Exploring relationships between physician stress, burnout, and diagnostic elements in clinician notes.
diagnosis
physician stress
work conditions
Journal
Diagnosis (Berlin, Germany)
ISSN: 2194-802X
Titre abrégé: Diagnosis (Berl)
Pays: Germany
ID NLM: 101654734
Informations de publication
Date de publication:
01 08 2023
01 08 2023
Historique:
received:
24
10
2022
accepted:
13
02
2023
medline:
15
8
2023
pubmed:
7
3
2023
entrez:
6
3
2023
Statut:
epublish
Résumé
To understand the relationship between stressful work environments and patient care by assessing work conditions, burnout, and elements of the diagnostic process. Notes and transcripts of audiotaped encounters were assessed for verbal and written documentation related to psychosocial data, differential diagnosis, acknowledgement of uncertainty, and other diagnosis-relevant contextual elements using 5-point Likert scales in seven primary care physicians (PCPs) and 28 patients in urgent care settings. Encounter time spent vs time needed (time pressure) was collected from time stamps and clinician surveys. Study physicians completed surveys on stress, burnout, and work conditions using the Mini-Z survey. Physicians with high stress or burnout were less likely to record psychosocial information in transcripts and notes (psychosocial information noted in 0% of encounters in 4 high stress/burned-out physicians), whereas low stress physicians (n=3) recorded psychosocial information consistently in 67% of encounters. Burned-out physicians discussed a differential diagnosis in only 31% of encounters (low counts concentrated in two physicians) vs. in 73% of non-burned-out doctors' encounters. Burned-out and non-burned-out doctors spent comparable amounts of time with patients (about 25 min). Key diagnostic elements were seen less often in encounter transcripts and notes in burned-out urgent care physicians.
Identifiants
pubmed: 36877149
pii: dx-2022-0118
doi: 10.1515/dx-2022-0118
doi:
Types de publication
Journal Article
Research Support, Non-U.S. Gov't
Langues
eng
Sous-ensembles de citation
IM
Pagination
309-312Informations de copyright
© 2023 Walter de Gruyter GmbH, Berlin/Boston.
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