Physician Burnout and Patient Satisfaction with Consultation in Primary Health Care Settings: Evidence of Relationships from a one-with-many Design

  • Fotios AnagnostopoulosEmail author
  • Evangelos Liolios
  • George Persefonis
  • Julie Slater
  • Kostas Kafetsios
  • Dimitris Niakas


Physician burnout, as a prolonged response to chronic emotional and interpersonal stressors on the job, has been associated with suboptimal patient care and deterioration in the patient–provider relationship. Although prior studies have identified a range of factors associated with decreased patient satisfaction, most have been conducted in tertiary care settings, with staff burnout examined at the hospital unit-level. To examine the impact of physician burnout on patient satisfaction from consultation in the primary care setting, a cross-sectional survey was conducted in Western Greece. Using a one-with-many design, 30 physicians and 300 of their patients, randomly selected, responded to the survey. Results showed that patient satisfaction correlated significantly with physician emotional exhaustion (r = −.636, p < .01) and physician depersonalization (r = −.541, p < .01). Mixed-effects multilevel models indicated that 34.4% of total variation in patients’ satisfaction occurred at the physician level, after adjustment for patients’ characteristics. Moreover, physician emotional exhaustion and depersonalization remained significant factors associated with patient satisfaction with consultation, after controlling for patient and physician characteristics. Patients of physicians with high-exhaustion and high-depersonalization had significantly lower satisfaction scores, compared with patients of physicians with low-exhaustion and low-depersonalization, respectively. Future studies need to explore the mechanisms by which physician burnout affects patient satisfaction.


Primary care Physician burnout Patient satisfaction Mixed-effects Multilevel analysis 



The authors gratefully acknowledge the helpful advice and support offered by Professor Debra Roter.


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Copyright information

© Springer Science+Business Media, LLC 2012

Authors and Affiliations

  • Fotios Anagnostopoulos
    • 1
    Email author
  • Evangelos Liolios
    • 2
  • George Persefonis
    • 3
  • Julie Slater
    • 4
  • Kostas Kafetsios
    • 5
  • Dimitris Niakas
    • 6
  1. 1.Department of PsychologyPanteion UniversityAthensGreece
  2. 2.Chalandritsa Health CenterPatrasGreece
  3. 3.Eginition HospitalUniversity of AthensAthensGreece
  4. 4.College of Human and Health SciencesSwansea UniversitySwanseaUK
  5. 5.Department of PsychologyUniversity of CreteCreteGreece
  6. 6.Faculty of Social SciencesHellenic Open UniversityPatrasGreece

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