Hauer Anne, Waukau H J, Welch Peter
Wisconsin Medical Society, Madison, Wisconsin,
Wisconsin Medical Society, Madison, Wisconsin.
WMJ. 2018 Dec;117(5):194-200.
Wisconsin physicians are experiencing burnout at levels that surpass national benchmarks. The Wisconsin Medical Society (Society), in conjunction with the American Medical Association (AMA), conducted a survey of 1,165 Wisconsin physicians to assess burnout and its contributing factors. The results indicate that primary causes of physician burnout include utilization and interactions with electronic health records (EHR), lack of a supportive practice environment, the loss of autonomy, and poor work/life balance. Addressing physician burnout in Wisconsin calls for significant efforts by all relevant stakeholders, including insurers, government entities, health care systems and their executive leadership, and physicians themselves, and will require improving physician interactions with the EHR, increasing the physician role in administrative decision-making, and maintaining the focus of health care on the patient. To lessen the impact of the key factors that lead to physician burnout, the Society plans to convene stakeholders to improve EHR functionality, develop and encourage physician leadership opportunities, create a Center for Physician Empowerment to unite stakeholders to lead systemic change through collective education and action, and pursue legislation to establish a Physician Health Program through the state government structure.
威斯康星州的医生职业倦怠程度超过了全国基准水平。威斯康星州医学协会（协会）与美国医学协会（AMA）联合对1165名威斯康星州医生进行了一项调查，以评估职业倦怠及其影响因素。结果表明，医生职业倦怠的主要原因包括电子健康记录（EHR）的使用和交互、缺乏支持性的执业环境、自主权的丧失以及工作与生活的失衡。解决威斯康星州医生的职业倦怠问题需要所有相关利益攸关方做出重大努力，包括保险公司、政府实体、医疗保健系统及其行政领导层以及医生自身，这将需要改善医生与电子健康记录的交互、增加医生在行政决策中的作用，并将医疗保健的重点保持在患者身上。为了减轻导致医生职业倦怠的关键因素的影响，该协会计划召集利益攸关方，以改善电子健康记录的功能，开发并鼓励医生发挥领导作用的机会，创建一个医生赋权中心，团结利益攸关方通过集体教育和行动引领系统性变革，并推动立法，通过州政府架构设立一个医生健康计划。
