However, the self-defined burnout and MBI measures are not interchangeable.īurnout health services research measurement. The self-defined burnout measure has a low response burden, is free to administer, and yields similar associations across two burnout predictors from prior studies. Compared to the MBI, the self-defined burnout measure misses half of high-burnout clinicians and more than 40% of high-burnout staff. Point estimates of burnout notably differ between the self-defined and MBI measures. Team culture and atmosphere were significantly associated with both self-defined burnout and the MBI, confirming concurrent validity. Area under the receiver operator curve was 0.82 for clinicians and 0.81 for staff. The self-defined measure's sensitivity to correctly identify MBI-assessed burnout was 50.4% for clinicians and 58.6% for staff specificity was 94.7% for clinicians and 92.3% for staff. In contrast, 29% of clinicians (95% CI: 25-33%) and 31% of staff (95% CI: 28-35%) reported "definitely burning out" or more severe symptoms on the self-defined burnout measure. Other well-being instruments have shown utility in various settings, and correlations between MBI and these instruments could provide evidence of. Similar to other nationally representative burnout estimates, 52% of clinicians (95% CI: 47-57%) and 46% of staff (95% CI: 42-50%) reported high MBI emotional exhaustion or high MBI cynicism. Background: The Maslach Burnout Inventory (MBI) is considered the 'gold standard' for measuring burnout, encompassing 3 scales: emotional exhaustion, depersonalization, and personal accomplishment. (J Am Board Fam Med 27(2):229-38, 2014) and a standard question about workplace atmosphere as reported by Rassolian et al. Concurrent validity was assessed using a validated, 7-item team culture scale as reported by Willard-Grace et al. The MBI measure, calculated from a high score on either the emotional exhaustion or cynicism subscale, and a single-item measure of self-defined burnout. To identify the sensitivity, specificity, and concurrent validity of the self-defined burnout measure compared to the more established MBI measure.Ĭross-sectional survey (November 2016-January 2017).įour hundred forty-four primary care clinicians and 606 staff from three San Francisco Aarea healthcare systems. Relatively little is known about how the measures compare. Two common burnout assessments are the Maslach Burnout Inventory (MBI) and a single-item, self-defined burnout measure. Clinicians and healthcare staff report high levels of burnout.
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