Frequency and Causes of Burnout in US Community Oncologists in the Era of Electronic Health Records
العنوان: | Frequency and Causes of Burnout in US Community Oncologists in the Era of Electronic Health Records |
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المؤلفون: | Ajeet Gajra, Andrew J Klink, Djibril Liassou, Bruce Feinberg, Chadi Nabhan, Sonam Mehta, Yolaine Jeune-Smith, Bela Bapat |
المصدر: | JCO oncology practice. 16(4) |
سنة النشر: | 2020 |
مصطلحات موضوعية: | Oncologists, medicine.medical_specialty, Physician burnout, Oncology (nursing), Health Policy, MEDLINE, Workload, Burnout, Health records, 03 medical and health sciences, 0302 clinical medicine, Cynicism, Oncology, 030220 oncology & carcinogenesis, Family medicine, Surveys and Questionnaires, medicine, Electronic Health Records, Humans, 030212 general & internal medicine, Psychology, Burnout, Professional |
الوصف: | BACKGROUND: Physician burnout, characterized by exhaustion of physical or emotional strength, cynicism, and lack of achievement, has become a worsening phenomenon in medicine, contributing to higher health care costs and patient/physician dissatisfaction. How burnout has affected hematologists and oncologists is not well studied. METHODS: US community oncologists/hematologists were queried via a Web-based survey from September-November 2018. Physicians were asked about frequency of burnout symptoms, drivers of work-related stress, and their perceptions on management of workload. RESULTS: Among the 163 physicians surveyed, 46% felt a substantial amount of stress at work. Most physicians felt emotionally (85%) and physically (87%) exhausted. A majority of physicians felt lethargic (67%), ineffective (64%), and/or detached (63%). In a typical workweek, 93% needed time beyond time allocated to clinical care to complete work responsibilities. Electronic health record (EHR) responsibilities caused moderate to excessive stress at work for 67% of physicians; 79% of physicians worked on EHRs outside of clinic hours. Other sources of excessive stress were changing reimbursement models (33%), interactions with payers (31%), and increasing patient and caregiver demands (31%). A third of physicians have considered retiring early or changing their career path to cope. To combat burnout, physicians’ practices have used advanced practice providers, invested in information technology, and/or hired additional administrative staff. However, the majority of physicians stated they had optimal or good control over their workload. CONCLUSION: Most oncologists experience burnout symptoms and require additional time beyond that allocated to clinical care to complete their workload. The discordance between oncologists’ admission of stress and exhaustion while claiming good control over those same burdens warrants exploration in future research. |
تدمد: | 2688-1535 |
URL الوصول: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::d7844cb815859b8b59f08399dee47b52 https://pubmed.ncbi.nlm.nih.gov/32275848 |
Rights: | OPEN |
رقم الانضمام: | edsair.doi.dedup.....d7844cb815859b8b59f08399dee47b52 |
قاعدة البيانات: | OpenAIRE |
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