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Burnout, Lack of Fulfillment Linked to Physician Intention to Leave
WEDNESDAY, Dec. 20, 2023 (HealthDay News) -- Burnout, lack of professional fulfillment, and other well-being-linked factors are associated with intention to leave (ITL) among physicians, according to a study published online Dec. 15 in JAMA Network Open.
Jennifer A. Ligibel, M.D., from the Dana-Farber Cancer Institute in Boston, and colleagues describe the prevalence of burnout, professional fulfillment, and ITL among physicians at academic-affiliated health care systems. Data were included from 18,719 academic physicians who responded to a survey.
The researchers found that 37.9 percent of the respondents met the criteria for burnout, 39.3 percent met the criteria for professional fulfillment, and 32.6 percent reported moderate or greater ITL, with variation across specialties. Each 1-point increase in burnout was associated with ITL after adjustment for demographics (odds ratio, 1.52), while there was an inverse association for each 1-point increase in professional fulfillment with ITL (odds ratio, 0.64). Inverse associations with ITL were seen for each 1-point increase in supportive leadership behaviors, peer support, personal-organizational values alignment, perceived gratitude, COVID-19 organizational support, and electronic health record helpfulness after adjustment for demographics, burnout, and professional fulfillment. Direct associations with ITL were seen for each 1-point increase in depression and negative impact of work on personal relationships.
"These results underscore the importance of the connections between academic physicians and both institutional leadership and mission, as well as point to the need for developing initiatives with a comprehensive approach that considers burnout, professional fulfillment, and other organizational and individual-level well-being factors to help prevent physician turnover," the authors write.
One author disclosed ties to Marvin Behavioral Health Inc.
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Inflammation, Poverty Have Synergistic Effect on Mortality
WEDNESDAY, Jan. 17, 2024 (HealthDay News) -- There is a potential synergistic effect for inflammation and living in poverty with increased mortality risk for adults, according to a study published online Jan. 16 in Frontiers in Medicine.
Arch G. Mainous III, Ph.D., from the University of Florida in Gainesville, and colleagues examined whether there is a synergistic effect of the presence of inflammation and poverty on the 15-year risk for all-cause, heart disease, and cancer mortality among U.S. adults. The authors evaluated data from the National Health and Nutrition Examination Survey (1999 to 2002) with linked records to the National Death Index through Dec. 31, 2019. The 15-year mortality risk was assessed among adults aged 40 years and older.
The researchers found that the risk for 15-year adjusted, all-cause mortality was increased for individuals with elevated C-reactive protein (CRP) at 1.0 mg/dL and poverty compared with those with low CRP and above poverty (hazard ratio, 2.45). The mortality risk was essentially the same for those with one at-risk characteristic (hazard ratios, 1.58 and 1.59 for low inflammation/poverty and inflammation/above poverty, respectively); these risks were substantially lower than those seen for adults with both inflammation and poverty. The 15-year heart disease mortality risk was elevated by 127 percent and 15-year cancer mortality was elevated by 196 percent for individuals with both elevated inflammation and living in poverty.
"Inflammation and poverty are well known risk factors for mortality, but when both exist simultaneously and CRP is >1.0 mg/dL, they have the potential to increase mortality more than one would expect from an additive effect," the authors write. "This is particularly concerning in socially disadvantaged patients who are already a medically vulnerable population."
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