Journal of hospital medicine最新文献_第9页

The work environment and hospitalist work well-being and burnout. 工作环境与住院医生的工作幸福感和职业倦怠。

Journal of hospital medicine Pub Date : 2024-09-30 DOI: 10.1002/jhm.13506

Megan E Warner, Ali A Weinstein, Chalapathy Venkatesan, Leyla de Avila, Maansi Taori, Zobair M Younossi

{"title":"The work environment and hospitalist work well-being and burnout.","authors":"Megan E Warner, Ali A Weinstein, Chalapathy Venkatesan, Leyla de Avila, Maansi Taori, Zobair M Younossi","doi":"10.1002/jhm.13506","DOIUrl":"https://doi.org/10.1002/jhm.13506","url":null,"abstract":"Background: Hospital medicine is the largest growing specialty in the United States. It is important to understand factors that are related to burnout and work well-being (WWB), both predictors of workforce retention.Objective: To examine the relationship between work environment factors and hospitalist burnout and WWB.Methods: An online cross-sectional survey was completed by hospitalists in July-October 2020. Burnout was assessed using the Mini-Z burnout scale and the Abbreviated Maslach Burnout Inventory. WWB was assessed using the Work Well-Being Scale. Work structure variables included hours worked per week, frustration at work, safety level of clinical workload, lack of control over schedule, lack of control over daily work, continuity of patient care, and ability to optimize license. The current desire to practice medicine was also examined.Results: Eight-eight hospitalists participated. There were statistically significant differences between levels of safety of workload (F(2,85) = 9.70, p = <.005), frustration at work (F(2,85) = 12.29, p = <.005), control over schedule (F(2,85) = 3.17, p = .04), control over daily work (F(2,85) = 6.17, p = .003), and desire to practice medicine (F(2,85) = 42.34, p = <.005) with WWB. There were statistically significant associations between the presence of burnout and the safety of workload (χ2 = 8.167, p = .017), frustration at work (χ2 = 15.29, p = .005), control over daily work (χ2 = 12.48, p = .002), and desire to practice medicine (χ2 = 7.12, p = .03). WWB was positively associated with years as a hospitalist (r = .249, p = .02)).Conclusion: Work environment factors are associated with WWB and burnout. Modifiable work environment factors may offer a point of intervention for reducing burnout and enhancing WWB among hospitalists.","PeriodicalId":94084,"journal":{"name":"Journal of hospital medicine","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142335287","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

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Fostering apprenticeship in hospital medicine education: Establishing a taxonomy for direct care hospitalist teaching services. 在医院医学教育中培养学徒制：为住院医生直接护理教学服务建立分类标准。

Journal of hospital medicine Pub Date : 2024-09-30 DOI: 10.1002/jhm.13514

Anna G Symmes, Amulya Nagarur, Shannon K Martin

引用次数: 0

The art of sponsorship: Priming talent for success in academic medicine. 赞助的艺术：为学术医学界的成功培养人才。

Journal of hospital medicine Pub Date : 2024-09-30 DOI: 10.1002/jhm.13517

Samir S Shah, Nancy D Spector

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A new ballgame: Sabercaremetrics and the future of clinical performance measurement. 一场新的球赛：Sabercaremetrics 和临床绩效衡量的未来。

Journal of hospital medicine Pub Date : 2024-09-29 DOI: 10.1002/jhm.13518

Xinran Liu, Andrew D Auerbach

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A case study on language barriers, health literacy, and family interpretation: What is ethical communication? 关于语言障碍、健康知识普及和家庭翻译的案例研究：什么是道德交流？

Journal of hospital medicine Pub Date : 2024-09-26 DOI: 10.1002/jhm.13512

Lindsay R Beaman, Amelia K Barwise

引用次数: 0

Quality of care in Veterans Health Administration hospitals: Helping veterans decide "Should I stay, or should I go?" 退伍军人健康管理局医院的医疗质量：帮助退伍军人决定 "我应该留下，还是离开？

Journal of hospital medicine Pub Date : 2024-09-05 DOI: 10.1002/jhm.13503

Donna Coetzee, Charlie M Wray

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The growing cost of adult care in pediatric hospitals. 儿科医院的成人护理费用不断增加。

Journal of hospital medicine Pub Date : 2024-09-03 DOI: 10.1002/jhm.13500

Rachel J Peterson, Jessica L Markham

引用次数: 0

Write more, worry less: A guide to enhancing your academic productivity. 多写作，少烦恼：提高学习效率指南》。

Journal of hospital medicine Pub Date : 2024-09-02 DOI: 10.1002/jhm.13502

Samir S Shah

引用次数: 0

Artificial intelligence in hospital medicine. 人工智能在医院医疗中的应用。

Journal of hospital medicine Pub Date : 2024-09-01 DOI: 10.1002/jhm.13498

Zahir Kanjee, Charlie M Wray, Andrew P J Olson, Samir S Shah

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Disparities in postdischarge follow-up and risk of readmission between Medicaid and privately insured patients. 医疗补助和私人保险患者在出院后随访和再入院风险方面的差异。

Journal of hospital medicine Pub Date : 2024-08-20 DOI: 10.1002/jhm.13486

Elizabeth Boggs, Gregory Misky, Sharon Scarbro, Mark Gritz, Renuka Tipirneni, Richard Lindrooth

{"title":"Disparities in postdischarge follow-up and risk of readmission between Medicaid and privately insured patients.","authors":"Elizabeth Boggs, Gregory Misky, Sharon Scarbro, Mark Gritz, Renuka Tipirneni, Richard Lindrooth","doi":"10.1002/jhm.13486","DOIUrl":"https://doi.org/10.1002/jhm.13486","url":null,"abstract":"Background: Studies have identified higher risk of readmission for patients with Medicaid compared to those with private insurance. Postdischarge follow-up is utilized as an intervention to reduce readmissions in the Medicare population, but it is unclear whether follow-up reduces risk of readmission for patients with Medicaid.Objective: To assess whether follow-up within 30 days of discharge reduces risk of readmission and mitigates readmission disparities based upon insurance status.Methods: This retrospective cohort study used Cox proportional hazard and competing risk models to estimate associations between sociodemographic and clinical characteristics, follow-up, and readmission. We analyzed data from 4281 patients aged 21-64 years with Medicaid or private insurance who were hospitalized from January 2017 to December 2019 for one of five conditions associated with high risk of readmission. Outpatient follow-up within 30 days of discharge and 30-day all-cause readmission were outcomes.Results: Overall risk of readmission was similar for Medicaid and privately insured patients in this cohort (13.7% and 14.5%, respectively). Patients with Medicaid were 23% points less likely to complete outpatient follow-up within 30 days compared to patients with private insurance (p < .001). However, outpatient follow-up before readmission within 30 days of discharge was not associated with a significant difference in readmission rate (hazard ratio: 1.10, 95% confidence interval: 0.91-1.32) in the overall sample or in analysis stratified by payer.Conclusions: We found similar rates of readmission for Medicaid and privately insured patients despite significant disparities in postdischarge follow-up. Timely follow-up care alone may not be sufficient as an intervention to reduce readmissions.","PeriodicalId":94084,"journal":{"name":"Journal of hospital medicine","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-08-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142010138","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

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