Providers’ social determinants of health, burnout, and efficacy addressing patients’ social determinants of health needs
Keywords:
clinical efficacy, healthcare providers, professional degree, provider burnout, social determinants of healthAbstract
Healthcare provider burnout and the capacity to address patients’ social determinants of health are critical issues in modern medical systems. This study investigated the relationships among providers’ personal social determinants of health (Prov-SDH) needs, burnout, and perceived efficacy in addressing patients’ social determinants of health (Pt-SDH) needs. Using a sample of 149 healthcare professionals, the study examined how individual Prov-SDH factors, professional degree, clinical setting, and years of practice influenced these outcomes. Statistical analyses revealed no significant correlation between providers’ current or lifetime Prov-SDH needs and their reported burnout symptoms or Pt-SDH-related efficacy. However, results indicated that lifetime Prov-SDH needs varied significantly by professional degree, with Physician Assistants reporting the highest needs and Social Workers and Psychologists reporting the lowest. These findings suggest that the specific global Prov-SDH variables measured here were not significant predictors of burnout, while systemic workplace barriers appeared more closely related to perceived Pt-SDH efficacy. The results also support the need for provider-specific measurement tools that better capture interpersonal, intersectional, and higher-SES forms of strain.
Downloads
References
Adler, N. E., & Newman, K. (2002). Socioeconomic disparities in health: pathways and policies. Health affairs, 21(2), 60-76.
Alahmari, M. A., Al Moaleem, M. M., Hamdi, B. A., Hamzi, M. A., Aljadaani, A. T., Khormi, F. A., ... & Al Sanabanei, F. A. (2022). Prevalence of burnout in healthcare specialties: a systematic review using Copenhagen and Maslach burnout inventories. Medical science monitor: international medical journal of experimental and clinical research, 28, e938798-1.
Berkowitz, S. A., Hulberg, A. C., Hong, C., Stowell, B. J., Tirozzi, K. J., Traore, C. Y., & Atlas, S. J. (2016). Addressing basic resource needs to improve primary care quality: a community collaboration programme. BMJ quality & safety, 25(3), 164-172.
Braveman, P., & Gottlieb, L. (2014). The social determinants of health: it's time to consider the causes of the causes. Public health reports, 129(1_suppl2), 19-31.
Byhoff, E., Freund, K. M., & Garg, A. (2018). Accelerating the implementation of social determinants of health interventions in internal medicine. Journal of General Internal Medicine, 33(2), 223-225.
Centers for Disease Control and Prevention. (2024, January 17). Social determinants of health (SDOH). https://www.cdc.gov/about/priorities/why-is-addressing-sdoh-important.html
de la Vega, P. B., Losi, S., Martinez, L. S., Bovell-Ammon, A., Garg, A., James, T., ... & Kressin, N. R. (2019). Implementing an EHR-based screening and referral system to address social determinants of health in primary care. Medical care, 57, S133-S139.
De Marchis, E., Knox, M., Hessler, D., Willard-Grace, R., Olayiwola, J. N., Peterson, L. E., ... & Gottlieb, L. M. (2019). Physician burnout and higher clinic capacity to address patients' social needs. The Journal of the American Board of Family Medicine, 32(1), 69-78.
Frogner, B. K., & Schwartz, M. (2021). Examining wage disparities by race and ethnicity of health care workers. Medical Care, 59, S471-S478.
Health Leads. (2018). Social needs screening toolkit. https://healthleadsusa.org/wp-content/uploads/2023/05/Screening_Toolkit_2018.pdf
Institute of Medicine. (2016). A framework for educating health professionals to address the social determinants of health. National Academies Press.
Iott, B. E., Pantell, M. S., Adler-Milstein, J., & Gottlieb, L. M. (2022). Physician awareness of social determinants of health documentation capability in the electronic health record. Journal of the American Medical Informatics Association, 29(12), 2110-2116.
Khan, J. A., Battaglia, P. J., & Gliedt, J. A. (2023). A narrative review of social determinants of health education in health professional programs and potential pathways for integration into Doctor of Chiropractic programs. The Journal of the Canadian Chiropractic Association, 67(1), 19.
Kivits, J., Erpelding, M. L., & Guillemin, F. (2013). Social determinants of health-related quality of life. Revue d'epidemiologie et de sante publique, 61, S189-S194. https://doi.org/10.1016/j.respe.2013.06.001
Kostelanetz, S., Pettapiece-Phillips, M., Weems, J., Spalding, T., Roumie, C., Wilkins, C. H., & Kripalani, S. (2022). Health care professionals' perspectives on universal screening of social determinants of health: a mixed-methods study. Population Health Management, 25(3), 367-374.
Kristensen, T. S., Borritz, M., Villadsen, E., & Christensen, K. B. (2005). The Copenhagen Burnout Inventory: A new tool for the assessment of burnout. Work & stress, 19(3), 192-207.
Kung, A., Cheung, T., Knox, M., Willard-Grace, R., Halpern, J., Olayiwola, J. N., & Gottlieb, L. (2019). Capacity to address social needs affects primary care clinician burnout. The Annals of Family Medicine, 17(6), 487-494.
Kushel, M. B., Gupta, R., Gee, L., & Haas, J. S. (2006). Housing instability and food insecurity as barriers to health care among low-income Americans. Journal of general internal medicine, 21(1), 71-77.
Leung, S. O. A., Akinwunmi, B., Elias, K. M., & Feldman, S. (2019). Educating healthcare providers to increase Human Papillomavirus (HPV) vaccination rates: A Qualitative Systematic Review. Vaccine: X, 3, 100037. https://doi.org/10.1016/j.jvacx.2019.100037
Lueckmann, S. L., Hoebel, J., Roick, J., Markert, J., Spallek, J., Von Dem Knesebeck, O., & Richter, M. (2021). Socioeconomic inequalities in primary-care and specialist physician visits: a systematic review. International journal for equity in health, 20(1), 58.
Ly, D. P., Seabury, S. A., & Jena, A. B. (2016). Differences in incomes of physicians in the United States by race and sex: observational study. Bmj, 353.
McGinnis, J. M., Williams-Russo, P., & Knickman, J. R. (2002). The case for more active policy attention to health promotion. Health affairs, 21(2), 78-93.
Naslund, M. J., & Miner, M. (2007). A review of the clinical efficacy and safety of 5α-reductase inhibitors for the enlarged prostate. Clinical therapeutics, 29(1), 17-25. https://doi.org/10.1016/j.clinthera.2007.01.018
Ogunsuji, O., Ogundipe, H., Adebayo, O., Oladehin, T., Oiwoh, S., Obafemi, O., ... & Atilola, O. (2022). Internal reliability and validity of Copenhagen burnout inventory and Oldenburg burnout inventory compared with Maslach burnout inventory among Nigerian resident doctors: a pilot study. Dubai Medical Journal, 5(2), 89-95.
Ortega, G. (2023). Social Determinants of Health: Study Designs and Outcomes. Social Determinants of Health in Surgery-E-BOOK: A Primer for the Practicing Surgeon, 129.
Palacio, A., Seo, D., Medina, H., Singh, V., Suarez, M., & Tamariz, L. (2018). Provider perspectives on the collection of social determinants of health. Population health management, 21(6), 501-508.
Rotenstein, L. S., Brown, R., Sinsky, C., & Linzer, M. (2023). The association of work overload with burnout and intent to leave the job across the healthcare workforce during COVID-19. Journal of General Internal Medicine, 38(8), 1920-1927.
Schaufeli, W. B., & Greenglass, E. R. (2001). Introduction to special issue on burnout and health. Psychology & health, 16(5), 501-510.
Sentell, T., Pingitore, D., Scheffler, R., Schwalm, D., & Haley, M. (2001). Gender differences in practice patterns and income among psychologists in professional practice. Professional Psychology: Research and Practice, 32(6), 607.
Sharma, M., Pinto, A. D., & Kumagai, A. K. (2018). Teaching the social determinants of health: a path to equity or a road to nowhere?. Academic medicine, 93(1), 25-30.
Shirom, A. (2003). Job-related burnout: A review.
Siegel, J., Coleman, D. L., & James, T. (2018). Integrating social determinants of health into graduate medical education: a call for action. Academic Medicine, 93(2), 159-162.
Singh, R., Volner, K., & Marlowe, D. (2023). Provider burnout. In StatPearls [Internet]. StatPearls Publishing.
U.S. Bureau of Labor Statistics. (2025). Occupational outlook handbook. U.S. Department of Labor. https://www.bls.gov/ooh/
Wang, J., & Geng, L. (2019). Effects of socioeconomic status on physical and psychological health: lifestyle as a mediator. International journal of environmental research and public health, 16(2), 281-290.
Whaley, C. M., Koo, T., Arora, V. M., Ganguli, I., Gross, N., & Jena, A. B. (2021). Female physicians earn an estimated $2 million less than male physicians over a simulated 40-year career: study examines estimated career gap in pay between female physicians and male physicians. Health Affairs, 40(12), 1856-1864.
World Health Organization. (2023). Social determinants of health. https://www.who.int/health-topics/social-determinants-of-health
Published
How to Cite
Issue
Section
Copyright (c) 2026 International journal of health sciences

This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
Articles published in the International Journal of Health Sciences (IJHS) are available under Creative Commons Attribution Non-Commercial No Derivatives Licence (CC BY-NC-ND 4.0). Authors retain copyright in their work and grant IJHS right of first publication under CC BY-NC-ND 4.0. Users have the right to read, download, copy, distribute, print, search, or link to the full texts of articles in this journal, and to use them for any other lawful purpose.
Articles published in IJHS can be copied, communicated and shared in their published form for non-commercial purposes provided full attribution is given to the author and the journal. Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgment of its initial publication in this journal.
This copyright notice applies to articles published in IJHS volumes 4 onwards. Please read about the copyright notices for previous volumes under Journal History.








