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The Impact of Administrative Burden on Academic Physicians: Results of a Hospital-Wide Physician Survey.

Abstract To determine the characteristics of clinically active academic physicians most affected by administrative burden; the correlation between administrative burden, burnout, and career satisfaction among academic physicians; and the relative value and burden of specific administrative tasks.
PMID
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Burnout, Professional

Job Satisfaction

Keywords
Journal Title academic medicine : journal of the association of american medical colleges
Publication Year Start




PMID- 28121687
OWN - NLM
STAT- MEDLINE
DA  - 20170125
DCOM- 20170410
LR  - 20170410
IS  - 1938-808X (Electronic)
IS  - 1040-2446 (Linking)
VI  - 92
IP  - 2
DP  - 2017 Feb
TI  - The Impact of Administrative Burden on Academic Physicians: Results of a
      Hospital-Wide Physician Survey.
PG  - 237-243
LID - 10.1097/ACM.0000000000001461 [doi]
AB  - PURPOSE: To determine the characteristics of clinically active academic
      physicians most affected by administrative burden; the correlation between
      administrative burden, burnout, and career satisfaction among academic
      physicians; and the relative value and burden of specific administrative tasks.
      METHOD: The authors analyzed data from the 2014 Massachusetts General Physicians 
      Organization Survey. Respondents reported the percentage of time they spent on
      patient-related administrative duties and rated the value and burden associated
      with specific administrative tasks. A five-point Likert scale and multivariate
      regression identified predictors of administrative burden and assessed the impact
      of administrative burden on perceived quality of care, career satisfaction, and
      burnout. RESULTS: Of the eligible workforce, 1,774 physicians (96%) responded to 
      the survey. On average, 24% of working hours were spent on administrative duties.
      Primary care physicians and women reported spending more time on administrative
      duties compared with other physicians. Two-thirds of respondents reported that
      administrative duties negatively affect their ability to deliver high-quality
      care. Physicians who reported higher percentages of time spent on administrative 
      duties had lower levels of career satisfaction, higher levels of burnout, and
      were more likely to be considering seeing fewer patients in the future. Prior
      authorizations, clinical documentation, and medication reconciliation were rated 
      the most burdensome tasks. CONCLUSIONS: Administrative duties required
      substantial physician time and affected physicians' perceptions of being able to 
      deliver high-quality care, career satisfaction, burnout, and likelihood to
      continue clinical practice. There is variation in administrative burden across
      specialties, and multiple areas of work contribute to overall administrative
      workload.
FAU - Rao, Sandhya K
AU  - Rao SK
AD  - S.K. Rao is associate medical director for quality improvement, Massachusetts
      General Physicians Organization, a practicing general internist, and instructor
      in medicine, Harvard Medical School, Boston, Massachusetts.A.B. Kimball is
      president and chief executive officer, Harvard Medical Faculty Physicians, a
      practicing dermatologist, and professor of dermatology, Harvard Medical School,
      Boston, Massachusetts.S.R. Lehrhoff is director of physician programs, Strategic 
      Communications and Physician Programs Department, Massachusetts General
      Physicians Organization, Boston, Massachusetts.M.K. Hidrue is senior economist,
      Performance Analytics and Improvement Department, Massachusetts General
      Physicians Organization, Boston, Massachusetts.D.G. Colton is chief of staff for 
      the Partners Healthcare president and chief executive officer, Boston,
      Massachusetts.T.G. Ferris is senior vice president for population health,
      Massachusetts General Physicians Organization and Partners Healthcare, a
      practicing internist, and associate professor of medicine, Harvard Medical
      School, Boston, Massachusetts.D.F. Torchiana is president and chief executive
      officer, Partners Healthcare, and associate professor of surgery, Harvard Medical
      School, Boston, Massachusetts.
FAU - Kimball, Alexa B
AU  - Kimball AB
FAU - Lehrhoff, Sara R
AU  - Lehrhoff SR
FAU - Hidrue, Michael K
AU  - Hidrue MK
FAU - Colton, Deborah G
AU  - Colton DG
FAU - Ferris, Timothy G
AU  - Ferris TG
FAU - Torchiana, David F
AU  - Torchiana DF
LA  - eng
PT  - Journal Article
PT  - Research Support, Non-U.S. Gov't
PL  - United States
TA  - Acad Med
JT  - Academic medicine : journal of the Association of American Medical Colleges
JID - 8904605
SB  - AIM
SB  - IM
MH  - Adult
MH  - *Burnout, Professional
MH  - Faculty, Medical/*statistics & numerical data
MH  - Female
MH  - Humans
MH  - *Job Satisfaction
MH  - Male
MH  - Massachusetts
MH  - Middle Aged
MH  - Physicians/*statistics & numerical data
MH  - Surveys and Questionnaires
MH  - Workload/*psychology
EDAT- 2017/01/26 06:00
MHDA- 2017/04/11 06:00
CRDT- 2017/01/26 06:00
AID - 10.1097/ACM.0000000000001461 [doi]
AID - 00001888-201702000-00030 [pii]
PST - ppublish
SO  - Acad Med. 2017 Feb;92(2):237-243. doi: 10.1097/ACM.0000000000001461.

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