INTRODUCTION Burnout in health care, especially among physicians, is a growing concern. It is now well accepted that physician burnout leads to increased depersonalization of patients, lower personal accomplishment, employee turnover, and worse patient outcomes. What is not known, however, is to what extent behavioral health providers (BHPs) in medical settings experience burnout and its associated sequela. METHOD Participants (n = 230) from a variety of practice settings and levels of integrated care completed practice and burnout questions via an online survey. Practice-related questions and a modified version of the Maslach Burnout Inventory was administered to BHPs who work in different levels of collaboration with other medical providers. RESULTS Overall, BHPs who work primarily in fully integrated care settings reported higher rates of personal accomplishment in their everyday job (B = 1.49; 95% confidence interval [CI] = 0.40, 2.58). Additionally, those who have worked more than 10 years in these types of settings reported both higher personal accomplishment (B = 1.58; 95% CI = 0.68, 2.49) and lower rates of depersonalization (B = -1.32; 95% CI = -2.28, -0.36). DISCUSSION In contrast to high rates of burnout among many clinicians in the United States, this is the first study to document relatively low rates of reported burnout among integrated care BHPs. The relationships between lower burnout, working in a fully integrated care practice, and experience as a BHP is important to understand when creating and sustaining team-based primary care jobs. (PsycInfo Database Record (c) 2020 APA, all rights reserved).

中文翻译：

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在综合护理环境中，行为健康提供者会感到倦怠。

引言医疗保健中的倦怠，尤其是在医生中，越来越受到关注。现在，公认的是，医生的倦怠会导致患者的人格解体增加，个人素养降低，员工离职以及患者结局恶化。但是，尚不知道医疗环境中的行为健康提供者（BHP）在多大程度上会经历倦怠及其相关的后遗症。方法通过在线调查，来自各种实践场所和综合护理水平的参与者（n = 230）完成了实践和倦怠问题。与实践相关的问题和Maslach倦怠量表的修订版被管理给与其他医疗服务提供商进行不同程度协作的必和必拓。结果总体而言，主要在完全综合护理环境中工作的必和必拓报告其日常工作中的个人成就率更高（B = 1.49； 95％置信区间[CI] = 0.40，2.58）。此外，在这些类型的环境中工作超过10年的人报告说，他们的个人成就感较高（B = 1.58; 95％CI = 0.68，2.49）和较低的去个性化率（B = -1.32; 95％CI = -2.28） ，-0.36）。讨论与美国许多临床医生的倦怠率较高相反，这是第一项证明综合护理BHP中报告的倦怠率相对较低的研究。在创建和维持基于团队的初级保健工作时，了解较低的倦怠，在完全集成的护理实践中工作与作为BHP经验之间的关系非常重要。（PsycInfo数据库记录（c）2020 APA，