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Meeting the imperative to improve physician well-being: assessment of an innovative program
Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Public Health and Caring Sciences. (Social Medicine)
2007 (English)In: Journal of general internal medicine, ISSN 0884-8734, E-ISSN 1525-1497, Vol. 22, no 11, 1544-1552 p.Article in journal (Refereed) Published
Abstract [en]

BACKGROUND  Improving physician health and performance is critical to successfully meet the challenges facing health systems that increasingly emphasize productivity. Assessing long-term efficacy and sustainability of programs aimed at enhancing physician and organizational well-being is imperative. OBJECTIVE  To determine whether data-guided interventions and a systematic improvement process to enhance physician work-life balance and organizational efficacy can improve physician and organizational well-being. DESIGN AND PARTICIPANTS  From 2000 to 2005, 22–32 physicians regularly completed 3 questionnaires coded for privacy. Results were anonymously reported to physicians and the organization. Data-guided interventions to enhance physician and organizational well-being were built on physician control over the work environment, order in the clinical setting, and clinical meaning. MEASUREMENTS  Questionnaires included an ACP/ASIM survey on physician satisfaction, the Maslach Burnout Inventory (MBI), and the Quality Work Competence (QWC) survey. RESULTS  Emotional and work-related exhaustion decreased significantly over the study period (MBI, p = 0.002; QWC, p = 0.035). QWC measures of organizational health significantly improved initially and remained acceptable and stable during the rest of the study. CONCLUSIONS  A data-guided program on physician well-being, using validated instruments and process improvement methods, enhanced physician and organizational well-being. Given the increases in physician burnout, organizations are encouraged to urgently create individual and systems approaches to lessen burnout risk.

Place, publisher, year, edition, pages
2007. Vol. 22, no 11, 1544-1552 p.
Keyword [en]
Health care administration, Organizational behavior, Physician satisfaction
National Category
Medical and Health Sciences
URN: urn:nbn:se:uu:diva-15695DOI: 10.1007/s11606-007-0363-5ISI: 000250139200010PubMedID: 17891503OAI: oai:DiVA.org:uu-15695DiVA: diva2:43466
Available from: 2008-03-03 Created: 2008-03-03 Last updated: 2011-01-20Bibliographically approved

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