Physician Burnout: The Hidden Health Care Crisis

Lacy, Brian E.; Chan, Johanna

doi:10.1016/j.cgh.2017.06.043

Cited by 208 publications

(167 citation statements)

References 18 publications

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“…The findings from the investigation into coexisting values in healthcare are in keeping with other studies that have found general practice physicians to be among the HCPs who are most susceptible to burnout (Bodenhemer & Sinsky, 2014;Lacy & Chan, 2018). Support and advocacy from competent leadership, like that which was described by multiple study participants, has been found to reduce stress and incidents of burnout across all practice areas (Lacy & Chan, 2018;Shanafelt, et al, 2015). The narrative accounts of experience provided by the HCPs during this study suggest that such leadership also affords them the opportunity to more fully enact their care value preferences.…”

Section: Leadership Support For the Realization Of Personal And Profesupporting

confidence: 85%

“…Burnout has been found to be prevalent in both doctors and nurses (Bodenhemer & Sinsky, 2014) and has been correlated with poor patient outcomes (Kriemer, 2018). According to Feldman (2018), burnout among physicians is increasing across a range of practice areas, and those who suffer from its ill effects have significantly higher rates of depression, alcohol abuse, drug abuse, and suicide (Lacy & Chan, 2018). Efforts on the part of leadership to address the systemic issues that contribute to HCP burnout offer hope for addressing what is an otherwise disturbing state of affairs (Kriemer, 2018;Lacy & Chan, 2018;Laskowski-Jones, 2016).…”

Section: Personal Professional and Market Values In Healthcarementioning

confidence: 99%

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Coexisting Values in Healthcare and the Leadership Practices That Were Found to Inspire Followership Among Healthcare Practitioners

Stewart¹

2019

JVBL

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Healthcare delivery in the United States has a storied history that has led the American public to expect that their Health Care Practitioners (HCPs) will personally and professionally enact values such as altruism, benevolence, equality, and capability. A progressive set of events that involves the implementation of the market-based solution in the Patient Protection and Affordable Care Act has led healthcare organizations to become increasingly concerned with a conceptually different set of values. It has become more necessary for healthcare organizations to dedicate attention to market values (e.g., competition; productivity) as they operate in an environment that is commonly described as a $3.3T industry. There is significant concern that important care values are being sacrificed as the U.S. health system becomes increasingly commercialized. It is also believed that HCPs are experiencing increasing levels of demoralization and burnout as a result of their inability to realize their personal and professional care value preferences. A qualitative investigation into the experiences of a selection of HCPs served to reveal how the administration in a large health system fosters compatibility among personal, professional, and market value priorities via an application of the tenets of values-based leadership.Study outcomes also feature implications for both the servant leadership and transformational leadership constructs.

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Section: Leadership Support For the Realization Of Personal And Profesupporting

confidence: 85%

Section: Personal Professional and Market Values In Healthcarementioning

confidence: 99%

Coexisting Values in Healthcare and the Leadership Practices That Were Found to Inspire Followership Among Healthcare Practitioners

Stewart¹

2019

JVBL

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“…Physician burnout is a public health crisis and the problem is growing. [55][56][57][58][59] ''Not only does the individual suffer decreased self-esteem and a sense of failure, but his or her ability to provide care can be diminished, as can the ability to work with staff and colleagues. Absenteeism, lower productivity, and higher turnover, with subsequent disruptions in patient care continuity and patient disenrollment, can occur.''…”

Section: Physicians From Underrepresented Groups and Risk For Leavingmentioning

confidence: 99%

Physician Workforce Disparities and Patient Care: A Narrative Review

et al. 2019

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Background: Ensuring the strength of the physician workforce is essential to optimizing patient care. Challenges that undermine the profession include inequities in advancement, high levels of burnout, reduced career duration, and elevated risk for mental health problems, including suicide. This narrative review explores whether physicians within four subpopulations represented in the workforce at levels lower than predicted from their numbers in the general population-women, racial and ethnic minorities in medicine, sexual and gender minorities, and people with disabilities-are at elevated risk for these problems, and if present, how these problems might be addressed to support patient care. In essence, the underlying question this narrative review explores is as follows: Do physician workforce disparities affect patient care? While numerous articles and high-profile reports have examined the relationship between workforce diversity and patient care, to our knowledge, this is the first review to examine the important relationship between diversity-related workforce disparities and patient care. Methods: Five databases (PubMed, the Cochrane Library of Systematic Reviews, EMBASE, Web of Knowledge, and EBSCO Discovery Service) were searched by a librarian. Additional resources were included by authors, as deemed relevant to the investigation. Results: The initial database searches identified 440 potentially relevant articles. Articles were categorized according to subtopics, including (1) underrepresented physicians and support for vulnerable patient populations; (2) factors that could exacerbate the projected physician deficit; (3) methods of addressing disparities among underrepresented physicians to support patient care; or (4) excluded (n = 155). The authors identified another 220 potentially relevant articles. Of 505 potentially relevant articles, 199 (39.4%) were included in this review. Conclusions: This report demonstrates an important gap in the literature regarding the impact of physician workforce disparities and their effect on patient care. This is a critical public health issue and should be urgently addressed in future research and considered in clinical practice and policy decision-making.

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“…interested reader to several excellent reviews on physician burnout [5][6][7][8] to complement this study.…”

mentioning

confidence: 99%

Surgeon Burnout: Defining, Identifying, and Addressing the New Reality

Senturk

Melnitchouk

2019

Clinics in Colon and Rectal Surgery

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Surgeon wellness is a multidimensional commitment that encompasses occupational, mental, physical, emotional, and social domains. Loss of professional control, autonomy, and flexibility; inefficient processes; disjointed workplace relationships and goals; excessive administrative burdens; poor work–life balance; and frustrations with medical record and order entry systems have all been associated with burnout. Described as a syndrome of emotional exhaustion, depersonalization, and loss of a sense of personal accomplishment, burnout can have myriad untoward consequences. The strong link between surgeons' personal and professional identities can lead to a perfect storm of burnout, depression, compromised patient safety and quality of care, physician job loss and career dissatisfaction, substance abuse, damage to personal relationships, and suicide. The alarming scope of this problem cannot be confined to a single specialty or practice setting and is expected to increase without much needed changes to surgeon work practices and work environments. A heightened focus on wellness in the workplace with attention to improving workflow, scheduling, collaboration, and resource allocation is a welcome step taken by several institutions and championed by professional societies. Much more research is needed to reliably gauge the overall effectiveness of these approaches, further address the nuances of burnout as it applies specifically to surgeons, and ensure that members of the surgical workforce remain at their peak throughout the duration of their careers.

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Physician Burnout: The Hidden Health Care Crisis

Cited by 208 publications

References 18 publications

Coexisting Values in Healthcare and the Leadership Practices That Were Found to Inspire Followership Among Healthcare Practitioners

Coexisting Values in Healthcare and the Leadership Practices That Were Found to Inspire Followership Among Healthcare Practitioners

Physician Workforce Disparities and Patient Care: A Narrative Review

Surgeon Burnout: Defining, Identifying, and Addressing the New Reality

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