Physicians besieged by 'burnout, ' pessimistic view of profession, Physicians Foundation study says

Sat Dec 17 17:28:39 PST 2016

November 16, 2016

Physicians besieged by 'burnout,' pessimistic view of profession, Physicians
Foundation study says

<http://www.healthcarefinancenews.com/news/nearly-half-physicians-besieged-b
urnout-pessimistic-outlook-medical-profession-physicians> Healthcare Finance

By Jeff Lagasse

Survey finds 49 percent say they "often or always" experience feelings of
burnout, would not recommend a career in medicine to their children.

A growing number of physicians are laboring under intense feelings of
burnout, and most say they're overextended or at capacity, according to a
new survey conducted by The Physicians Foundation.

The findings suggest a struggle among physicians to maintain their level of
morale and adapt to changing delivery and payment models.

Among those surveyed, 49 percent say they "often or always" experience
feelings of burnout, and the same percentage said they would not recommend a
career in medicine to their children. Fifty-four percent rate their morale
as somewhat or very negative, and 48 percent plan to cut back on their
hours, retire, take a non-clinical job or switch to concierge medicine.
Eighty percent said they were overextended and didn't have time to see
additional patients. 

The Physicians Group attributes these results to a number of new or ongoing
events taking place within the healthcare industry, including a persistent
physician shortage, which the Association of American Medical Colleges said
will create a deficit of more than 90,000 physicians by 2025.

The "corporatization" of healthcare, including more than $400 billion in
merger activity in 2015 and about 100 hospital/health system consolidations,
was another factor cited by the Physicians Group. Others include MACRA,
which will revamp how physicians are paid by Medicare, and the
implementation of ICD-10, which raised the number of disease classification
codes from 14,000 to 68,000.

The survey also found that a meager 37 percent of physicians describe their
feelings about the future of the medical profession as positive; physicians
spend 21 percent of their time on non-clinical paperwork; and 43 percent
have their compensation tied to quality or value. Seventy-two percent
indicated that external factors, such as third-party authorizations,
significantly distracted from the quality of care they're able to provide.

According to the group, the concern from the public's perspective is that
physicians, due to poor morale or related reasons, will choose to practice
medicine in ways that reduce patient access to services, whether it be by
retiring, pursuing non-clinical roles or otherwise altering their practice
styles.

The survey also indicates that the majority of physicians don't have their
compensation directly tied to quality metrics, or are unaware if they do,
and most are unfamiliar with MACRA. Most don't believe accountable care
organizations will achieve quality enhancement and cost reduction, and most
said electronic health records detract from efficiency and patient
interaction.

Jeff Wells
Deputy Editor, CAL/AAEM News Service

Brian Potts MD, MBA
Managing Editor, CAL/AAEM News Service

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