The relationship of organizational culture, stress, satisfaction, and burnout with physician-reported error and suboptimal patient care
Autor: | Eric S. Williams, Thomas R. Konrad, Mark Linzer, Linda Baier Manwell |
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Rok vydání: | 2007 |
Předmět: |
Adult
Male medicine.medical_specialty Leadership and Management Strategy and Management media_common.quotation_subject Organizational culture Burnout Affect (psychology) Job Satisfaction Structural equation modeling Patient safety Nursing Physicians Surveys and Questionnaires Health care medicine Humans Quality (business) Burnout Professional Aged Quality of Health Care media_common Aged 80 and over Medical Errors business.industry Health Policy Middle Aged Organizational Culture United States Family medicine Female Job satisfaction business Stress Psychological |
Zdroj: | Health Care Management Review. 32:203-212 |
ISSN: | 0361-6274 |
Popis: | Background A report by the Institute of Medicine suggests that changing the culture of health care organizations may improve patient safety. Research in this area, however, is modest and inconclusive. Because culture powerfully affects providers, and providers are a key determinant of care quality, the MEMO study (Minimizing Error, Maximizing Outcome) introduces a new model explaining how physician work attitudes may mediate the relationship between culture and patient safety. Research questions (1) Which cultural conditions affect physician stress, dissatisfaction, and burnout? and (2) Do stressed, dissatisfied, and burned out physicians deliver poorer quality care? Methods A conceptual model incorporating the research questions was analyzed via structural equation modeling using a sample of 426 primary care physicians participating in MEMO. Findings Culture, overall, played a lesser role than hypothesized. However, a cultural emphasis on quality played a key role in both quality outcomes. Further, we found that stressed, burned out, and dissatisfied physicians do report a greater likelihood of making errors and more frequent instance of suboptimal patient care. Practice implications Creating and sustaining a cultural emphasis on quality is not an easy task, but is worthwhile for patients, physicians, and health care organizations. Further, having clinicians who are satisfied and not burned out or stressed contributes substantially to the delivery of quality care. |
Databáze: | OpenAIRE |
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