Open Access to General Practice Was Associated with Burnout among General Practitioners
Table 2
Association between walk-in open access and burnout, consultation time, working hours, job satisfaction, and participation in CME activities.
Open access (%)
Univariate
Multivariate
OR
95% CI
value
ORa
95% CI
value
Burnout (Maslach score)
No
240
5.9
1
(Ref)
1
(Ref)
Yes ( and/or )
66
15.4
2.9
1.3–6.5
0.009
3.1
1.1–8.8
0.035
Minutes typically used per consultation
≥13 min
253
6.0
1
(Ref)
1
(Ref)
<13 min
58
17.1
3.3
1.5–7.3
0.004
3.1
0.9–10.1
0.066
Weekly working hours
<37
43
8.5
1
(Ref)
1
(Ref)
37–41
83
5.7
0.6
0.2–2.5
0.533
0.7
0.2–2.8
0.662
42–46
86
7.5
0.9
0.2–3.2
0.838
1.2
0.3–4.1
0.793
47–51
57
8.1
0.9
0.2–3.7
0.933
1.2
0.3–4.6
0.747
>51
42
14.3
1.8
0.5–6.6
0.379
3.1
0.9–10.6
0.077
CME group
Member of both CME and supervision group
59
9.2
1.4
0.5–3.6
0.521
1.5
0.4–5.3
0.539
Member of either CME or supervision group
230
6.9
1
(Ref)
1
(Ref)
Neither member of CME nor supervision group
22
18.5
3.1
1.0–9.1
0.043
4.0
1.4–10.8
0.007
CME days spent in 2 years on GP-relevant activities
0–5 days
55
3.5
4.4
0.8–25.6
0.099
8.2
1.6–43.1
0.013
6–9 days
25
13.8
1
(Ref)
1
(Ref)
10–17 days
161
9.0
2.7
0.6–12.3
0.189
4.1
1.1–15.1
0.032
>17 days
67
6.9
2.1
0.4–11.0
0.401
2.9
0.6–13.2
0.177
Job satisfaction (Warr-Cook-Wall)
>6.0
60
11.8
1
(Ref)
1
(Ref)
5.6–6.0
98
3.0
0.2
0.1–0.9
0.035
0.2
0.0–1.1
0.071
5.1–5.5
84
10.6
0.9
0.3–2.4
0.822
0.7
0.2–2.7
0.648
1.0–5.0
69
9.2
0.8
0.3–2.2
0.617
0.5
0.1–1.8
0.301
ORa: adjusted odds ratio including sex, age, practice organisation, number of enrolled patients per GP, weekly working hours, number of consultations provided per GP, and participation in CME, corrected for clusters of GPs within the same practice.
