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Healthcare at the Crossroads: The Need to Shape an Organizational Culture of Humanistic Teaching and Practice. J Gen Intern Med 2018 07;33(7):1092-1099

Date

05/10/2018

Pubmed ID

29740787

Pubmed Central ID

PMC6025655

DOI

10.1007/s11606-018-4470-2

Scopus ID

2-s2.0-85046621591   10 Citations

Abstract

BACKGROUND: Changes in the organization of medical practice have impeded humanistic practice and resulted in widespread physician burnout and dissatisfaction.

OBJECTIVE: To identify organizational factors that promote or inhibit humanistic practice of medicine by faculty physicians.

DESIGN: From January 1, 2015, through December 31, 2016, faculty from eight US medical schools were asked to write reflectively on two open-ended questions regarding institutional-level motivators and impediments to humanistic practice and teaching within their organizations.

PARTICIPANTS: Sixty eight of the 92 (74%) study participants who received the survey provided written responses. All subjects who were sent the survey had participated in a year-long small-group faculty development program to enhance humanistic practice and teaching. As humanistic leaders, subjects should have insights into motivating and inhibiting factors.

APPROACH: Participants' responses were analyzed using the constant comparative method.

KEY RESULTS: Motivators included an organizational culture that enhances humanism, which we judged to be the overarching theme. Related themes included leadership supportive of humanistic practice, responsibility to role model humanism, organized activities that promote humanism, and practice structures that facilitate humanism. Impediments included top down organizational culture that inhibits humanism, along with related themes of non-supportive leadership, time and bureaucratic pressures, and non-facilitative practice structures.

CONCLUSIONS: While healthcare has evolved rapidly, efforts to counteract the negative effects of changes in organizational and practice environments have largely focused on cultivating humanistic attributes in individuals. Our findings suggest that change at the organizational level is at least equally important. Physicians in our study described the characteristics of an organizational culture that supports and embraces humanism. We offer suggestions for organizational change that keep humanistic and compassionate patient care as its central focus.

Author List

Rider EA, Gilligan MC, Osterberg LG, Litzelman DK, Plews-Ogan M, Weil AB, Dunne DW, Hafler JP, May NB, Derse AR, Frankel RM, Branch WT Jr

Authors

Arthur R. Derse MD, JD Director, Professor in the Institute for Health and Equity department at Medical College of Wisconsin
MaryAnn C. Gilligan MD, MPH Professor in the Medicine department at Medical College of Wisconsin




MESH terms used to index this publication - Major topics in bold

Adult
Burnout, Professional
Delivery of Health Care
Faculty, Medical
Female
Humanism
Humans
Male
Middle Aged
Organizational Culture
Physicians
Surveys and Questionnaires
Teaching