Munira Z. Gunja, Senior Researcher International
Description: Munira Z. Gunja, Senior Researcher International Health Policy and Practice Innovations Wednesday, November 16, 2022 12:00 P.M. E.T. Stressed Out and Burned Out the Global Primary Care Crisis Findings from the 2022 Commonwealth Fund
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slide1. Munira Z. Gunja, Senior Researcher
International Health Policy and Practice Innovations
Wednesday, November 16, 2022
12:00 P.M. E.T. Stressed Out and Burned Out – the Global Primary Care Crisis Findings from the 2022 Commonwealth Fund International Health Policy Survey on Primary Care Physicians Media Briefing<br>
slide2. Survey highlights Physician workload: Across the 10 high-income countries included in this study, most primary care physicians reported increases in their workload since the beginning of the pandemic.
Burnout: Younger primary care physicians were more likely to feel burnout compared to older physicians
Mental health: Few primary care physicians with emotional distress, regardless of age, sought medical attention for their mental health needs
Quality of care: Primary care physicians who experienced stress, emotional distress, or burnout reported declines in the quality of care they provide.
Workforce in crisis: More than half of older primary care physicians in most countries reported they would stop seeing patients within the next three years, leaving a primary care workforce made up of younger, more stressed, and burned-out physicians. MEDIA BRIEFING<br>
slide3. How we conducted this study The 2022 Commonwealth Fund International Health Policy Survey on Primary Care Physicians was conducted by U.S. survey research firm SSRS and contractors in other countries from February to September 2022.
The goal of the survey to understand the working conditions and experiences faced by primary care physicians during the COVID-19 pandemic
A total of 9,526 interviews were completed; final country samples ranged from 321 to 2,092.
Countries included are Australia, Canada, France, Germany, the Netherlands, New Zealand, Sweden, Switzerland, the U.K, and the U.S.
For more details, see “How we conducted this study” section MEDIA BRIEFING<br>
slide4. * Statistically significant differences compared to US or comparator bar at p<.05 level.
Data: Commonwealth Fund International Health Policy Survey of Primary Care Physicians (2022). More than half of primary care physicians in all countries said their workload has increased since the pandemic began. Percentage of primary care physicians who said their workload “increased somewhat” or “increased a lot” compared to before COVID-19 Source: Munira Gunja et al., Stressed Out and Burned Out: The Global Primary Care Crisis — Findings from the 2022 International Health Policy Survey of Primary Care Physicians (Commonwealth Fund, Nov. 2022). https://doi.org/10.26099/j2ag-mx88<br>
slide5. ^ The survey asked physicians if they agreed with the following statements: 1) “I am definitely burning out and have one or more symptoms of burnout, such as physical and emotional exhaustion”; 2) “The symptoms of burnout that I’m experiencing won’t go away. I think about frustration at work a lot”; 3) “I feel completely burned out and often wonder if I can go on. I am at the point where I may need some changes or may need to seek some sort of help.”
* Statistically significant difference to bar in comparison for within-country stratification analyses at p<.05 level.
Data: Commonwealth Fund International Health Policy Survey of Primary Care Physicians (2022). Younger primary care physicians were generally more likely to report burnout than older physicians; physicians in the Netherlands and Switzerland were least likely to report burnout. Percentage of primary care physicians who said they were burned out^ Source: Munira Gunja et al., Stressed Out and Burned Out: The Global Primary Care Crisis — Findings from the 2022 International Health Policy Survey of Primary Care Physicians (Commonwealth Fund, Nov. 2022). https://doi.org/10.26099/j2ag-mx88<br>
slide6. Source: Munira Gunja et al., Stressed Out and Burned Out: The Global Primary Care Crisis — Findings from the 2022 International Health Policy Survey of Primary Care Physicians (Commonwealth Fund, Nov. 2022). https://doi.org/10.26099/j2ag-mx88 * Statistically significant difference to bar in comparison for within-country stratification analyses at p<.05 level.
Data: Commonwealth Fund International Health Policy Survey of Primary Care Physicians (2022). Younger primary care physicians with emotional distress were more likely to seek professional help for mental health needs in nearly all countries, but most physicians, regardless of age, did not seek help. Percentage of primary care physicians with emotional distress who said they sought professional attention for a mental health problem since the COVID-19 pandemic began<br>
slide7. Note: Because of sample-size limitations, results for New Zealand are not shown.
* Statistically significant difference to bar in comparison for within-country stratification analyses at p<.05 level.
Data: Commonwealth Fund International Health Policy Survey of Primary Care Physicians (2022). Primary care physicians experiencing stress, emotional distress, or burnout were more likely to report the quality of care they provided declined during the pandemic. Percentage of primary care physicians who said quality of medical care they were able to provide worsened “somewhat” or “a lot” compared to before the COVID-19 pandemic began Source: Munira Gunja et al., Stressed Out and Burned Out: The Global Primary Care Crisis — Findings from the 2022 International Health Policy Survey of Primary Care Physicians (Commonwealth Fund, Nov. 2022). https://doi.org/10.26099/j2ag-mx88<br>
slide8. ^ Reasons to stop seeing patients include changing careers, retiring jobs, etc.
* Statistically significant difference to bar in comparison for within-country stratification analyses at p<.05 level.
Data: Commonwealth Fund International Health Policy Survey of Primary Care Physicians (2022). Nearly half of older primary care physicians in most countries say they intend to stop seeing patients in the near future. Percentage of primary care physicians who said they plan to stop seeing patients in the next one to three years^ Source: Munira Gunja et al., Stressed Out and Burned Out: The Global Primary Care Crisis — Findings from the 2022 International Health Policy Survey of Primary Care Physicians (Commonwealth Fund, Nov. 2022). https://doi.org/10.26099/j2ag-mx88<br>
slide9. Survey highlights Physician workload: Across the 10 high-income countries included in this study, most primary care physicians reported increases in their workload since the beginning of the pandemic.
Burnout: Younger primary care physicians were more likely to feel burnout compared to older physicians
Mental health: Few primary care physicians with emotional distress, regardless of age, sought medical attention for their mental health needs
Quality of care: Primary care physicians who experienced stress, emotional distress, or burnout reported declines in the quality of care they provide.
Workforce in crisis: More than half of older primary care physicians in most countries reported they would stop seeing patients within the next three years, leaving a primary care workforce made up of younger, more stressed, and burned-out physicians. MEDIA BRIEFING<br>
slide10. Takeaways Health systems across the world are facing a primary care crisis with declining quality of care and physically and mentally overburdened physicians, particularly among physicians.
Other countries have made their own investment commitments to ensure their country’s health system is equipped with an adequate supply of primary care physicians who can provide high-quality care.
Government investment can go a long way:
Ensuring all PCPs have access to mental health services is critical
Increasing Medicare and Medicaid reimbursement for primary care services, as well as loan forgiveness programs, can draw more students into the field. MEDIA BRIEFING<br>
International Health Policy and Practice Innovations
Wednesday, November 16, 2022
12:00 P.M. E.T. Stressed Out and Burned Out – the Global Primary Care Crisis Findings from the 2022 Commonwealth Fund International Health Policy Survey on Primary Care Physicians Media Briefing<br>
slide2. Survey highlights Physician workload: Across the 10 high-income countries included in this study, most primary care physicians reported increases in their workload since the beginning of the pandemic.
Burnout: Younger primary care physicians were more likely to feel burnout compared to older physicians
Mental health: Few primary care physicians with emotional distress, regardless of age, sought medical attention for their mental health needs
Quality of care: Primary care physicians who experienced stress, emotional distress, or burnout reported declines in the quality of care they provide.
Workforce in crisis: More than half of older primary care physicians in most countries reported they would stop seeing patients within the next three years, leaving a primary care workforce made up of younger, more stressed, and burned-out physicians. MEDIA BRIEFING<br>
slide3. How we conducted this study The 2022 Commonwealth Fund International Health Policy Survey on Primary Care Physicians was conducted by U.S. survey research firm SSRS and contractors in other countries from February to September 2022.
The goal of the survey to understand the working conditions and experiences faced by primary care physicians during the COVID-19 pandemic
A total of 9,526 interviews were completed; final country samples ranged from 321 to 2,092.
Countries included are Australia, Canada, France, Germany, the Netherlands, New Zealand, Sweden, Switzerland, the U.K, and the U.S.
For more details, see “How we conducted this study” section MEDIA BRIEFING<br>
slide4. * Statistically significant differences compared to US or comparator bar at p<.05 level.
Data: Commonwealth Fund International Health Policy Survey of Primary Care Physicians (2022). More than half of primary care physicians in all countries said their workload has increased since the pandemic began. Percentage of primary care physicians who said their workload “increased somewhat” or “increased a lot” compared to before COVID-19 Source: Munira Gunja et al., Stressed Out and Burned Out: The Global Primary Care Crisis — Findings from the 2022 International Health Policy Survey of Primary Care Physicians (Commonwealth Fund, Nov. 2022). https://doi.org/10.26099/j2ag-mx88<br>
slide5. ^ The survey asked physicians if they agreed with the following statements: 1) “I am definitely burning out and have one or more symptoms of burnout, such as physical and emotional exhaustion”; 2) “The symptoms of burnout that I’m experiencing won’t go away. I think about frustration at work a lot”; 3) “I feel completely burned out and often wonder if I can go on. I am at the point where I may need some changes or may need to seek some sort of help.”
* Statistically significant difference to bar in comparison for within-country stratification analyses at p<.05 level.
Data: Commonwealth Fund International Health Policy Survey of Primary Care Physicians (2022). Younger primary care physicians were generally more likely to report burnout than older physicians; physicians in the Netherlands and Switzerland were least likely to report burnout. Percentage of primary care physicians who said they were burned out^ Source: Munira Gunja et al., Stressed Out and Burned Out: The Global Primary Care Crisis — Findings from the 2022 International Health Policy Survey of Primary Care Physicians (Commonwealth Fund, Nov. 2022). https://doi.org/10.26099/j2ag-mx88<br>
slide6. Source: Munira Gunja et al., Stressed Out and Burned Out: The Global Primary Care Crisis — Findings from the 2022 International Health Policy Survey of Primary Care Physicians (Commonwealth Fund, Nov. 2022). https://doi.org/10.26099/j2ag-mx88 * Statistically significant difference to bar in comparison for within-country stratification analyses at p<.05 level.
Data: Commonwealth Fund International Health Policy Survey of Primary Care Physicians (2022). Younger primary care physicians with emotional distress were more likely to seek professional help for mental health needs in nearly all countries, but most physicians, regardless of age, did not seek help. Percentage of primary care physicians with emotional distress who said they sought professional attention for a mental health problem since the COVID-19 pandemic began<br>
slide7. Note: Because of sample-size limitations, results for New Zealand are not shown.
* Statistically significant difference to bar in comparison for within-country stratification analyses at p<.05 level.
Data: Commonwealth Fund International Health Policy Survey of Primary Care Physicians (2022). Primary care physicians experiencing stress, emotional distress, or burnout were more likely to report the quality of care they provided declined during the pandemic. Percentage of primary care physicians who said quality of medical care they were able to provide worsened “somewhat” or “a lot” compared to before the COVID-19 pandemic began Source: Munira Gunja et al., Stressed Out and Burned Out: The Global Primary Care Crisis — Findings from the 2022 International Health Policy Survey of Primary Care Physicians (Commonwealth Fund, Nov. 2022). https://doi.org/10.26099/j2ag-mx88<br>
slide8. ^ Reasons to stop seeing patients include changing careers, retiring jobs, etc.
* Statistically significant difference to bar in comparison for within-country stratification analyses at p<.05 level.
Data: Commonwealth Fund International Health Policy Survey of Primary Care Physicians (2022). Nearly half of older primary care physicians in most countries say they intend to stop seeing patients in the near future. Percentage of primary care physicians who said they plan to stop seeing patients in the next one to three years^ Source: Munira Gunja et al., Stressed Out and Burned Out: The Global Primary Care Crisis — Findings from the 2022 International Health Policy Survey of Primary Care Physicians (Commonwealth Fund, Nov. 2022). https://doi.org/10.26099/j2ag-mx88<br>
slide9. Survey highlights Physician workload: Across the 10 high-income countries included in this study, most primary care physicians reported increases in their workload since the beginning of the pandemic.
Burnout: Younger primary care physicians were more likely to feel burnout compared to older physicians
Mental health: Few primary care physicians with emotional distress, regardless of age, sought medical attention for their mental health needs
Quality of care: Primary care physicians who experienced stress, emotional distress, or burnout reported declines in the quality of care they provide.
Workforce in crisis: More than half of older primary care physicians in most countries reported they would stop seeing patients within the next three years, leaving a primary care workforce made up of younger, more stressed, and burned-out physicians. MEDIA BRIEFING<br>
slide10. Takeaways Health systems across the world are facing a primary care crisis with declining quality of care and physically and mentally overburdened physicians, particularly among physicians.
Other countries have made their own investment commitments to ensure their country’s health system is equipped with an adequate supply of primary care physicians who can provide high-quality care.
Government investment can go a long way:
Ensuring all PCPs have access to mental health services is critical
Increasing Medicare and Medicaid reimbursement for primary care services, as well as loan forgiveness programs, can draw more students into the field. MEDIA BRIEFING<br>