Estimating the costs of physician turnover in hospital medicine.

ABSTRACT:

Background and objective

Costs of physician turnover are lacking for specialties organized around a site of care. We sought to estimate the cost of physician turnover in adult hospital medicine (HM).

Design, setting, participants

A retrospective cohort study within a large integrated health system between July 2017 and June 2020. To understand likely variation across the country, we also simulated costs using national wage data and a range of assumptions.

Main outcome and measures

Direct costs of turnover borne by our department and institution and indirect costs from reduced hospital billing. In our simulation, we measured costs per hired hospitalist.

Results

Between July 2017 and June 2020, 34 hospitalists left the practice, 97 hospitalists were hired, and a

SUBMITTER: Pappas MA 

PROVIDER: S-EPMC9547978 | biostudies-literature | 2022 Oct

REPOSITORIES: biostudies-literature