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Acad Med. 2017 Feb;92(2):237-243. doi: 10.1097/ACM.0000000000001461.

The Impact of Administrative Burden on Academic Physicians: Results of a Hospital-Wide Physician Survey.

Author information

1
S.K. Rao is associate medical director for quality improvement, Massachusetts General Physicians Organization, a practicing general internist, and instructor in medicine, Harvard Medical School, Boston, Massachusetts.A.B. Kimball is president and chief executive officer, Harvard Medical Faculty Physicians, a practicing dermatologist, and professor of dermatology, Harvard Medical School, Boston, Massachusetts.S.R. Lehrhoff is director of physician programs, Strategic Communications and Physician Programs Department, Massachusetts General Physicians Organization, Boston, Massachusetts.M.K. Hidrue is senior economist, Performance Analytics and Improvement Department, Massachusetts General Physicians Organization, Boston, Massachusetts.D.G. Colton is chief of staff for the Partners Healthcare president and chief executive officer, Boston, Massachusetts.T.G. Ferris is senior vice president for population health, Massachusetts General Physicians Organization and Partners Healthcare, a practicing internist, and associate professor of medicine, Harvard Medical School, Boston, Massachusetts.D.F. Torchiana is president and chief executive officer, Partners Healthcare, and associate professor of surgery, Harvard Medical School, Boston, Massachusetts.

Abstract

PURPOSE:

To determine the characteristics of clinically active academic physicians most affected by administrative burden; the correlation between administrative burden, burnout, and career satisfaction among academic physicians; and the relative value and burden of specific administrative tasks.

METHOD:

The authors analyzed data from the 2014 Massachusetts General Physicians Organization Survey. Respondents reported the percentage of time they spent on patient-related administrative duties and rated the value and burden associated with specific administrative tasks. A five-point Likert scale and multivariate regression identified predictors of administrative burden and assessed the impact of administrative burden on perceived quality of care, career satisfaction, and burnout.

RESULTS:

Of the eligible workforce, 1,774 physicians (96%) responded to the survey. On average, 24% of working hours were spent on administrative duties. Primary care physicians and women reported spending more time on administrative duties compared with other physicians. Two-thirds of respondents reported that administrative duties negatively affect their ability to deliver high-quality care. Physicians who reported higher percentages of time spent on administrative duties had lower levels of career satisfaction, higher levels of burnout, and were more likely to be considering seeing fewer patients in the future. Prior authorizations, clinical documentation, and medication reconciliation were rated the most burdensome tasks.

CONCLUSIONS:

Administrative duties required substantial physician time and affected physicians' perceptions of being able to deliver high-quality care, career satisfaction, burnout, and likelihood to continue clinical practice. There is variation in administrative burden across specialties, and multiple areas of work contribute to overall administrative workload.

PMID:
28121687
DOI:
10.1097/ACM.0000000000001461
[Indexed for MEDLINE]

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