Provider and Staff Morale, Job Satisfaction, and Burnout over a 4-Year Medical Home Intervention. Journal of General Internal Medicine

60 clinics in 4 states, compare baseline (2010) and post-intervention (2013-14) surveys with measures for morale, job satisfaction, and burnout. Almost half of safety net clinics improved PCMH capabilities from the perspective of providers (28 out of 59, 47%) and staff (25 out of 59, 42%). Over the same period, clinics saw a decrease in the percentage of providers reporting high job satisfaction (− 12.3% points, p = .009) and freedom from burnout (− 10.4% points, p = .006). Worsened satisfaction was concentrated among clinics that had decreased PCMH rating, with those clinics seeing far fewer providers report high job satisfaction (−38.1% points, p < 0.001).