Popis: |
Concern over physician wellbeing has garnered national attention, and this concern extends to all frontline clinicians delivering care in a rapidly evolving healthcare system. The question arises: why now? How can an entire professional field grounded in strong values, known for commitment and hard work, and dealing successfully with a variety of stressors be experiencing high rates of suicide and burnout? The answer may lie in the very rapid evolution of the delivery system responding to calls for higher value, more transparency and efficiency, and a move toward consolidation. While these external pressures alone do not underlie the loss of the sense of wellbeing, how the healthcare system responds through its efforts to redesign the delivery system can exacerbate the sense of loss if done without regard to the professional values and ethos of those delivering care in this new system. The challenge for both healthcare leaders and physicians is to create a participatory, collaborative redesign effort that recognizes the real external pressures of limited resources, public accountability, and high-value care for patients and populations while creating an environment where deeply held professional values are respected and flourish. Without this effort, we are destined to create a healthcare system that will neither serve the best interests of patients nor those to whom we entrust their care. |