Table of Contents
International Journal of Family Medicine
Volume 2013, Article ID 383602, 6 pages
http://dx.doi.org/10.1155/2013/383602
Research Article

Open Access to General Practice Was Associated with Burnout among General Practitioners

The Research Unit for General Practice, Institute of Public Health, Aarhus University, Bartholins Alle 2, 8000 Aarhus C, Denmark

Received 8 September 2012; Accepted 27 December 2012

Academic Editor: Manfred Maier

Copyright © 2013 Peter Vedsted et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Walk-in open access in general practice may influence the general practitioner’s (GP’s) work, but very little research has been done on the consequences. In this study from Danish general practice, we compare the prevalence of burnout between GPs with a walk-in open access and those without. In a questionnaire study (2004), we approached all 458 active GPs in the county of Aarhus, Denmark, and 376 (82.8%) GPs returned the questionnaire. Walk-in open access was defined as at least 30 minutes every weekday where patients could attend practice without an appointment. Burnout was measured by the Maslach Burnout Inventory. Analyses using logistic regression were adjusted for gender, age, marital status, job satisfaction, minutes per consultation, practice organisation, working hours, number of listed patients per GP, number of contacts per GP, continuing medical education- (CME-) activities, and clusters of GPs. In all, 8% of GPs had open access and the prevalence of burnout was 24%. GPs with walk-in open access were more likely to suffer from burnout. Having open access was associated with a 3-fold increased likelihood of burnout (OR = 3.1 (95% CI: 1.1–8.8, )). Although the design cannot establish causality, it is recommended to closely monitor possible negative consequences of open access in general practice.