Something Has To Change
The effects of physician burnout include:
Lower patient satisfaction and care quality
Higher medical error rates and malpractice risk
Higher levels of physician and staff turnover
Conflict between administration and physicians
Physician resistance to change and innovation
The contributors to burnout collectively have altered work flows and patient interactions, which has ultimately led to reduced time to provide clinical care, and increased numbers of physicians entering early retirement or leaving the medical
profession completely for an alternate career.
“Physicians have suffered a reduction in their sense of professional autonomy, have experienced a significant increase in clinical duties, and are beholden to a growing array of imperfect and inconsistent quality and productivity metrics” (Bohman 2017)
Although personal resilience burnout among healthcare providers is important, it is reported that organizational factors account for 80% of professional wellness. This means the physician has control over just 20% of the factors accounting for their professional wellness.
Healthcare providers are being asked to decrease cost, increase productivity, efficiency, and quality of care often without increased resources to accomplish these goals.
Institutions need to focus on creating a culture of change which emphasizes a culture of safety and trust. Physicians are not the only members of the health care team that are experiencing burnout. Advanced Practice Providers and nurses experience burnout at levels only slightly lower than physicians. The unprecedented advancements in medical care have led to increases in the complexity of patient care as well as increased numbers of patients.
before they can best heal others