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. 2019 Mar;5(1):11-25.
doi: 10.1007/s40746-019-00147-6. Epub 2019 Feb 9.

Organizational factors affecting physician well-being

Daniel S Tawfik  1 , Jochen Profit  2   3 , Sarah Webber  4 , Tait D Shanafelt  5
Affiliations

Organizational factors affecting physician well-being

Daniel S Tawfik et al. Curr Treat Options Pediatr. 2019 Mar.

Abstract

Purpose of review: Symptoms of burnout affect approximately half of pediatricians and pediatric subspecialists at any given time, with similarly concerning prevalence of other aspects of physician distress, including fatigue, depressive symptoms, and suicidal ideation. Physician well-being affects quality of care, patient satisfaction, and physician turnover. Organizational factors influence well-being, stressing the need for organizations to address this epidemic.

Recent findings: Organizational characteristics, policies, and culture influence physician well-being, and specific strategies may support an environment where physicians thrive. We highlight four organizational opportunities to improve physician well-being: developing leaders, cultivating community and organizational culture, improving practice efficiency, and optimizing administrative policies. Leaders play a key role in aligning organizational and individual values, promoting professional fulfillment, and fostering a culture of collegiality and social support among physicians. Reducing documentation burden and improving practice efficiency may help balance job demands and resources. Finally, reforming administrative policies may reduce work-home conflict, support physician's efforts to attend to their own well-being, and normalize use of supportive resources.

Summary: Physician well-being is critical to organizational success, sustainment of an adequate workforce, and optimal patient outcomes. Because burnout is primarily influenced by organizational factors, organizational interventions are key to promoting well-being. Developing supportive leadership, fostering a culture of wellness, optimizing practice efficiency, and improving administrative policies are worthy of organizational action and further research.

Keywords: Organizational factors; burnout; physician engagement; physician well-being.

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Conflict of interest statement

Conflict of Interest Sarah Webber declares no conflicts of interest.

Figures

Figure 1.
Figure 1.
Key organizational factors affecting physician well-being, and their relation to patient and physician outcomes.
See this image and copyright information in PMC

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