The DOI matches its Crossref record; 39 of the 39 references it cites were found in a registry or an index.
Estimating the Attributable Cost of Physician Burnout in the United States
Abstract
Background: Although physician burnout is associated with negative clinical and organizational outcomes, its economic costs are poorly understood. As a result, leaders in health care cannot properly assess the financial benefits of initiatives to remediate physician burnout. Objective: To estimate burnout-associated costs related to physician turnover and physicians reducing their clinical hours at national (U.S.) and organizational levels. Design: Cost-consequence analysis using a mathematical model. Setting: United States. Participants: Simulated population of U.S. physicians. Measurements: Model inputs were estimated by using the results of contemporary published research findings and industry reports. Results: On a national scale, the conservative base-case model estimates that approximately $4.6 billion in costs related to physician turnover and reduced clinical hours is attributable to burnout each year in the United States. This estimate ranged from $2.6 billion to $6.3 billion in multivariate probabilistic sensitivity analyses. At an organizational level, the annual economic cost associated with burnout related to turnover and reduced clinical hours is approximately $7600 per employed physician each year. Limitations: Possibility of nonresponse bias and incomplete control of confounders in source data. Some parameters were unavailable from data and had to be extrapolated. Conclusion: Together with previous evidence that burnout can effectively be reduced with moderate levels of investment, these findings suggest substantial economic value for policy and organizational expenditures for burnout reduction programs for physicians.
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2 retracted
Panagioti, M., Geraghty, K., Johnson, J., Zhou, A., Panagopoulou, E., Chew-Graham, C., Peters, D., Hodkinson, A., Riley, R., & Esmail, A. (2018) · JAMA Internal Medicine · doi:10.1001/jamainternmed.2018.3713 · Cited by 951
RetractedDyrbye, L. N., Burke, S. E., Hardeman, R. R., Herrin, J., Wittlin, N. M., Yeazel, M., Dovidio, J. F., Cunningham, B., White, R. O., Phelan, S. M., et al. (2018) · JAMA · doi:10.1001/jama.2018.12615 · Cited by 468
Self-citationRetractedMaslach, C., Schaufeli, W. B., & Leiter, M. P. (2001) · Annual Review of Psychology · doi:10.1146/annurev.psych.52.1.397 · Cited by 12,852 · cited 1×
“O burnout is a syndrome characterized by 3 key dimensions: emotional exhaustion, feelings of cynicism and detachment from work, and a sense of low personal accomplishment (1, 2).”
Shanafelt, T. D., Boone, S., Tan, L., Dyrbye, L. N., Sotile, W., Satele, D., West, C. P., Sloan, J., & Oreskovich, M. R. (2012) · Archives of Internal Medicine · doi:10.1001/archinternmed.2012.3199 · Cited by 3,439
Self-citationShanafelt, T. D., Hasan, O., Dyrbye, L. N., Sinsky, C., Satele, D., Sloan, J., & West, C. P. (2015) · Mayo Clinic Proceedings · doi:10.1016/j.mayocp.2015.08.023 · Cited by 2,885
Self-citationInterventions to prevent and reduce physician burnout: a systematic review and meta-analysis
West, C. P., Dyrbye, L. N., Erwin, P. J., & Shanafelt, T. D. (2016) · The Lancet · doi:10.1016/s0140-6736(16)31279-x · Cited by 2,362
Self-citationBurnout and self-reported patient care in an internal medicine residency program
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Self-citationBurnout and Medical Errors Among American Surgeons
Shanafelt, T. D., Balch, C. M., Bechamps, G., Russell, T., Dyrbye, L., Satele, D., Collicott, P., Novotny, P. J., Sloan, J., & Freischlag, J. (2010) · Annals of Surgery · doi:10.1097/sla.0b013e3181bfdab3 · Cited by 2,099
Self-citationHealthcare staff wellbeing, burnout, and patient safety: a systematic review
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Physician wellness: a missing quality indicator
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Research works printed but not linked: 5
- 10.1001/jamainternmed.2018.3713 · DOI · Paper page
- Friedberg MW, 2014, Rand Health Q, 3, 1
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Cited by
Burnout: A Review of Theory and Measurement
Edú-Valsania, S., Laguía, A., & Moriano, J. A. (2022) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph19031780 · Cited by 845
Hodkinson, A., Zhou, Johnson, J., Geraghty, K., Riley, R., Zhou, A., Panagopoulou, E., Chew-Graham, C. A., Peters, D., Esmail, A., et al. (2022) · BMJ · doi:10.1136/bmj-2022-070442 · Cited by 618
Relationship between nurse burnout, patient and organizational outcomes: Systematic review
Jun, J., Ojemeni, M. M., Kalamani, R., Tong, J., & Crecelius, M. L. (2021) · International Journal of Nursing Studies · doi:10.1016/j.ijnurstu.2021.103933 · Cited by 606
Shanafelt, T. D., West, C. P., Dyrbye, L. N., Trockel, M., Tutty, M., Wang, H., Carlasare, L. E., & Sinsky, C. (2022) · Mayo Clinic Proceedings · doi:10.1016/j.mayocp.2022.09.002 · Cited by 558
Self-citationShanafelt, T. D., West, C. P., Sinsky, C., Trockel, M., Tutty, M., Wang, H., Carlasare, L. E., & Dyrbye, L. N. (2022) · Mayo Clinic Proceedings · doi:10.1016/j.mayocp.2021.11.021 · Cited by 434
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Metadata
- Authors
- Han, S., Shanafelt, T. D., Sinsky, C. A., Awad, K. M., Dyrbye, L. N., Fiscus, L. C., Trockel, M., & Goh, J.
- Venue
- Annals of Internal Medicine
- Publisher
- American College of Physicians
- Published
- 2019-06-04
- Volume
- 170
- Issue
- 11
- Pages
- 784-790
- ISSN
- 0003-4819 (ISSN-L)
- 1539-3704
- OpenAlex
- W2947120611
- Cited by
- 928
- References
- 39
- FWCI
- 131.30
- Type
- journal article
- Language
- en
- Open access
- closed
- Licence
- www.acpjournals.org/journal/aim/text-and-data-mining (tdm)
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- Han, S., Shanafelt, T. D., Sinsky, C. A., Awad, K. M., Dyrbye, L. N., Fiscus, L. C., Trockel, M., & Goh, J. (2019). Estimating the Attributable Cost of Physician Burnout in the United States. Annals of Internal Medicine. https://doi.org/10.7326/m18-1422
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