Journal of general internal medicine
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Comparative Study
Single item measures of emotional exhaustion and depersonalization are useful for assessing burnout in medical professionals.
Burnout has negative effects on work performance and patient care. The current standard for burnout assessment is the Maslach Burnout Inventory (MBI), a well-validated instrument consisting of 22 items answered on a 7-point Likert scale. However, the length of the MBI can limit its utility in physician surveys. ⋯ Single item measures of emotional exhaustion and depersonalization provide meaningful information on burnout in medical professionals.
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Comparative Study
The effect of performance-based financial incentives on improving patient care experiences: a statewide evaluation.
Patient experience measures are central to many pay-for-performance (P4P) programs nationally, but the effect of performance-based financial incentives on improving patient care experiences has not been assessed. ⋯ In the context of statewide measurement, reporting, and performance-based financial incentives, patient care experiences significantly improved. In order to promote patient-centered care in pay for performance and public reporting programs, the mechanisms by which program features influence performance improvement should be clarified.
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Multicenter Study Comparative Study
How do physicians conduct medication reviews?
Medication reviews are recommended annually for older patients. A medication review is a discussion of a patient's complete set of medications, but the actual content of a review is not well specified. The medical literature suggests that it is an exhaustive evaluation, but what physicians actually ask about their patients' medication regimens has been little studied. ⋯ Comprehensive discussions about chronic medications are uncommon in routine practice. Practical conceptualization of what constitutes a physician-conducted medication review is needed.
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Multicenter Study Comparative Study
The culture of academic medicine: faculty perceptions of the lack of alignment between individual and institutional values.
Energized, talented faculty are essential to achieving the missions of academic medical centers (AMCs) in education, research and health care. The alignment of individuals' values with workplace experiences are linked to meaningfulness of work and productivity. ⋯ In this study of five diverse medical schools, faculty values were well aligned with stated institutional missions; however, many perceived that institutional behaviors were not always aligned with individual faculty values.