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Health Services Research & Development

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  • Research Involvement Associated with Increased Satisfaction and Decreased Intent to Leave among VA Physicians
    This study examined the influence of time spent on academic activities and perceived quality of care in relation to job attitudes among inpatient medicine physicians from 36 VA medical centers. Findings showed that physicians’ ratings of perceived quality of care and adequacy of physician staffing were the strongest predictors of overall job satisfaction and intent to leave. Adequacy of physician staffing was the strongest predictor of burnout. Among the job tasks that physicians spent their time on, research (involvement reported by 46% of respondents) was significantly associated with increased job satisfaction and decreased intent to leave. Research time showed a non-significant negative relation with burnout. Teaching involvement was reported by 72% of the respondents, and time spent in this activity showed a similar pattern with job attitudes as described above, but was not significant. Physicians’ perception of having sufficient registered nurse staffing also did not affect physicians’ attitudes about their job. Expanding opportunities for physician involvement with research may lead to more positive work experiences, which could potentially reduce turnover and improve system performance.
    Date: April 5, 2018
  • Intervention to Lessen Low-Value Electronic Health Record Notifications Reduces Workload for Primary Care Physicians
    This study evaluated the impact of a national multi-component quality improvement program to reduce low-value electronic health record notifications. Findings showed that the program potentially saved 1.5 hours per week per primary care physician to enable higher-value work (based on prior estimates of 85 seconds to process each notification). The mean number of daily notifications per PCP decreased significantly from 128 to 116, however, the number of daily notifications remained high, suggesting the need for additional multifaceted interventions and protected clinical time to help manage them. Program impact appeared to be achieved by reducing certain types versus just the sheer number of mandatory notifications, underscoring the complexity of addressing notification burden.
    Date: March 5, 2018

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