In a commentary in The American Journal of Medicine, Drs. Andrew G. Alexander and Kenneth A. Ballou isolated 3 factors for physician burnout:
1. The traditional doctor-patient relationship has been dwarfed by the relationship between health insurance providers and patients, with companies standing in the way of fast and appropriate treatments ordered by physicians.
3. Doctors are feeling more cynical as a whole, because patients don’t expect continuity of care anymore and routinely change doctors.
3. General lack of enthusiasm for their work.
5 transformational medical practice events contributed to the spike in physician burnout:
1. hospital purchases of medical groups
2. rising drug prices
3. the Affordable Care Act
4. 'pay for performance’ in which providers are offered financial incentives to improve quality and efficiency
5. mandated electronic health records
References:
https://www.studyfinds.org/doctors-overworked-robots-physician-burnout-jumps-dramatically/
https://www.amjmed.com/article/S0002-9343(18)30286-9/fulltext
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