Dataset Information

Frontline Perspectives on Physician Burnout and Strategies to Improve Well-Being: Interviews with Physicians and Health System Leaders.

ABSTRACT:

Background

Nationally over 50% of physicians report symptoms of burnout.

Objective

To understand the perspectives of health system leaders and frontline physicians on contributors to physician burnout and strategies to improve well-being.

Design

We conducted in-depth interviews with health system leaders and frontline physicians at a large, predominantly fee-for-service, multispecialty group practice with approximately 1300 physicians.

Participants

The 17 participants included 15 physicians, (12 Internal Medicine and Family Medicine physicians and 3 from other specialties), 11 individuals in leadership roles, and 11 women.

Approach

Interviews included a review of factors associated with burnout at the organization, asking participants which factors they believed contributed to burnout, questions about experiences of burnout, and what specific changes would improve well-being.

Key results

All 17 participants agreed that organizational factors were key contributors to burnout, while only 9 mentioned the salience of individual factors: "It does not matter how resilient or positive you are, the work environment, especially in primary care will eventually be a problem." An increasing workload associated with the electronic health record (EHR) and a culture focused on productivity were cited as contributing to burnout, especially among physicians in Internal Medicine and Family Medicine (primary care) departments. Physicians in primary care, women, and leaders described multiple barriers to well-being. Participants described responding to increased workloads by reducing clinical work hours. Participants suggested reducing and compensating EHR work, expanding care teams/support staff, reducing use of metrics, providing more support to leaders, changing the business model, and increasing positivity and collegiality, as essential to improving well-being.

Conclusion

Interviews reveal a variety of interacting factors contributing to physician burnout. Reducing clinical work hours has become a coping strategy. Changes recommended to improve physician well-being include increasing support staff, reducing EHR workload, changing revenue generation and compensation approaches, and shifting organizational culture to place more value on physician wellness.

SUBMITTER: Dillon EC

PROVIDER: S-EPMC6957654 | biostudies-literature | 2020 Jan

REPOSITORIES: biostudies-literature

ACCESS DATA

Publications

Frontline Perspectives on Physician Burnout and Strategies to Improve Well-Being: Interviews with Physicians and Health System Leaders.

Dillon Ellis C EC Tai-Seale Ming M Meehan Amy A Martin Veronique V Nordgren Robert R Lee Tim T Nauenberg Teresa T Frosch Dominick L DL

Journal of general internal medicine 20191028 1

<h4>Background</h4>Nationally over 50% of physicians report symptoms of burnout.<h4>Objective</h4>To understand the perspectives of health system leaders and frontline physicians on contributors to physician burnout and strategies to improve well-being.<h4>Design</h4>We conducted in-depth interviews with health system leaders and frontline physicians at a large, predominantly fee-for-service, multispecialty group practice with approximately 1300 physicians.<h4>Participants</h4>The 17 participant ...[more]

PMID: 31659668

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Dataset Information

Frontline Perspectives on Physician Burnout and Strategies to Improve Well-Being: Interviews with Physicians and Health System Leaders.

Background

Objective

Design

Participants

Approach

Key results

Conclusion

Publications

Frontline Perspectives on Physician Burnout and Strategies to Improve Well-Being: Interviews with Physicians and Health System Leaders.

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