New Health and Medicine Findings from Brigham and Women’s Hospital Described (Association of Clinician Practice Ownership With Ability of Primary Care Practices to Improve Quality Without Increasing Burnout): Health and Medicine

2023 APR 18 (NewsRx) -- By a News Reporter-Staff News Editor at Insurance Daily News -- Investigators discuss new findings in agriculture. According to news reporting originating from Boston, Massachusetts, by NewsRx correspondents, research stated, “Importance: Work environments and practice structural features are associated with both burnout and the ability of practices to enhance quality of care.”

Our news journalists obtained a quote from the research from Brigham and Women’s Hospital: “To characterize factors associated with primary care practices successfully improving quality scores without increasing clinician and staff burnout. Design, Setting, and Participants: This cross-sectional study assessed small- to medium-sized primary care practices that participated in the EvidenceNOW: Advancing Heart Health initiative using surveys that were administered at baseline (September 2015 to April 2017) and after the intervention (January 2017 to October 2018). Data were analyzed from February 2022 to January 2023. Main Outcomes and Measures: The primary outcome of being a quality and well-being positive deviant practice was defined as a practice with a stable or improved percentage of clinicians and staff reporting burnout over the study period and with practice-level improvement in all 3 cardiovascular quality measures: aspirin prescribing, blood pressure control, and smoking cessation counseling. Of 727 practices with complete burnout and aspirin prescribing, blood pressure control, and smoking cessation counseling data, 18.3% (n = 133) met the criteria to be considered quality and well-being positive deviant practices. In analyses adjusted for practice location, accountable care organization and demonstration project participation, and practice specialty composition, clinician-owned practices had greater odds of being a positive deviant practice (odds ratio, 2.02; 95% CI, 1.16-3.54) than practices owned by a hospital or health system.”

According to the news reporters, the research concluded: “Conclusions and Relevance: In this cross-sectional study, clinician-owned practices were more likely to achieve improvements in cardiovascular quality outcomes without increasing staff member burnout than were practices owned by a hospital or health system. Given increasing health care consolidation, our findings suggest the value of studying cultural features of clinician-owned practices that may be associated with positive quality and experience outcomes.”

For more information on this research see: Association of Clinician Practice Ownership With Ability of Primary Care Practices to Improve Quality Without Increasing Burnout. JAMA Health Forum, 2023,4(3). The publisher for JAMA Health Forum is American Medical Association (AMA).

A free version of this journal article is available at https://doi.org/10.1001/jamahealthforum.2023.0299.

Our news editors report that additional information may be obtained by contacting Lisa S. Rotenstein, Division of General Internal Medicine, Department of Medicine, Brigham and Women’s Hospital, Boston, Massachusetts, United States. Additional authors for this research include Deborah J. Cohen, Miguel Marino, David W. Bates, Samuel T. Edwards.

(Our reports deliver fact-based news of research and discoveries from around the world.)