为什么医生离开他们的实践? 在多专业门诊实践网络中对磨损的定性研究
Ryan O'Connell1, Fatima Hosain1, Leah Colucci1
1From the Yale University, New Haven, Connecticut (RO); Department of Emergency Medicine, Yale University School of Medicine, New Haven, Connecticut (FH, LC, BN, ERM); Department of Biostatistics (Health Informatics), Yale School of Public Health, New Haven, Connecticut (ERM).
医生离开是昂贵的,由医疗保健系统问题,实践文化和电子健康记录压力等个人因素驱动. 解决工作流程,人员配置和支付模式可以提高医生保留率.
科学领域:
- 医疗实践管理管理 医疗实践管理
- 医生劳动力研究研究医生劳动力研究
- 医疗保健提供系统
背景情况:
- 由于招聘费用和生产力损失,医生周转会会产生相当大的成本,估计每次离职费用为100万美元.
- 了解医生离职的驱动因素对于制定有效的留住策略至关重要.
- 与电子健康记录 (EHR) 相关的压力是医生离职调查的一个关键因素.
研究的目的:
- 描述医生离开门诊实践的主要驱动因素.
- 通过识别影响医生离开决定的关键因素,为保留工作提供信息.
- 专门研究与电子病历相关的压力和医生流动之间的联系.
主要方法:
- 一项定性研究采用半结构面试,对13名在2018年至2021年期间自愿离开职务的医生进行了调查.
- 采访时间为2021年10月至2022年4月.
- 参与者是来自东北地区大型,多专业的门诊实践网络的医生.
主要成果:
- 关键的出发驱动因素包括医疗保健提供景观特征,领导力/实践文化和个人考虑.
- 确定的具体因素包括与电子健康记录相关的压力,薪酬模式,绩效指标,领导力支持,人员配置,倦怠和工作与生活平衡.
- 在13名参与者中,有6人 (46.2%) 离开了新职位,3人 (23.1%) 退休.
结论:
- 医疗实践可以通过优化工作流程和分配责任来减少医生流动.
- 确保在所有角色和学科中拥有足够的人员是保持医生的关键.
- 探索替代护理和支付模式可能有助于减轻导致医生离职的因素.
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