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Enhancing Value and Well-Being
DOI:10.1212/CPJ.0000000000200280.png)
摘要
En 中文
Purpose of ReviewPhysician burnout, which is prevalent in neurology, has accelerated in recent years. While multifactorial, a major contributing factor to burnout is a payment model that rewards volume over quality, leaving physicians overburdened and unfulfilled. The aim of this review was to investigate ways of reducing burnout while improving quality-based outcomes in a value-based health care model.Recent FindingsBurnout affects researchers, educators, clinicians, and administrators in all fields and tracks, but neurologists experience some of the worst burnout rates among specialties. Transitioning to a value-based health care model, which rewards quality and outcomes over volume, may contribute to reversing the burnout trend. However, this requires that physicians feel valued in the workplace in ways corresponding to their preferences. We propose to stratify neurologists using the basket of motivators framework, which operates multiple individual-based and team-based motivators including balance among work responsibilities, work-life balance, institutional pride, self-actualization at work, work environment, and finances. By tailoring individual-based and team-based financial and nonfinancial incentives, neurologists are empowered to work at the top of their license to provide high-impact clinical care while combating the most prominent causes of burnout.SummaryTo address the neurologist burnout epidemic, a transition to value-based health care is needed that rewards quality-based performance outcomes through both individual-based and team-based approaches that apply financial and nonfinancial incentives. Understanding the underlying motivations behind neurologists' drives to work can inform tailored incentives that allow neurologists to provide value to their patients and feel valued by their organizations.
Keyword:
PHYSICIAN BURNOUT
UNITED-STATES
MOTIVATION
OUTCOMES
WORK
NEUROLOGISTS
SATISFACTION
OVERUSE
CENTERS
期刊
N
IF:
3.2
论文数:
801
被引数:
2.3K
机构
引用论文
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Are Hispanic, Black, and Asian Physicians Truly Less Burned Out Than White Physicians? Individual and Institutional Considerations
JAMA NETWORK OPEN
IF9.7
Evidence Relating Health Care Provider Burnout and Quality of Care A Systematic Review and Meta-analysis与卫生保健提供者倦怠和护理质量相关的证据: 系统评价和荟萃分析

