Medicine in Motion: Addressing Physician Burnout Through Fitness, Philanthropy, and Interdisciplinary Community Building

2020 ◽  
pp. 155982762098378
Author(s):  
Michael W. Seward ◽  
Chase C. Marso ◽  
Derek R. Soled ◽  
Logan G. Briggs
Keyword(s):  
Health Care ◽  
Community Building ◽  
Wellness Programs ◽  
Perceived Support ◽  
Future Research ◽  
Physician Burnout ◽  
Health Crisis ◽  
Public Health Crisis ◽  
Workload Scheduling

Physician burnout is a public health crisis. Although recent studies underscore its prevalence, there are few rigorous studies examining its prevention, especially among medical students and residents. Prior interventions have centered on mindfulness techniques and flexible workload scheduling, yielding limited success. However, interventions that combine fitness with philanthropy and community building may be more effective. The purpose of this report is 2-fold: first, to provide a review of physician burnout and potential prevention mechanisms and, second, to present a case study of how Medicine in Motion (MiM) addresses these issues. MiM facilitates various athletic workouts, competitions, and other events for students and professionals in medicine, dentistry, nursing, and physical therapy to support wellness and charitable initiatives. This analysis identifies 4 barriers to physicians and those in the health care profession from participating in wellness activities: (1) insufficient awareness, (2) logistical challenges, (3) lack of purpose, and (4) absence of perceived support. To overcome these barriers, MiM provides a model toolkit for starting a grassroots movement against physician burnout that other health care institutions may emulate. Institutions should provide financial support for these wellness programs. Future research is needed to evaluate these combined exercise, philanthropic, and community building efforts.

scholarly journals Investigating Community Pharmacy Take Home Naloxone Dispensing during COVID-19: The Impact of One Public Health Crisis on Another

Pharmacy ◽  
2021 ◽  
Vol 9 (3) ◽  
pp. 129
Author(s):  
George Daskalakis ◽  
Ashley Cid ◽  
Kelly Grindrod ◽  
Michael A. Beazely
Keyword(s):  
Public Health ◽  
Community Pharmacy ◽  
Online Survey ◽  
Comfort Level ◽  
Future Research ◽  
Health Crisis ◽  
Public Health Crisis ◽  
Pharmacy Technicians ◽  
The Impact ◽  
Overdose Deaths

A recent report found that the number of opioid-related deaths in Ontario in the first 15 weeks of the COVID-19 pandemic was 38.2% higher than in the 15 weeks before the pandemic. Our study sought to determine if pharmacy professionals self-reported an increase or decrease in naloxone provision due to the pandemic and to identify adjustments made by pharmacy professionals to dispense naloxone during the pandemic. A total of 231 Ontario community pharmacy professionals completed an online survey. Pharmacy professionals’ barriers, facilitators, and comfort level with dispensing naloxone before and during the pandemic were identified. The sample consisted of mostly pharmacists (99.1%). Over half (51.1%) reported no change in naloxone dispensing, while 22.9% of respondents reported an increase and 24.7% a decrease. The most common adjustments made during the pandemic were training patients how to administer naloxone over video or phone, delivering naloxone kits, and pharmacy technicians offering naloxone at prescription intake. Over half (55%) of participants said the top barrier for dispensing was that patients did not request naloxone. Naloxone distribution through pharmacies could be further optimized to address the increased incidence of overdose deaths during the pandemic. Future research should investigate the reasons for changes in naloxone dispensing.

scholarly journals The Social Practices of Food Bank Volunteer Work

2021 ◽  
pp. 1-18
Author(s):  
Richard Philip Lee ◽  
Caroline Coulson ◽  
Kate Hackett
Keyword(s):  
Social Practice ◽  
Food Aid ◽  
Future Research ◽  
Food Bank ◽  
Health Crisis ◽  
Public Health Crisis ◽  
The Social ◽  
Practice Approach ◽  
The Uk ◽  
The Impact

The on-going rise in demand experienced by voluntary and community organisations (VCOs) providing emergency food aid has been described as a sign of a social and public health crisis in the UK (Loopstra, 2018; Lambie-Mumford, 2019), compounded since 2020 by the impact of (and responses to) Covid 19 (Power et al., 2020). In this article we adopted a social practice approach to understanding the work of food bank volunteering. We identify how ‘helping others’, ‘deploying coping strategies’ and ‘creating atmospheres’ are key specific (and connected) forms of shared social practice. Further, these practices are sometimes suffused by faith-based practice. The analysis offers insights into how such spaces of care and encounter (Williams et al., 2016; Cloke et al., 2017) function, considers the implications for these distinctive organisational forms (the growth of which has been subject to justified critique) and suggests avenues for future research.

scholarly journals A Report from the NIMBioS/DySoC Investigative Workshop on the Mathematics of Gun Violence

2020 ◽  
Author(s):  
Shelby Scott
Keyword(s):  
The United States ◽  
Gun Violence ◽  
Biological Synthesis ◽  
Future Research ◽  
Policy Recommendations ◽  
Public Concern ◽  
Health Crisis ◽  
University Of Tennessee ◽  
Public Health Crisis ◽  
The University

Gun violence is a central public concern in the United States, annually leading to the deaths of 36,000 individuals and the non-fatal injuries of 85,000 others. It has been called an epidemic and a public health crisis. In May of 2019, a diverse group of researchers participated in a workshop at the University of Tennessee, Knoxville. This workshop was sponsored by the Center for the Dynamics of Social Complexity (DySoC) and the National Institute for Mathematical and Biological Synthesis (NIMBioS). The objectives of this workshop were to review the existing approaches on the mathematics and modeling of gun violence, identify and prioritize areas in the field that require further research, develop cross-disciplinary collaborations to gain new perspectives, and suggest research and data collection that could assist evidence-based policy recommendations. The purpose of this report is to present some of the responses to the mentioned objectives and to suggest areas of future research .

The Personal and Professional Consequences of Physician Burnout: A Systematic Review of the Literature

2019 ◽  
Vol 77 (5) ◽  
pp. 371-386 ◽  
Author(s):  
Eric S. Williams ◽  
Cheryl Rathert ◽  
Sandra C. Buttigieg
Keyword(s):  
Systematic Review ◽  
Health Care ◽  
Well Being ◽  
Empirical Literature ◽  
Future Research ◽  
Conservation Of Resources ◽  
Physician Burnout ◽  
Health Physician ◽  
Reducing Costs ◽  
Dynamic Loss

The well-being of the health care workforce has emerged as both a major concern and as a component of the “quadruple aim” to enable the “triple aim” of improving patient experiences, reducing costs, and improving population health. Physician burnout is problematic given its effects on physicians, patients, health care organizations, and society. Using conservation of resources theory as a frame, we conducted a systematic review of the empirical literature on the relationship of physician burnout with physician personal and professional outcomes that includes 43 articles. Nine outcomes were organized into three categories illustrating burnout as a dynamic loss spiral rather than a static end-state. Findings show that emotional exhaustion had the greatest impact with the outcomes explored, while depersonalization and lack of professional accomplishment manifested fewer associations. The results suggest that burnout is a complex, dynamic phenomenon, which unfolds over time. Future research and implications of these results are discussed.

scholarly journals Bioethics and COVID-19

2021 ◽  
Vol 2 (4) ◽  
pp. 29-35
Author(s):  
Arianna Omaña-Covarrubias ◽  
Michelle Acosta Meneses ◽  
Adrián Moya- Escalera ◽  
Lydia López -Pontigo
Keyword(s):  
Public Health ◽  
Health Care ◽  
Health System ◽  
Life Sciences ◽  
Entire Population ◽  
Public Authorities ◽  
Health Crisis ◽  
Public Health Crisis ◽  
Hygiene Measures ◽  
The Face

The term bioethics can be defined as a discipline that studies the dimensions of morals, decisions, behaviour and policies of the life sciences and health care. Its objective is auxiliary, guiding on the implications of phenome, where infinite dilemmatic situations arise. The crisis that is currently facing the current pandemic is a public health crisis. The priority in the face of this crisis should be the health system and its professionals. To overcome this crisis, it is not only a matter of public authorities and powers. It is essential that the entire population implements the bioethics exercise, complying with the isolation and hygiene measures, whatever has been determined where they have been adopted.

scholarly journals Assessing the leanness of a supply chain using multi-grade fuzzy logic: a health-care case study

2019 ◽  
Vol 10 (1) ◽  
pp. 81-105 ◽  
Author(s):  
Abdulaziz Marzouq Almutairi ◽  
Konstantinos Salonitis ◽  
Ahmed Al-Ashaab
Keyword(s):  
Health Care ◽  
Fuzzy Logic ◽  
Supply Chain ◽  
Conceptual Model ◽  
Health Care Organization ◽  
Future Research ◽  
Care Organization ◽  
Content Type ◽  
Lean Principles

Purpose Numerous and diverse organizations have implemented lean principles and practices, which concentrate on improving the efficiency of business processes by reducing cost, waste, consumptions and effort. However, previous assessments have not focused on the leanness of the supply chain in a health-care setting. This paper aims to introduce a method for assessing the successful implementation of lean principles and tools in a supply chain. Furthermore, this paper validates the method in a health-care organization. Design/methodology/approach This paper starts with an extensive literature review on assessing leanness and using multi-grade fuzzy logic. Then, a conceptual model was developed to measure leanness. The conceptual model was validated by discussing the initial version with select academic experts, especially those who deal with leanness in health-care organizations. After responding to the experts’ valuable comments, the health-care organization that is the focus of this case study was chosen based on two criteria. The first criterion was the organization’s ability to participate in the study, and the second was the organization’s commitment to implementing lean principles. These criteria were important to ensure the organization had the necessary foundation for implementing change initiatives such as lean process improvements. Next, a multi-grade (multi-attributes) fuzzy logic was used for leanness measurement. A leanness index was calculated, and the results were validated using experts from the case study organization. Finally, the weaker areas of the organization’s processes were identified to point the way for further improvements. Findings The assessment indicated that the case study organization is not lean. The organization’s weaker attributes were identified, and improvements have been suggested. Research limitations/implications This study focused on a single health-care organization, which was selected from a limited pool of potential organizations, namely, organizations which are accredited by both the Saudi Central Board for Accreditation of Healthcare Institutions and the Joint Commission International. The scope of future research should be extended to multi-case studies to enhance the findings presented in this paper. This paper’s findings can be used to help decision-makers at health-care providers to implement lean thinking in supply chain processes. Practical implications This research may be interest to practicing supply chain managers, as it proposes what enablers, factors and attributes should be emphasized in lean implementation. The proposed model can work as an assessment tool to identify the gap between the present level of leanness and the desired leanness state so the health-care organization can identify what can be improved. This model enables decision-makers in hospital supply chain to take suitable actions for improving lean implementation level. Originality/value This study makes an original contribution to the body of research concerning lean principles; the study developed a conceptual model for leanness assessment that can be applied to the supply chain of health-care organizations. Indeed, the conceptual model is likely to be useful for assessing leanness outside of the health-care field, which suggests avenues for future research.

scholarly journals Using Telehealth to Provide Interventions for Children with ASD: a Systematic Review

2021 ◽  
Author(s):  
Yanicka L. de Nocker ◽  
Christina K. Toolan
Keyword(s):  
Systematic Review ◽  
Design Research ◽  
Autism Spectrum ◽  
Future Research ◽  
Equitable Access ◽  
Health Crisis ◽  
Face To Face ◽  
Group Design ◽  
Public Health Crisis ◽  
Empirically Supported

AbstractAs the need for accessible interventions for autism spectrum disorder (ASD) grows, empirically supported telehealth interventions become increasingly necessary. With the current COVID-19 public health crisis, in-person interventions have become largely infeasible; therefore, it is crucial that providers have information regarding the effectiveness of telehealth interventions. This systematic review evaluates and synthesizes existing group design research on telehealth ASD interventions. Sixteen articles were evaluated on implementer and child-level intervention outcomes as well as factors that promote equitable access to intervention. Findings suggest that telehealth programs are highly acceptable, comparable to face-to-face interventions, and can be an effective method of training implementers in interventions. Recommendations for future research and for maximizing equitable access to telehealth interventions are presented.

scholarly journals Public health crisis in the refugee community: little change in social determinants of health preserve health disparities

2021 ◽  
Author(s):  
I Feinberg ◽  
M H O’Connor ◽  
A Owen-Smith ◽  
S R Dube
Keyword(s):  
Social Determinants Of Health ◽  
Social Determinants ◽  
Limited English Proficiency ◽  
Determinants Of Health ◽  
Health Crisis ◽  
Health And Wellbeing ◽  
Public Health Crisis ◽  
Refugee Community ◽  
Structural Inequities

Abstract Structural inequities and lack of resources put vulnerable refugee communities at great risk. Refugees flee their country of origin to escape persecution and flee from war, famine and torture. Resettled refugee communities become particularly vulnerable during times of crisis due to limited English proficiency and poor social determinants of health (SDOH), which create barriers to attaining and sustaining health and wellbeing for themselves and their families. The purpose of this case study was to evaluate SDOH among a refugee community in the Southeastern United States. We surveyed the community twice during a 1-year period to assess various elements of SDOH. Among a primarily African and Southeast Asian refugee community, 76% reported difficulty paying for food, housing and healthcare during the first round of surveys. During the second round of surveys at the beginning of the Coronavirus pandemic, 70% reported lost income; 58% indicated concern about paying bills. There was little change during the 12-month study period, showing that SDOH are an enduring measure of poor health and wellbeing for this vulnerable refugee community.

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