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A Comparative Effectiveness Trial to Reduce Burnout and Improve Quality of Care

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Administration and Policy in Mental Health and Mental Health Services Research Aims and scope Submit manuscript

Abstract

Clinician burnout is presumed to negatively impact healthcare quality; yet scant research has rigorously addressed this hypothesis. Using a mixed-methods, randomized, comparative effectiveness design, we tested two competing approaches to improve care—one addressing clinician burnout and the other addressing how clinicians interact with consumers—with 192 clinicians and 469 consumers at two community mental health centers. Although qualitative reports were promising, we found no comparative effectiveness for either intervention on burnout, patient-centered processes, or other outcomes. Discussion includes identifying ways to strengthen approaches to clinician burnout.

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Notes

  1. We refer to care recipients as “consumers” in mental health settings, and “patients” when referring to recipients of general medical care or when using specific terms of patient-centered care or patient activation.

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Funding

Research reported in this publication was funded through a Patient-Centered Outcomes Research Institute (PCORI) Award (# IH-1304-6597).

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Correspondence to Michelle P. Salyers.

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The authors declare that they have no conflicts of interest.

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The statements in this publication are solely the responsibility of the authors and do not necessarily represent the views of the Patient-Centered Outcomes Research Institute (PCORI), its Board of Governors or Methodology Committee.

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All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.

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Informed consent was obtained from all individual participants included in the study.

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Salyers, M.P., Garabrant, J.M., Luther, L. et al. A Comparative Effectiveness Trial to Reduce Burnout and Improve Quality of Care. Adm Policy Ment Health 46, 238–254 (2019). https://doi.org/10.1007/s10488-018-0908-4

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  • DOI: https://doi.org/10.1007/s10488-018-0908-4

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