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- People (1)
- News (117)
- Research (352)
- Events (4)
- Multimedia (8)
- Faculty Publications (232)
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- Article
The Business Case for Investing in Physician Well-Being
By: Tait D. Shanafelt, Joel Goh and Christine A. Sinsky
Importance: Widespread burnout among physicians has been recognized for more than two decades. Extensive evidence indicates that physician burnout has important personal and professional consequences.
Observations: A lack of awareness regarding... View Details
Observations: A lack of awareness regarding... View Details
Keywords:
Physicians;
Well-being;
ROI;
Health;
Welfare or Wellbeing;
Ethics;
Investment Return;
Health Industry
Shanafelt, Tait D., Joel Goh, and Christine A. Sinsky. "The Business Case for Investing in Physician Well-Being." JAMA Internal Medicine 177, no. 12 (December 2017): 1826–1832. (doi:10.1001/jamainternmed.2017.4340.)
- 2010
- Article
Estimating the Attributable Cost of Physician Burnout in the United States
By: Shasha Han, Tait D. Shanafelt, Christine A. Sinsky, Karim M. Awad, Liselotte N. Dyrbye, Lynne C. Fiscus, Mickey Trockel and Joel Goh
Background: Although physician burnout is associated with negative clinical and organizational outcomes, its economic costs are poorly understood. As a result, leaders in health care cannot properly assess the financial benefits of initiatives to remediate...
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Keywords:
Physicians;
Burnout;
Health;
Health Care and Treatment;
Employees;
Cost;
Programs;
Policy;
Health Industry
Han, Shasha, Tait D. Shanafelt, Christine A. Sinsky, Karim M. Awad, Liselotte N. Dyrbye, Lynne C. Fiscus, Mickey Trockel, and Joel Goh. "Estimating the Attributable Cost of Physician Burnout in the United States." Annals of Internal Medicine 170, no. 11 (June 4, 2019): 784–790.
- August 2020
- Article
Do Physician Incentives Increase Patient Medication Adherence?
By: Edward Kong, John Beshears, David Laibson, Brigitte Madrian, Kevin Volpp, George Loewenstein, Jonathan Kolstad and James J. Choi
We conducted a randomized experiment (911 primary care practices and 8,935 nonadherent patients) to test the effect of paying physicians for increasing patient medication adherence in three drug classes: diabetes medication, antihypertensives, and statins. We measured...
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Keywords:
Health Economics;
Medication Adherence;
Physician Payment Incentives;
Primary Care;
Quality Improvement;
Health Care and Treatment;
Motivation and Incentives;
Behavior
Kong, Edward, John Beshears, David Laibson, Brigitte Madrian, Kevin Volpp, George Loewenstein, Jonathan Kolstad, and James J. Choi. "Do Physician Incentives Increase Patient Medication Adherence?" Health Services Research 55, no. 4 (August 2020): 503–511.
- February 1999 (Revised March 2000)
- Background Note
Changing Physician Behavior
By: Richard M.J. Bohmer
A review of strategies to change physician behavior including feedback, profiling, consensus-based guidelines, care paths, and computer systems. Discusses the strengths and weaknesses of each observation.
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Bohmer, Richard M.J. "Changing Physician Behavior." Harvard Business School Background Note 699-124, February 1999. (Revised March 2000.)
- February 2012 (Revised May 2012)
- Case
Boston Physicians Devices
By: Marc Bertoneche
Bertoneche, Marc. "Boston Physicians Devices." Harvard Business School Case 212-070, February 2012. (Revised May 2012.)
- 25 Sep 2019
- Research & Ideas
The Economic Cost of Physician Burnout
Physician burnout costs the United States health care industry $4.6 billion a year, a number that brings a new spotlight to an age-old problem. In a paper published in the journal Annals of Internal Medicine this past June, a research...
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- December 2002 (Revised February 2003)
- Case
Mount Auburn Hospital: Physician Order Entry
Mount Auburn Hospital is preparing to introduce a physician order entry (POE) system throughout the hospital, starting with the labor and delivery ward. POE systems replace paper-based and oral medication ordering processes with an information system; the physician...
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Keywords:
Change Management;
Service Delivery;
Information Technology;
Health Care and Treatment;
Innovation and Invention;
Health Industry
McAfee, Andrew P., Sarah MacGregor, and Michael Benari. "Mount Auburn Hospital: Physician Order Entry." Harvard Business School Case 603-060, December 2002. (Revised February 2003.)
- November 2011
- Case
Lowell General Physician Hospital Organization
By: Richard M.J. Bohmer and Natalie Kindred
This case focuses on the Alternative Quality Contract (AQC), a novel payment program designed to incentivize providers to deliver less costly, high quality health care. Under the AQC, offered by Blue Cross Blue Shield of Massachusetts, providers received a fixed-dollar...
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Keywords:
Cost Management;
Service Delivery;
Health Care and Treatment;
Health Industry;
Massachusetts
Bohmer, Richard M.J., and Natalie Kindred. "Lowell General Physician Hospital Organization." Harvard Business School Case 612-016, November 2011.
- February 1999 (Revised October 1999)
- Background Note
Note on Physician Compensation and Financial Incentives
By: Richard M.J. Bohmer and Melanie M Harshbarger
A review of the use and effectiveness of financial incentives in changing physician behavior.
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Keywords:
Change;
Finance;
Compensation and Benefits;
Performance Effectiveness;
Behavior;
Motivation and Incentives
Bohmer, Richard M.J., and Melanie M Harshbarger. "Note on Physician Compensation and Financial Incentives." Harvard Business School Background Note 699-151, February 1999. (Revised October 1999.)
- September–October 1973
- Article
Determinants of Physician Office Location
By: Robert S. Kaplan and Sam Leinhardt
Kaplan, Robert S., and Sam Leinhardt. "Determinants of Physician Office Location." Medical Care 11 (September–October 1973): 406–415.
- September 2005 (Revised October 2005)
- Supplement
Performance Pay for MGOA Physicians (B)
Beaulieu, Nancy D., Jason R. Barro, and Aaron M.G. Zimmerman. "Performance Pay for MGOA Physicians (B)." Harvard Business School Supplement 906-005, September 2005. (Revised October 2005.)
- Research Summary
Physician vs. Patient Incentives in Prescription Drug Choice
The market for medical care involves interactions among patients, providers, and the insurers who pay for the care of their enrollees. The division of responsibilities creates scope for agency costs and moral hazard in the physician's treatment choice....
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- December 1994 (Revised December 1994)
- Case
Physician Sales and Service, Inc. (A): June 1992
A medical products distribution company faces strategic opportunities and challenges in a rapidly changing market. Physician Sales and Service (PSS), founded by Patrick Kelly in 1983, operates in 20 states in the United States and intends to expand to 50 states by...
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Keywords:
Entrepreneurship;
Growth and Development Strategy;
Medical Devices and Supplies Industry;
Distribution Industry
Bhide, Amar, and Jay Dial. "Physician Sales and Service, Inc. (A): June 1992." Harvard Business School Case 395-066, December 1994. (Revised December 1994.)
- 2012
- Mimeo
Electronic Health Record Use, Delegation, and Physician Productivity
By: Julia Adler-Milstein and Robert S. Huckman
- September 2003 (Revised October 2005)
- Case
Performance Pay for MGOA Physicians (A)
Examines the transition of an orthopedic surgical group at a premier teaching and research hospital from a system in which the surgeons are compensated with flat salaries to a system where they are compensated based on profitability. Allows for an examination of...
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Keywords:
Value Creation;
Motivation and Incentives;
Nonprofit Organizations;
Health Care and Treatment;
Compensation and Benefits;
Health Industry
Barro, Jason R., Kevin J. Bozic, and Aaron Zimmerman. "Performance Pay for MGOA Physicians (A)." Harvard Business School Case 904-028, September 2003. (Revised October 2005.)
- December 1994
- Supplement
Physician Sales and Service, Inc. (B): March 1993
Supplements the (A) case.
View Details
Bhide, Amar. "Physician Sales and Service, Inc. (B): March 1993." Harvard Business School Supplement 395-077, December 1994.
- July–September 2023
- Article
A Systematic Review of Respect Between Acute Care Nurses and Physicians
By: Derrick P. Bransby, Anna T. Mayo, Matthew A. Cronin, Katie Park and Christina Yuan
Background: Interprofessional collaboration between nurses and physicians has become an essential part of patient care, which, when lacking, can lead to well-known challenges. One possible explanation for ineffective nurse–physician collaboration is a lack of...
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Keywords:
Relationships;
Status and Position;
Cooperation;
Attitudes;
Behavior;
Outcome or Result;
Health Industry
Bransby, Derrick P., Anna T. Mayo, Matthew A. Cronin, Katie Park, and Christina Yuan. "A Systematic Review of Respect Between Acute Care Nurses and Physicians." Health Care Management Review 48, no. 3 (July–September 2023): 237–248.
- 2014
- Other Unpublished Work
Nudging Physicians to Pursue Careers in Underserved Areas: A Case for Behavioral Economics
By: Joseph Lopez, Mona Singh, Nava Ashraf and Joel Weissman
Currently, more than 60 million Americans live in "Health Professional Shortage Areas." Unless policymakers can encourage more physicians to practice in medically under-resourced areas, an increased number of uninsured individuals newly able to obtain health insurance...
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- April 28, 2004
- Article
Physicians Report on Patient Encounters Involving Direct-To-Consumer Advertising
By: Joel S. Weissman, David Blumenthal, Alvin J. Silk, Michael Newman, Kinga Zapert, Robert Leitman and Sandra Feibelmann
Weissman, Joel S., David Blumenthal, Alvin J. Silk, Michael Newman, Kinga Zapert, Robert Leitman, and Sandra Feibelmann. "Physicians Report on Patient Encounters Involving Direct-To-Consumer Advertising." Health Affairs 10, no. 1377 (April 28, 2004): w4–219 – w4–233.
- 2021
- Working Paper
The Luck of the Draw: The Causal Effect of Physicians on Birth Outcomes
By: Arlen Guarin, Christian Posso, Estefania Saravia and Jorge Tamayo
Identifying the effect of physicians’ skills on health outcomes is a challenging task due to the nonrandom sorting between physicians and hospitals. We overcome this challenge by exploiting a Colombian government program that randomly assigned 2,126 physicians to 618...
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Keywords:
Physicians' Health Skills;
Health Birth Outcomes;
Birthing Outcomes;
Experimental Evidence;
Health Care and Treatment;
Competency and Skills;
Outcome or Result;
Health Industry;
Colombia
Guarin, Arlen, Christian Posso, Estefania Saravia, and Jorge Tamayo. "The Luck of the Draw: The Causal Effect of Physicians on Birth Outcomes." Harvard Business School Working Paper, No. 22-015, February 2021. (Revised November 2021.)