Work Life Intervention


The results are in and here they are:

A study in the Journal of General Internal Medicine found no significant improvement in quality of care or error reduction between physicians at primary care clinics that used an intervention based on Healthy Work Place measures and those who did not.


So what happened?

  • “The researchers assessed data from the Healthy Work Place Study to evaluate work-life interventions and their effect on care quality and medical errors. This data included 34 clinics, 160 primary health care providers and 735 patients with diabetes or hypertension
  • The clinics were randomized to intervention or control arms. Clinics in the intervention arm received interventions designed based on data from Office and Work Life measures, and were aimed at “improving communication between providers, workflow redesign, and targeted chronic disease management programs.”

So, here is the conclusion:

“In summary, [the Healthy Work Place Study] has shown that work-life changes can lead to meaningful changes in clinician outcomes, but that these changes do not necessarily translate into improved patient care”.

I am not sure I know the answer here but what I think it is says is that you can try all the bogus fads to make doctors happy but it doesn’t help patient outcomes. The reason?  They are still in the crappy system that burns them out in the first place.  Let’s do a study with DPC docs who have only 600 patients each and we will see they are happier and their patients outcome improve?



Douglas Farrago MD

Douglas Farrago MD is a full-time practicing family doc in Forest, Va. He started Forest Direct Primary Care where he takes no insurance and bills patients a monthly fee. He is board certified in the specialty of Family Practice. He is the inventor of a product called the Knee Saver which is currently in the Baseball Hall of Fame. The Knee Saver and its knock-offs are worn by many major league baseball catchers. He is also the inventor of the CryoHelmet used by athletes for head injuries as well as migraine sufferers. Dr. Farrago is the author of four books, two of which are the top two most popular DPC books. From 2001 – 2011, Dr. Farrago was the editor and creator of the Placebo Journal which ran for 10 full years. Described as the Mad Magazine for doctors, he and the Placebo Journal were featured in the Washington Post, US News and World Report, the AP, and the NY Times. Dr. Farrago is also the editor of the blog Authentic Medicine which was born out of concern about where the direction of healthcare is heading and the belief that the wrong people are in charge. This blog has been going daily for more than 15 years Article about Dr. Farrago in Doximity Email Dr. Farrago – [email protected] 

  2 comments for “Work Life Intervention

  1. Sir Lance-a-Lot
    October 23, 2016 at 8:34 pm

    “I am not sure I know the answer here but what I think it is says is that you can try all the bogus fads to make doctors happy but it doesn’t help patient outcomes.”

    What it says is that if you are a health care corporation, there is no need to waste your time and money doing all that stupid shit to make doctors happy and treat them like human beings, because it won’t affect patient care anyway — Just treat them like shit until they quit, die, or kill themselves, and the regulatory agencies and tort lawyers can’t ding you, because the patients will be treated no worse.

  2. October 23, 2016 at 7:40 pm

    You tell’em, brother.

Comments are closed.