYU School 
      of Medicine, New York, NY, USA.
FAU - Schoenthaler, Antoinette
AU  - Schoenthaler A
AD  - Center for Healthful Behavior Change, Department of Population Health, NYU School 
      of Medicine, New York, NY, USA. Electronic address: 
      Antoinette.Schoenthaler@nyumc.org.
LA  - eng
GR  - K23 HL098564/HL/NHLBI NIH HHS/United States
PT  - Journal Article
PT  - Observational Study
PT  - Research Support, N.I.H., Extramural
DEP - 20190330
PL  - Ireland
TA  - Patient Educ Couns
JT  - Patient education and counseling
JID - 8406280
MH  - Adult
MH  - *Burnout, Professional
MH  - *Communication
MH  - Cross-Sectional Studies
MH  - Female
MH  - Humans
MH  - Hypertension/*therapy
MH  - Male
MH  - Middle Aged
MH  - *Physician-Patient Relations
MH  - Primary Health Care
OTO - NOTNLM
OT  - Health communication
OT  - Healthcare quality
OT  - Hypertension
OT  - Patient-provider communication
OT  - Provider burnout
EDAT- 2019/04/10 06:00
MHDA- 2020/03/26 06:00
CRDT- 2019/04/10 06:00
PHST- 2018/07/18 00:00 [received]
PHST- 2019/03/19 00:00 [revised]
PHST- 2019/03/22 00:00 [accepted]
PHST- 2019/04/10 06:00 [pubmed]
PHST- 2020/03/26 06:00 [medline]
PHST- 2019/04/10 06:00 [entrez]
AID - S0738-3991(18)30385-9 [pii]
AID - 10.1016/j.pec.2019.03.014 [doi]
PST - ppublish
SO  - Patient Educ Couns. 2019 Aug;102(8):1452-1459. doi: 10.1016/j.pec.2019.03.014. 
      Epub 2019 Mar 30.