当前位置： SCI文献检索 > JAMA Internal Medicine期刊下所有文献 > The Business Case for Investing in Physician Well-being.

The Business Case for Investing in Physician Well-being.

Abstract：

Importance:Widespread burnout among physicians has been recognized for more than 2 decades. Extensive evidence indicates that physician burnout has important personal and professional consequences. Observations:A lack of awareness regarding the economic costs of physician burnout and uncertainty regarding what organizations can do to address the problem have been barriers to many organizations taking action. Although there is a strong moral and ethical case for organizations to address physician burnout, financial principles (eg, return on investment) can also be applied to determine the economic cost of burnout and guide appropriate investment to address the problem. The business case to address physician burnout is multifaceted and includes costs associated with turnover, lost revenue associated with decreased productivity, as well as financial risk and threats to the organization's long-term viability due to the relationship between burnout and lower quality of care, decreased patient satisfaction, and problems with patient safety. Nearly all US health care organizations have used similar evidence to justify their investments in safety and quality. Herein, we provide conservative formulas based on readily available organizational characteristics to determine the financial return on organizational investments to reduce physician burnout. A model outlining the steps of the typical organization's journey to address this issue is presented. Critical ingredients to making progress include prioritization by leadership, physician involvement, organizational science/learning, metrics, structured interventions, open communication, and promoting culture change at the work unit, leader, and organization level. Conclusions and Relevance:Understanding the business case to reduce burnout and promote engagement as well as overcoming the misperception that nothing meaningful can be done are key steps for organizations to begin to take action. Evidence suggests that improvement is possible, investment is justified, and return on investment measurable. Addressing this issue is not only the organization's ethical responsibility, it is also the fiscally responsible one.

journal_name

JAMA Intern Med

journal_title

JAMA internal medicine

authors

Shanafelt T,Goh J,Sinsky C

doi

10.1001/jamainternmed.2017.4340

subject

Has Abstract

pub_date

2017-12-01 00:00:00

pages

1826-1832

issue

eissn

2168-6106

issn

2168-6114

pii

2653912

journal_volume

177

pub_type

杂志文章

在线工具

The Business Case for Investing in Physician Well-being.