Organizational strategies to reduce physician burnout and improve professional fulfillment.

Autor: Olson K; Yale School of Medicine, Yale New Haven Health, 20 York Street, New Haven, CT 06510, United States. Electronic address: kristine.olson@yale.edu., Marchalik D; Medstar Health, Georgetown University School of Medicine, Washington, DC, United States., Farley H; Christiana Care Health System, Sidney Kimmel Medical College at Thomas Jefferson University, Wilmington, DE, United States., Dean SM; University of Wisconsin School of Medicine and Public Health, Madison, WI, United States., Lawrence EC; University of New Mexico School of Medicine, Albuquerque, NM, United States., Hamidi MS; Department of Psychiatry and Behavioral Sciences, Stanford Medicine WellMD Center, Stanford University, Stanford, CA, United States., Rowe S; Boston Medical Center, Boston University School of Medicine, Boston, MA, United States., McCool JM; The Children's Hospital of Philadelphia, Philadelphia, PA, United States., O'Donovan CA; Wake Forest Baptist Health, Winston-Salem, NC, United States., Micek MA; University of Wisconsin School of Medicine and Public Health, Madison, WI, United States., Stewart MT; The Children's Hospital of Philadelphia, Philadelphia, PA, United States.
Jazyk: angličtina
Zdroj: Current problems in pediatric and adolescent health care [Curr Probl Pediatr Adolesc Health Care] 2019 Dec; Vol. 49 (12), pp. 100664. Date of Electronic Publication: 2019 Oct 04.
DOI: 10.1016/j.cppeds.2019.100664
Abstrakt: Burnout is highly prevalent among physicians and has been associated with negative outcomes for physicians, patients, staff, and health-care organizations. Reducing physician burnout and increasing physician well-being is a priority. Systematic reviews suggest that organization-based interventions are more effective in reducing physician burnout than interventions targeted at individual physicians. This consensus review by leaders in the field across multiple institutions presents emerging trends and exemplary evidence-based strategies to improve professional fulfillment and reduce physician burnout using Stanford's tripartite model of physician professional fulfillment as an organizing framework: practice efficiency, culture, and personal resilience to support physician well-being. These strategies include leadership traits, latitude of control and autonomy, collegiality, diversity, teamwork, top-of-license workflows, electronic health record (EHR) usability, peer support, confidential mental health services, work-life integration and reducing barriers to practicing a healthy lifestyle. The review concludes with evidence-based recommendations on establishing an effective physician wellness program.
(Copyright © 2019 Elsevier Inc. All rights reserved.)
Databáze: MEDLINE
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