Skip to main content
Top
Published in: Journal of General Internal Medicine 1/2019

01-01-2019 | Editorial

Primary Care Transformation and Physician Burnout

Authors: Karin Nelson, MD, MSHS, Greg Stewart, PhD

Published in: Journal of General Internal Medicine | Issue 1/2019

Login to get access

Excerpt

“First, do no harm” is an oft-quoted adage regarding physicians’ obligation to help patients in ways that do not end up making things worse. Should not the same principle apply to organizational leaders attempting to improve health care delivery systems? What if transformation initiatives designed to improve patient care create additional stress that negatively impacts the work experience and thereby ends up degrading patient care? Such questions are frequently asked by both leaders and front-line participants of organizations encountering increased pressure to transform health care delivery to reduce costs and improve care. …
Literature
1.
go back to reference Shanafelt TD, Hasan O, Dyrbye LN, et al. Changes in Burnout and Satisfaction With Work-Life Balance in Physicians and the General US Working Population Between 2011 and 2014. Mayo Clin Proc. 2015;90(12):1600–1613.CrossRef Shanafelt TD, Hasan O, Dyrbye LN, et al. Changes in Burnout and Satisfaction With Work-Life Balance in Physicians and the General US Working Population Between 2011 and 2014. Mayo Clin Proc. 2015;90(12):1600–1613.CrossRef
2.
go back to reference Dyrbye, L.N., T.D. Shanafelt, C.A. Sinsky, P.F. Cipriano, J. Bhatt, A. Ommaya, C.P. West, and D. Meyers. 2017. Burnout among health care professionals: A call to explore and address this underrecognized threat to safe, high-quality care. NAM Perspectives. Discussion Paper, National Academy of Medicine, Washington, DC. Dyrbye, L.N., T.D. Shanafelt, C.A. Sinsky, P.F. Cipriano, J. Bhatt, A. Ommaya, C.P. West, and D. Meyers. 2017. Burnout among health care professionals: A call to explore and address this underrecognized threat to safe, high-quality care. NAM Perspectives. Discussion Paper, National Academy of Medicine, Washington, DC.
3.
go back to reference Bodenheimer T, Sinsky C. From triple to quadruple aim: care of the patient requires care of the provider. Ann Fam Med. 2014;12(6):573–576.CrossRef Bodenheimer T, Sinsky C. From triple to quadruple aim: care of the patient requires care of the provider. Ann Fam Med. 2014;12(6):573–576.CrossRef
5.
go back to reference Shanafelt TD, Dyrbye LN, West CP. Addressing Physician Burnout: The Way Forward. JAMA. 2017;317(9):901–902.CrossRef Shanafelt TD, Dyrbye LN, West CP. Addressing Physician Burnout: The Way Forward. JAMA. 2017;317(9):901–902.CrossRef
6.
go back to reference Epstein RM, Privitera MR. Doing something about physician burnout. Lancet. 2016;388(10057):2216–2217.CrossRef Epstein RM, Privitera MR. Doing something about physician burnout. Lancet. 2016;388(10057):2216–2217.CrossRef
7.
go back to reference Reid RJ, Coleman K, Johnson EA, et al. The Group Health medical home at year two: cost savings, higher patient satisfaction, and less burnout for providers. Health Aff (Millwood). 2010;29(5):835–843.CrossRef Reid RJ, Coleman K, Johnson EA, et al. The Group Health medical home at year two: cost savings, higher patient satisfaction, and less burnout for providers. Health Aff (Millwood). 2010;29(5):835–843.CrossRef
8.
go back to reference Panagioti M, Panagopoulou E, Bower P, et al. Controlled Interventions to Reduce Burnout in Physicians: A Systematic Review and Meta-analysis. JAMA internal medicine. 2017;177(2):195–205.CrossRef Panagioti M, Panagopoulou E, Bower P, et al. Controlled Interventions to Reduce Burnout in Physicians: A Systematic Review and Meta-analysis. JAMA internal medicine. 2017;177(2):195–205.CrossRef
9.
go back to reference West CP, Dyrbye LN, Erwin PJ, Shanafelt TD. Interventions to prevent and reduce physician burnout: a systematic review and meta-analysis. Lancet. 2016;388(10057):2272–2281.CrossRef West CP, Dyrbye LN, Erwin PJ, Shanafelt TD. Interventions to prevent and reduce physician burnout: a systematic review and meta-analysis. Lancet. 2016;388(10057):2272–2281.CrossRef
10.
go back to reference Helfrich CD, Simonetti JA, Clinton WL, et al. The Association of Team-Specific Workload and Staffing with Odds of Burnout Among VA Primary Care Team Members. J Gen Intern Med. 2017;32(7):760–766.CrossRef Helfrich CD, Simonetti JA, Clinton WL, et al. The Association of Team-Specific Workload and Staffing with Odds of Burnout Among VA Primary Care Team Members. J Gen Intern Med. 2017;32(7):760–766.CrossRef
11.
go back to reference Helfrich CD, Dolan ED, Simonetti J, et al. Elements of team-based care in a patient-centered medical home are associated with lower burnout among VA primary care employees. Journal of general internal medicine. 2014;29(2):659–666.CrossRef Helfrich CD, Dolan ED, Simonetti J, et al. Elements of team-based care in a patient-centered medical home are associated with lower burnout among VA primary care employees. Journal of general internal medicine. 2014;29(2):659–666.CrossRef
Metadata
Title
Primary Care Transformation and Physician Burnout
Authors
Karin Nelson, MD, MSHS
Greg Stewart, PhD
Publication date
01-01-2019
Publisher
Springer US
Published in
Journal of General Internal Medicine / Issue 1/2019
Print ISSN: 0884-8734
Electronic ISSN: 1525-1497
DOI
https://doi.org/10.1007/s11606-018-4722-1

Other articles of this Issue 1/2019

Journal of General Internal Medicine 1/2019 Go to the issue