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To combat the crisis of physician burnout, every major US health care organization should appoint a manager of well-being at the executive level, says a new report.
The principal responsibility of the Wellness Officer is to study and evaluate the burnout of physicians in their facility and to consult physicians to design, implement and continually improve interventions to reduce burnout. professional, according to the report.
We must take better care of our doctors and all caregivers so that they can continue to take the best care of us. Alain Chaoui, MD
"We take the problem of burnout extremely seriously because the well-being of physicians is tied to the quality of care provided to our patients," said co-author Alain Chaoui, president of Mbadachusetts Medical. Society, in a press release.
"We need our health facilities to recognize burnout at the highest level and take active measures to interview physicians, then identify and implement solutions, and we need to take better care of our doctors and all caregivers so that they can continue to perform their duties. "Best care of us," said Chaoui.
The report, A crisis in health care: a call to action against burnout of doctors, is the fruit of a collaborative effort from Harvard T.H. Chan School of Public Health, Harvard World Health Institute, Mbadachusetts Medical Society and Mbadachusetts Health and Hospital Association.
The prevalence of physician burnout has reached "critical levels," notes the report. Recent evidence suggests that almost half of the doctors suffer from some form of burnout. Burnout can manifest itself in different ways and usually involves emotional exhaustion, depersonalization and decreased feeling of personal accomplishment. Physicians who suffer from burnout are more likely than their peers to reduce their work hours or stop practicing medicine.
A question of urgency
In addition to advocating for all health care organizations to have a CWO, the report calls on institutions to "immediately" improve access to, and develop, health services for physicians, including mental health services. , and encourages them to use these services to prevent or manage Burnout symptoms.
"Physicians face the stigma and professional barriers that prevent them from seeking appropriate care and treatment for burnout and related mental health issues." Physician institutions, including physician badociations, physicians hospitals and regulators of rights, must the ability of doctors to practice, "says the report.
The report concludes that the burnout crisis will also require significant changes in the usability of electronic medical records.
"The growth of ill-conceived digital medical records and quality indicators has forced doctors to devote more and more time to tasks not directly benefiting patients, contributing to a growing epidemic of physician burnout." "said Ashish Jha, MD, MPH, director, co-author of the Harvard Global Health Institute and professor of medicine at Harvard Medical School, the statement said.
"There is simply no way to achieve the goal of improving health care while front-line physicians – our doctors – are experiencing an epidemic of burnout because of the conflicting demands of their work. We need to identify and share innovative best practices to support physicians in fulfilling their mission of caring for patients, "said Jha.
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These three recommendations should all be implemented "urgently and with short, medium and long-term benefits," the authors write in their report.
"This report and its recommendations are an important step forward for physicians to have the best of their lives," added co-author Steven Defossez, MD, vice president of clinical integration at Mbadachusetts Health and Hospital. Association. . "We view it as a component of our broader efforts to improve the health care workplace for every employee, whether it's nurses and direct caregivers, technicians laboratory or administrative staff. "
The full report is available online.
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