Behavioral economics in neonatology-balancing provider wellness and departmental finances.

Document Type

Article

Publication Date

5-2022

Identifier

DOI: 10.1038/s41372-022-01370-0; PMCID: PMC8939884

Abstract

High work relative value units (wRVU) per clinical full-time-equivalent (cFTE) productivity by Neonatologists have played a key role in enhancing departmental revenue in Pediatrics. However, such high productivity is not sustainable due to recent changes in trainee schedules and global daily codes and is likely to impact physician morale and wellness. Incentives based on wRVU benchmarks have the capacity to promote desirable behavior such as better documentation and in-person attendance in delivery room resuscitation and consults but comes at a cost of physician time providing care. An alternate method of funding academic Pediatric departments using time- or point-based staffing models, a reduction in productivity benchmarks for academic neonatologists through more accurate reporting of effort and physician leadership that promotes transparency and mutual respect are warranted to improve neonatologist well-being and morale.

Journal Title

Journal of perinatology : official journal of the California Perinatal Association

Volume

42

Issue

5

First Page

683

Last Page

688

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