This raises a number of important questions, such as:
- how can burnout be prevented?
- what methods of intervention work best?
- what can the individual physician do to minimize or recover from burnout?
- what is the role of the practice environment?
- and how does this affect patient care in a socialized health care system?
A new study has just released the annual economic cost of physician burnout in Canada. The total cost was $213.1 million, with $185.2 million due to early retirement and $27.9 million due to reduced clinical hours. In terms of specialty of impact, family physicians accounted for 58.8% of the costs, with surgeons (24.6%) and other specialists (16.6%) following suit.
This is important data in our socialized health care system.
Medical associations in Canada have already made investments in their Physician Health Programs but such investments are targeted, rightfully, at services for ill or impaired physicians. Funding for prevention and promotion programs has been hard to come by.
As physician health services continue to grow and evolve, targeted funding for promotion/prevention services seems appropriate. This needs to involve a number of stakeholders in the system - Medical Schools, Residency Training Programs, Health Authorities, Provincial/Territorial Governments, and the nation's Medical Associations.
After all, wouldn't a few hundred million more dollars for patient care be worth such investment?
Interesting study and I am 110% certain it underestimates the costs of burnout. Remember that burnout is not just associated with reduced "productivity". Burnout also effects quality, error rates, patient satisfaction, staff turnover. For every dollar identified in this study there are probably 10 more that would take more digging.
ReplyDeleteIt is all so preventable when you understand and mitigate for the causes.
Fill the educational hole around burnout, its symtoms, causes and pathophysiology.
Survey the doctors for stressors every 6 - 12 months
Address the top three with a working physician burnout prevention committee
I would imagine the situation is a little simpler to address in Canada than down here in the states. Here I am always working with individual organizations rather than government entities.
Please contact me for specific recommendations.
Dike
Dike Drummond MD
www.TheHappyMD (dot) com