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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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$250B of U.S. Health Costs Could Be Tied to Exposure to Chemicals in Plastics
TUESDAY, Jan. 16, 2024 (HealthDay News) -- Plastics exposure contributes substantially to disease costs in the United States, according to a study published online Jan. 11 in the Journal of the Endocrine Society.
Leonardo Trasande, M.D., from the NYU Grossman School of Medicine in New York City, and colleagues calculated the attributable disease burden and cost due to chemicals used in plastic materials in 2018.
The researchers identified plastic-related fractions of 97.5 percent for bisphenol A, 98 percent for di-2-ethylhexylphthalate, 100 percent for butyl phthalates and benzyl phthalates, 98 percent for polybrominated diphenylether (PBDE)-47, and 93 percent for perfluoroalkyl substances (PFAS). In a sensitivity analysis, the total estimate of plastic-attributable disease burden in 2018 ranged from $226 billion to $289 billion, with the majority of these costs arising from PBDE exposure. Additionally, an estimated $66.7 billion was due to phthalate exposure and $22.4 billion was due to PFAS exposure.
"Plastics contribute substantially to disease and associated social costs in the United States, accounting for 1.22 percent of the gross domestic product. The costs of plastic pollution will continue to accumulate as long as exposures continue at current levels," the authors write. "Actions through the Global Plastics Treaty and other policy initiatives will reduce these costs in proportion to the actual reductions in chemical exposures achieved."
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