Association between care coordination tasks with non-VA community care and VA PCP burnout: an analysis of a national, cross-sectional survey

Table 3 Odds of Burnout by Challenges with Care Coordination Tasks

Care Coordination Element	Burnout, overall(n = 1223)	Burnout, once a week+(n = 1227)
Care Coordination Element	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

ISSN: 1472-6963