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Related Experiment Videos

What effect does increasing inpatient time have on outpatient-oriented internist satisfaction?

Sanjay Saint1, Judith K Zemencuk, Rodney A Hayward

  • 1Health Services Research and Development Field Program, Ann Arbor VA Center for Practice Management and Outcomes Research, Ann Arbor, MI, USA. saint@umich.edu

Journal of General Internal Medicine
|September 3, 2003
PubMed
Summary

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General internists spending more time in the hospital report lower job satisfaction and increased stress and burnout. Reducing hospital duties may improve career satisfaction for outpatient-focused physicians.

Area of Science:

  • Internal Medicine
  • Physician Well-being
  • Healthcare Management

Background:

  • Career satisfaction among general internists is a significant concern.
  • Many general internists manage patients in both inpatient and outpatient settings.

Purpose of the Study:

  • To investigate the impact of time spent in the hospital on the satisfaction, stress, and burnout of outpatient-oriented general internists.
  • To determine the relationship between inpatient clinical time and physician well-being.

Main Methods:

  • Analysis of data from the Physician Worklife Study, surveying 5,704 physicians.
  • Focus on 339 clinically active outpatient-oriented general internists.
  • Multivariate linear models to assess associations between inpatient time and satisfaction scales, controlling for confounders.

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Main Results:

  • Increased time in the hospital was significantly associated with decreased satisfaction in administration, specialty, autonomy, and personal time.
  • Higher inpatient time correlated with increased life stress.
  • A significant association was found between increased hospital time and burnout.

Conclusions:

  • A potential tension exists between inpatient and outpatient practice for general internists.
  • Reducing hospital duties may enhance career satisfaction for outpatient-focused physicians.
  • The hospitalist model may offer a strategy to mitigate stress and improve satisfaction.