Veille documentaire MTPH

Médecine du travail du personnel hospitalier

An estimate of the cost of burnout on early retirement and reduction in clinical hours of practicing physicians in Canada

Auteur     Carolyn S. Dewa
Auteur     Philip Jacobs
Auteur     Nguyen Xuan Thanh
Auteur     Desmond Loong
Volume     14
Pages     254
Publication     BMC health services research
ISSN     1472-6963
Date     2014
Extra     PMID: 24927847
Abrév. de revue     BMC Health Serv Res
DOI     10.1186/1472-6963-14-254
Catalogue de bibl.     NCBI PubMed
Langue     eng
Résumé     BACKGROUND: Interest in the impact of burnout on physicians has been growing because of the possible burden this may have on health care systems. The objective of this study is to estimate the cost of burnout on early retirement and reduction in clinical hours of practicing physicians in Canada. METHODS: Using an economic model, the costs related to early retirement and reduction in clinical hours of physicians were compared for those who were experiencing burnout against a scenario in which they did not experience burnout. The January 2012 Canadian Medical Association Masterfile was used to determine the number of practicing physicians. Transition probabilities were estimated using 2007-2008 Canadian Physician Health Survey and 2007 National Physician Survey data. Adjustments were also applied to outcome estimates based on ratio of actual to planned retirement and reduction in clinical hours. RESULTS: The total cost of burnout for all physicians practicing in Canada is estimated to be $213.1 million ($185.2 million due to early retirement and $27.9 million due to reduced clinical hours). Family physicians accounted for 58.8% of the burnout costs, followed by surgeons for 24.6% and other specialists for 16.6%. CONCLUSION: The cost of burnout associated with early retirement and reduction in clinical hours is substantial and a significant proportion of practicing physicians experience symptoms of burnout. As health systems struggle with human resource shortages and expanding waiting times, this estimate sheds light on the extent to which the burden could be potentially decreased through prevention and promotion activities to address burnout among physicians.

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doi:10.1186/1472-6963-14-254

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