Table 3.
Odds of Burnout by Challenges with Care Coordination Tasks
| Care Coordination Element | Burnout, overall(n = 1223) | Burnout, once a week+(n = 1227) |
|---|---|---|
| OR (95 % CI) | OR (95 % CI) | |
| Managing patients who have received new prescriptions from Community Care providers | ||
| Not/somewhat/slightly challenging | Ref | Ref |
| Moderately/extremely challenging | 1.83 (1.34–2.51)* | 1.57 (1.14–2.15)* |
| Managing patients who had reduced/eliminated opiod use but received new opiod prescriptions from Community Care providers | ||
| Not/somewhat/slightly challenging | Ref | Ref |
| Moderately/extremely challenging | 0.85 (0.62–1.15) | 0.86 (0.63–1.17) |
| Fielding requests from patients attempting to obtain routine tests from Community Care providers | ||
| Not/somewhat/slightly challenging | Ref | Ref |
| Moderately/extremely challenging | 0.98 (0.71–1.38) | 1.15 (0.81–1.63) |
| Obtaining outside tests and medical records from Community Care providers | ||
| Not/somewhat/slightly challenging | Ref | Ref |
| Moderately/extremely challenging | 1.40 (1.03–1.92)* | 1.14 (0.83–1.56) |
| Fielding requests from patients who can’t reach Community Care providers | ||
| Not/somewhat/slightly challenging | Ref | Ref |
| Moderately/extremely challenging | 1.30 (0.92–1.84) | 1.37 (0.96–1.94) |
Note: Analytic sample was restricted to non-trainee providers who are not executives or senior executives. Models controlled for provider gender, age, race and ethnicity, supervisor status, PACT team tenure, VA tenure, PACT team type, time spent in daily huddles, agreement on receipt of adequate education and training for scope of practice, an of indicator of full PACT team staffing, an indicator for any loss of PACT team staff in the past 12 months, facility type (VA Medical Center vs. Community-Based Outpatient Clinic), provider-to-staff ratio, and observed-to-expected panel size ratio. Models also included sampling (non-response) weights and were clustered by facility. Abbreviations: CI confidence interval; OR odds ratio; PACT patient-aligned care team; VA Veterans Health Administration; *: p < 0.05 for moderately/extremely challenging vs. not/somewhat/slightly challenging