Since it began in 2005, 147 different individuals have appeared on the Modern Healthcare/Modern Physician list of the 50 Most Influential Physician Executives, but only one—Dr. Gary Gottlieb, president and CEO of Partners HealthCare, Boston—has made it on the list all eight years.
Gottlieb gave credit to the people who work at Partners for his placement on the list as well as to Partners' role in healthcare reform at the state and national levels.
According to Gottlieb, who finished 34th on this year's list, extending insurance coverage is what will allow payment reform, and this in turn will allow healthcare in the U.S. to move away from fee-for-service, and that will help move the industry "from an illness-care system to a healthcare system." A well-care system, though, might not be realized for a while, he said.
"I think we're a few cures and treatments away from that," said Gottlieb, whose highest appearance on the Most Influential Physician Executive list was No. 8 in 2009.
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Doctors are known for working long hours. On the outpatient side, it could be because they want to be accessible. On the inpatient side, it might be because they want to provide continuity. Or, it could be because, as one survey just found, most U.S. physicians are at least as happy at work as they are at home.
Medscape, a division of WebMD that provides medical news and clinical information to doctors, conducted its inaugural Physician Lifestyle Report online survey Jan. 12-17; more than 29,000 physicians in 25 specialties responded. The aim of the survey was to uncover insights to physicians' personal lives and their feelings on their own health, wealth, happiness and political views.
On a 1-to-5 scale, doctors seem to be a happy bunch—some even very happy, as about one-third of the physicians responding (both men and women) rated their happiness outside of medicine at a 5. Four in 10 gave their outside-of-work happiness a 4 rating. The average rating was 3.96. Half of physicians said their happiness is about the same at work as it is at home. Four percent said they are happier at work.
The happiest physicians by far were rheumatologists, who averaged a 4.09 level of outside-of-work happiness. There was a three-way tie for least happy among internists, gastroenterologists and neurologists—though with an average happiness rate of 3.88, you can't really call them "sad."
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The healthcare industry has standards—by the truckload.
It also has a multitude of measures and a googolplex of guidelines.
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