Suchergebnisse

The well-being of the health care workforce has emerged as both a major concern and as a component of the "quadruple aim" to enable the "triple aim" of improving patient experiences, reducing costs, and improving population health. Physician burnout is problematic given its effects on physicians, patients, health care organizations, and society. Using conservation of resources theory as a frame, we conducted a systematic review of the empirical literature on the relationship of physician burnout with physician personal and professional outcomes that includes 43 articles. Nine outcomes were organized into three categories illustrating burnout as a dynamic loss spiral rather than a static end-state. Findings show that emotional exhaustion had the greatest impact with the outcomes explored, while depersonalization and lack of professional accomplishment manifested fewer associations. The results suggest that burnout is a complex, dynamic phenomenon, which unfolds over time. Future research and implications of these results are discussed.

The ongoing discussion of our intellectual community requires that occasionally an effort be made to value the outlets for our research and erect guideposts for our colleagues to signal important contributions to our discipline. This study extends previous work through a survey sent to 1,254 academics involved in health care management research that asked them to rate 54 potential outlets for their research. Ratings were made on journal knowledge, quality, and relevance. Two survey waves resulted in 389 responses (adjusted response rate 37.8 percent). For quality and relevance, journal rankings were separated into A, B, and C categories. The results correlated strongly with the two previous studies in this area. This study extends previous research and provides a categorization of journals on knowledge, quality, and relevance that may assist in faculty performance evaluation and identification of appropriate outlets for manuscripts.