PMID- 37227659 OWN - NLM STAT- MEDLINE DCOM- 20230809 LR - 20240508 IS - 1525-1497 (Electronic) IS - 0884-8734 (Print) IS - 0884-8734 (Linking) VI - 38 IP - 10 DP - 2023 Aug TI - Behavioral Health Provider Burnout and Mental Health Care in the Veterans Health Administration. PG - 2254-2261 LID - 10.1007/s11606-023-08235-y [doi] AB - BACKGROUND: Although many studies assess predictors of provider burnout, few analyses provide high-quality, consistent evidence on the impact of provider burnout on patient outcomes exist, particularly among behavioral health providers (BHPs). OBJECTIVE: To assess the impact of burnout among psychiatrists, psychologists, and social workers on access-related quality measures in the Veterans Health Administration (VHA). DESIGN: This study used burnout in VA All Employee Survey (AES) and Mental Health Provider Survey (MHPS) data to predict metrics assessed by the Strategic Analytics for Improvement and Learning Value, Mental Health Domain (MH-SAIL), VHA's quality monitoring system. The study used prior year (2014-2018) facility-level burnout proportion among BHPs to predict subsequent year (2015-2019) facility-level MH-SAIL domain scores. Analyses used multiple regression models, adjusting for facility characteristics, including BHP staffing and productivity. PARTICIPANTS: Psychologists, psychiatrists, and social workers who responded to the AES and MHPS at 127 VHA facilities. MAIN MEASURES: Four compositive outcomes included two objective measures (population coverage, continuity of care), one subjective measure (experience of care), and one composite measure of the former three measures (mental health domain quality). KEY RESULTS: Adjusted analyses showed prior year burnout generally had no impact on population coverage, continuity of care, and patient experiences of care but had a negative impact on provider experiences of care consistently across 5 years (p < 0.001). Pooled across years, a 5% higher facility-level burnout in AES and MHPS had a 0.05 and 0.09 standard deviation worse facility experiences of care from the prior year, respectively. CONCLUSIONS: Burnout had a significant negative impact on provider-reported experiential outcome measures. This analysis showed that burnout had a negative effect on subjective but not on objective quality measures of Veteran access to care, which could inform future policies and interventions regarding provider burnout. CI - (c) 2023. This is a U.S. Government work and not under copyright protection in the US; foreign copyright protection may apply. FAU - Zivin, Kara AU - Zivin K AUID- ORCID: 0000-0001-8246-6864 AD - Center for Clinical Management Research, VA Ann Arbor Healthcare System, Ann Arbor, MI, USA. kzivin@umich.edu. AD - Department of Psychiatry, Michigan Medicine, Ann Arbor, MI, USA. kzivin@umich.edu. FAU - Van, Tony AU - Van T AD - Center for Clinical Management Research, VA Ann Arbor Healthcare System, Ann Arbor, MI, USA. FAU - Osatuke, Katerine AU - Osatuke K AD - VHA National Center for Organization Development, Cincinnati, OH, USA. FAU - Boden, Matt AU - Boden M AD - Program Evaluation and Resource Center and VA Office of Mental Health Operations, VA Palo Alto Health Care System, Palo Alto, CA, USA. FAU - Pfeiffer, Paul N AU - Pfeiffer PN AD - Center for Clinical Management Research, VA Ann Arbor Healthcare System, Ann Arbor, MI, USA. AD - Department of Psychiatry, Michigan Medicine, Ann Arbor, MI, USA. FAU - Sripada, Rebecca K AU - Sripada RK AD - Center for Clinical Management Research, VA Ann Arbor Healthcare System, Ann Arbor, MI, USA. AD - Department of Psychiatry, Michigan Medicine, Ann Arbor, MI, USA. FAU - Abraham, Kristen M AU - Abraham KM AD - Center for Clinical Management Research, VA Ann Arbor Healthcare System, Ann Arbor, MI, USA. AD - Department of Psychology, University of Detroit Mercy, Detroit, MI, USA. FAU - Burgess, Jennifer AU - Burgess J AD - Center for Clinical Management Research, VA Ann Arbor Healthcare System, Ann Arbor, MI, USA. AD - Department of Psychiatry, Michigan Medicine, Ann Arbor, MI, USA. FAU - Kim, Hyungjin Myra AU - Kim HM AD - Center for Clinical Management Research, VA Ann Arbor Healthcare System, Ann Arbor, MI, USA. AD - Consulting for Statistics, Computing and Analytics Research, University of Michigan, Ann Arbor, MI, USA. LA - eng GR - I01 HX002553/HX/HSRD VA/United States GR - IK6 HX003397/HX/HSRD VA/United States PT - Journal Article PT - Research Support, U.S. Gov't, Non-P.H.S. DEP - 20230525 PL - United States TA - J Gen Intern Med JT - Journal of general internal medicine JID - 8605834 RN - 120409-13-4 (bicyclo(2.2.1)hept-5-en-2-yl phenyl sulfoxide) SB - IM MH - United States/epidemiology MH - Humans MH - Veterans Health MH - United States Department of Veterans Affairs MH - Mental Health MH - *Veterans/psychology MH - *Burnout, Professional/epidemiology MH - *Psychiatry PMC - PMC10211276 OTO - NOTNLM OT - Veterans Health Administration OT - burnout OT - mental health OT - providers OT - quality measures COIS- The authors declare that they do not have a conflict of interest. EDAT- 2023/05/25 13:07 MHDA- 2023/08/09 06:43 PMCR- 2024/08/01 CRDT- 2023/05/25 11:41 PHST- 2022/09/13 00:00 [received] PHST- 2023/05/09 00:00 [accepted] PHST- 2023/08/09 06:43 [medline] PHST- 2023/05/25 13:07 [pubmed] PHST- 2023/05/25 11:41 [entrez] PHST- 2024/08/01 00:00 [pmc-release] AID - 10.1007/s11606-023-08235-y [pii] AID - 8235 [pii] AID - 10.1007/s11606-023-08235-y [doi] PST - ppublish SO - J Gen Intern Med. 2023 Aug;38(10):2254-2261. doi: 10.1007/s11606-023-08235-y. Epub 2023 May 25.