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Frontiers in veterinary science2022; 9; 814104; doi: 10.3389/fvets.2022.814104

The Economic Cost of Burnout in Veterinary Medicine.

Abstract: The purpose of this study is to estimate the economic cost of burnout in the veterinary profession and highlight the financial reasons why the industry should address the burnout crisis from an organizational perspective. Using data from 5,786 associate veterinarians in private practice, information was obtained using employment information related to compensation, work hours, hour preferences, and job turnover. Burnout was measured using the Professional Quality of Life Scale and used to calculate conditional probabilities on turnover and reduced working hours due to burnout. Lost revenue from each outcome (turnover and reduced working hours) was then used to calculate the economic costs to the veterinary services industry. The attributable cost of burnout of veterinarians to the US industry is between $1 and 2 billion annually in lost revenue, though there is a large amount of uncertainty. The cost is dependent on whether veterinary technicians are included in the analysis. The highest economic cost per veterinarian is among food animal practitioners, while the lowest is among equine. This study demonstrates that there are significant economic costs due to burnout among veterinarians and veterinary technicians. We suggest pursuing organizational interventions as these have shown the most impact in decreasing burnout and increasing satisfaction among human health physicians.
Publication Date: 2022-02-25 PubMed ID: 35280150PubMed Central: PMC8913590DOI: 10.3389/fvets.2022.814104Google Scholar: Lookup
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  • Journal Article

Summary

This research summary has been generated with artificial intelligence and may contain errors and omissions. Refer to the original study to confirm details provided. Submit correction.

This research focuses on calculating the financial cost of burnout in the veterinary profession, presenting a compelling economic case for addressing this issue. Based on data from thousands of veterinarians, the annual lost revenue due to burnout was found to be up to $2 billion in the U.S. industry, underscoring the importance of implementing effective organizational interventions.

Research Aim and Methodology

  • The primary goal of the study was to ascertain and estimate the financial implications of burnout in the veterinary profession.
  • It aimed to shed light on why the veterinary industry needs to address burnout from an organizational perspective for the financial health of the industry.
  • The study used employment data related to compensation, work hours, hour preferences, and job turnover from 5,786 associate veterinarians from private practices.
  • Burnout among these professionals was calculated using the Professional Quality of Life Scale, measuring the emotional and relational toll of members of the profession.

Findings and Interpretations

  • Results highlighted conditional probabilities of job turnover and reduced working hours due to burnout.
  • Lost revenue from these outcomes were then calculated to estimate the economic costs to the veterinary services industry.
  • The attributed annual cost related to burnout within the veterinary profession in the U.S. is approximately $1 to 2 billion in lost revenue.
  • However, the researchers underline that there is a significant level of uncertainty around this estimate, particularly driven by whether or not veterinary technicians are included in the analysis.

Variations in Economic Costs

  • The study found differential economic costs of burnout among different types of veterinarians.
  • Food animal practitioners were found to bear the highest economic costs per veterinarian due to burnout, while equine veterinarians experienced the lowest costs.

Conclusion and Recommendations

  • The research conclusively demonstrates significant economic costs due to burnout among veterinarians and veterinary technicians.
  • The study authors recommend implementing organizational interventions as they have been effective in reducing burnout and increasing job satisfaction among human health physicians, and could prove beneficial in the veterinary field as well.

Cite This Article

APA
Neill CL, Hansen CR, Salois M. (2022). The Economic Cost of Burnout in Veterinary Medicine. Front Vet Sci, 9, 814104. https://doi.org/10.3389/fvets.2022.814104

Publication

ISSN: 2297-1769
NlmUniqueID: 101666658
Country: Switzerland
Language: English
Volume: 9
Pages: 814104
PII: 814104

Researcher Affiliations

Neill, Clinton L
  • Department of Population Medicine and Diagnostic Sciences, Center for Veterinary Business and Entrepreneurship, Cornell University, Ithaca, NY, United States.
Hansen, Charlotte R
  • Veterinary Economics Division, American Veterinary Medical Association, Schaumburg, IL, United States.
Salois, Matthew
  • Veterinary Economics Division, American Veterinary Medical Association, Schaumburg, IL, United States.

Conflict of Interest Statement

The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.

References

This article includes 45 references
  1. Poncet MC, Toullic P, Papazian L, Kentish-Barnes N, Timsit JF, Pochard F, Chevret S, Schlemmer B, Azoulay E. Burnout syndrome in critical care nursing staff.. Am J Respir Crit Care Med 2007 Apr 1;175(7):698-704.
    doi: 10.1164/rccm.200606-806OCpubmed: 17110646google scholar: lookup
  2. Shanafelt TD, Boone S, Tan L, Dyrbye LN, Sotile W, Satele D, West CP, Sloan J, Oreskovich MR. Burnout and satisfaction with work-life balance among US physicians relative to the general US population.. Arch Intern Med 2012 Oct 8;172(18):1377-85.
  3. Upton D, Mason V, Doran B, Solowiej K, Shiralkar U, Shiralkar S. The experience of burnout across different surgical specialties in the United Kingdom: a cross-sectional survey.. Surgery 2012 Apr;151(4):493-501.
    doi: 10.1016/j.surg.2011.09.035pubmed: 22088818google scholar: lookup
  4. Colville GA, Smith JG, Brierley J, Citron K, Nguru NM, Shaunak PD, Tam O, Perkins-Porras L. Coping With Staff Burnout and Work-Related Posttraumatic Stress in Intensive Care.. Pediatr Crit Care Med 2017 Jul;18(7):e267-e273.
    doi: 10.1097/PCC.0000000000001179pubmed: 28459762google scholar: lookup
  5. World Health Organization. Burn-out an “Occupational Phenomenon”: International Classification of Diseases. 2019.
  6. Ouedraogo FB, Lefebvre SL, Hansen CR, Brorsen BW. Compassion satisfaction, burnout, and secondary traumatic stress among full-time veterinarians in the United States (2016-2018).. J Am Vet Med Assoc 2021 Jun 1;258(11):1259-1270.
    doi: 10.2460/javma.258.11.1259pubmed: 33978434google scholar: lookup
  7. Bain B, Hansen C, Ouedraogo F, Radich R, Salois M. 2021 AVMA Report on Economic State of the Veterinary Profession. 2021.
  8. Merck Animal Health. Merck Animal Health Veterinarian Wellbeing Study 2020. 2020.
  9. Han S, Shanafelt TD, Sinsky CA, Awad KM, Dyrbye LN, Fiscus LC, Trockel M, Goh J. Estimating the Attributable Cost of Physician Burnout in the United States.. Ann Intern Med 2019 Jun 4;170(11):784-790.
    doi: 10.7326/M18-1422pubmed: 31132791google scholar: lookup
  10. American Veterinary Medical Association. COVID-19 Impact on Veterinary Practices. 2020.
  11. Wayne AS, Rozanski EA. Cataloguing the response by emergency veterinary hospitals during the COVID-19 pandemic via weekly surveys.. J Vet Emerg Crit Care (San Antonio) 2020 Jul;30(4):493-497.
    doi: 10.1111/vec.12974pmc: PMC7361864pubmed: 32598096google scholar: lookup
  12. Kogan LR, Erdman P, Bussolari C, Currin-McCulloch J, Packman W. The Initial Months of COVID-19: Dog Owners' Veterinary-Related Concerns.. Front Vet Sci 2021;8:629121.
    doi: 10.3389/fvets.2021.629121pmc: PMC7884340pubmed: 33604366google scholar: lookup
  13. Mair TS, Mountford DR, Radley R, Lockett E, Parkin TD. Mental wellbeing of equine veterinary surgeons, veterinary nurses and veterinary students during the COVID-19 pandemic. Equine Vet Edu 2021 33:15–23.
    doi: 10.1111/eve.13399google scholar: lookup
  14. National National Academies of Sciences Engineering and Medicine. Taking Action Against Clinician Burnout: A Systems Approach to Professional Well-Being. 2019.
    pubmed: 31940160
  15. Panagioti M, Panagopoulou E, Bower P, Lewith G, Kontopantelis E, Chew-Graham C, Dawson S, van Marwijk H, Geraghty K, Esmail A. Controlled Interventions to Reduce Burnout in Physicians: A Systematic Review and Meta-analysis.. JAMA Intern Med 2017 Feb 1;177(2):195-205.
  16. Rupert PA, Morgan DJ. Work setting and burnout among professional psychologists. Prof Psychol Res Pr 2005 36:544.
  17. Rupert PA, Kent JS. Gender and work setting differences in career-sustaining behaviors and burnout among professional psychologists. Prof Psychol Res Pr 2007 38:88.
    doi: 10.1037/0735-7028.38.1.88google scholar: lookup
  18. Hatch PH, Winefield HR, Christie BA, Lievaart JJ. Workplace stress, mental health, and burnout of veterinarians in Australia.. Aust Vet J 2011 Nov;89(11):460-8.
  19. Scotney RL, McLaughlin D, Keates HL. An investigation of the prevalence of compassion fatigue, compassion satisfaction and burnout in those working in animal-related occupations using the Professional Quality of Life (ProQoL) Scale. Vet Nurse 2019 10:276–84.
  20. Perret JL, Best CO, Coe JB, Greer AL, Khosa DK, Jones-Bitton A. Prevalence of mental health outcomes among Canadian veterinarians.. J Am Vet Med Assoc 2020 Feb 1;256(3):365-375.
    doi: 10.2460/javma.256.3.365pubmed: 31961276google scholar: lookup
  21. Shanafelt TD, Balch CM, Bechamps G, Russell T, Dyrbye L, Satele D, Collicott P, Novotny PJ, Sloan J, Freischlag J. Burnout and medical errors among American surgeons.. Ann Surg 2010 Jun;251(6):995-1000.
    doi: 10.1097/SLA.0b013e3181bfdab3pubmed: 19934755google scholar: lookup
  22. Hayes GM, LaLonde-Paul DF, Perret JL, Steele A, McConkey M, Lane WG, Kopp RJ, Stone HK, Miller M, Jones-Bitton A. Investigation of burnout syndrome and job-related risk factors in veterinary technicians in specialty teaching hospitals: a multicenter cross-sectional study.. J Vet Emerg Crit Care (San Antonio) 2020 Jan;30(1):18-27.
    doi: 10.1111/vec.12916pmc: PMC7003767pubmed: 31840933google scholar: lookup
  23. Westman M, Brough P, Kalliath T. Expert commentary on work–life balance and crossover of emotions and experiences: theoretical and practice advancements. J Organ Behav 2009 30:587–95.
    doi: 10.1002/job.616google scholar: lookup
  24. Van Der Berg GJ. A structural dynamic analysis of job turnover and the costs associated with moving to another job. Econ J 1992 102:1116–33.
    doi: 10.2307/2234380google scholar: lookup
  25. Shanafelt TD, Gorringe G, Menaker R, Storz KA, Reeves D, Buskirk SJ, Sloan JA, Swensen SJ. Impact of organizational leadership on physician burnout and satisfaction.. Mayo Clin Proc 2015 Apr;90(4):432-40.
    doi: 10.1016/j.mayocp.2015.01.012pubmed: 25796117google scholar: lookup
  26. Stamm BH. The Concise ProQOL Manual. 2010.
  27. Crane MF, Phillips JK, Karin E. Trait perfectionism strengthens the negative effects of moral stressors occurring in veterinary practice.. Aust Vet J 2015 Oct;93(10):354-60.
    doi: 10.1111/avj.12366pubmed: 26412116google scholar: lookup
  28. Wolf C, Schwarz J, Thurstone C, Rylander M. Agreement between a single, self-defined burnout item and the ProQOL burnout subscale for behavioural health staff.. Int J Ment Health Nurs 2021 Feb;30(1):326-333.
    doi: 10.1111/inm.12788pubmed: 32959486google scholar: lookup
  29. Circenis K, Millere I. Compassion fatigue, burnout and contributory factors among nurses in latvia. Proced Soc Behav Sci 2011 30:2042–6.
  30. Center for American Progress. There are significant Business Costs to Replacing Employees. 2012.
  31. HuffPost. High Turnover Costs Way More Than You Think. 2016.
  32. USI. Cost of Employee Turnover. 2019.
  33. National Association of Veterinary Technicians in America (NAVTA). NAVTA 2016 Demographic Survey Results. 2016.
  34. Bureau of Labor Statistics. Veterinary Technologists and Technicians. 2021.
  35. Kuhn P, Yu L. How costly is turnover? Evidence from retail. J Labor Econ 2021 39:461–96.
    doi: 10.1086/710359google scholar: lookup
  36. IBISWorld. Veterinary Services in the US. 2021.
  37. McArthur ML, Andrews JR, Brand C, Hazel SJ. The Prevalence of Compassion Fatigue among Veterinary Students in Australia and the Associated Psychological Factors.. J Vet Med Educ 2017 Spring;44(1):9-21.
    doi: 10.3138/jvme.0116-016R3pubmed: 28206848google scholar: lookup
  38. American Animal Hospital Association. Compensation and Benefits. 2020.
  39. Pizzolon CN, Coe JB, Shaw JR. Evaluation of team effectiveness and personal empathy for associations with professional quality of life and job satisfaction in companion animal practice personnel.. J Am Vet Med Assoc 2019 May 15;254(10):1204-1217.
    doi: 10.2460/javma.254.10.1204pubmed: 31039097google scholar: lookup
  40. Linzer M, Poplau S, Grossman E, Varkey A, Yale S, Williams E, Hicks L, Brown RL, Wallock J, Kohnhorst D, Barbouche M. A Cluster Randomized Trial of Interventions to Improve Work Conditions and Clinician Burnout in Primary Care: Results from the Healthy Work Place (HWP) Study.. J Gen Intern Med 2015 Aug;30(8):1105-11.
    doi: 10.1007/s11606-015-3235-4pmc: PMC4510236pubmed: 25724571google scholar: lookup
  41. Shanafelt TD, Sloan JA, Habermann TM. The well-being of physicians.. Am J Med 2003 Apr 15;114(6):513-9.
    doi: 10.1016/S0002-9343(03)00117-7pubmed: 12727590google scholar: lookup
  42. Dunn PM, Arnetz BB, Christensen JF, Homer L. Meeting the imperative to improve physician well-being: assessment of an innovative program.. J Gen Intern Med 2007 Nov;22(11):1544-52.
    doi: 10.1007/s11606-007-0363-5pmc: PMC2219814pubmed: 17891503google scholar: lookup
  43. Shanafelt TD. Enhancing meaning in work: a prescription for preventing physician burnout and promoting patient-centered care.. JAMA 2009 Sep 23;302(12):1338-40.
    doi: 10.1001/jama.2009.1385pubmed: 19773573google scholar: lookup
  44. Dyrbye LN, Shanafelt TD. Physician burnout: a potential threat to successful health care reform.. JAMA 2011 May 18;305(19):2009-10.
    doi: 10.1001/jama.2011.652pubmed: 21586718google scholar: lookup
  45. Egener B, McDonald W, Rosof B, Gullen D. Perspective: Organizational professionalism: relevant competencies and behaviors.. Acad Med 2012 May;87(5):668-74.
    doi: 10.1097/ACM.0b013e31824d4b67pubmed: 22450182google scholar: lookup

Citations

This article has been cited 24 times.
  1. Cobo-Angel C, Roche SM, LeBlanc SJ. Understanding the role of veterinarians in antimicrobial stewardship on Canadian dairy farms: A mixed-methods study. PLoS One 2023;18(7):e0289415.
    doi: 10.1371/journal.pone.0289415pubmed: 37498906google scholar: lookup
  2. Steffey MA, Griffon DJ, Risselada M, Buote NJ, Scharf VF, Zamprogno H, Winter AL. A narrative review of the physiology and health effects of burnout associated with veterinarian-pertinent occupational stressors. Front Vet Sci 2023;10:1184525.
    doi: 10.3389/fvets.2023.1184525pubmed: 37465277google scholar: lookup
  3. Stetina BU, Krouzecky C. Reviewing a Decade of Change for Veterinarians: Past, Present and Gaps in Researching Stress, Coping and Mental Health Risks. Animals (Basel) 2022 Nov 18;12(22).
    doi: 10.3390/ani12223199pubmed: 36428425google scholar: lookup
  4. Makhdoom IF, Malik NI, Atta M, Malik N, Qureshi MG, Shahid M, Tang K. When workaholism is negatively associated with burnout: A moderated mediation. Front Public Health 2022;10:968837.
    doi: 10.3389/fpubh.2022.968837pubmed: 36388273google scholar: lookup
  5. Chapman AJ, Bennett PC, Rohlf VI. Development and Evaluation of the Veterinary Nurse Burnout Prevention Survey (VNBPS). Vet Sci 2026 Jan 7;13(1).
    doi: 10.3390/vetsci13010056pubmed: 41600712google scholar: lookup
  6. Schortz L, Mossop L, Oxtoby C, Bergström A, Wu AW. Peer support after clinical incidents in veterinary care: Adopting the RISE (Resilience In Stressful Events) program. PLoS One 2026;21(1):e0341324.
    doi: 10.1371/journal.pone.0341324pubmed: 41592006google scholar: lookup
  7. Vandenabeele R, Joosen MCW, van Dam A. Chronic stress in relation to clinical burnout: an integrative scoping review of definitions and measurement approaches. Front Psychol 2025;16:1712340.
    doi: 10.3389/fpsyg.2025.1712340pubmed: 41459265google scholar: lookup
  8. Máté M, Schwarz ES, Ózsvári L. Differences in income, workload, and job satisfaction among Hungarian and German veterinarians. BMC Vet Res 2025 Oct 24;21(1):632.
    doi: 10.1186/s12917-025-05086-zpubmed: 41136981google scholar: lookup
  9. Christiansen SV, Clausen T. Emotional demands and depression: The buffering role of positive work-related factors in clinical veterinary practice. Vet Rec 2026 Feb 14;198(4):e150-e158.
    doi: 10.1002/vetr.5598pubmed: 41051058google scholar: lookup
  10. Labreque CS, Hale M, Little K, Pavloff M, Kostiuk S, Mund S. An integrative literature review on the mental health of large animal veterinarians in rural areas. Can Vet J 2025 Oct;66(10):1121-1135.
    pubmed: 41030416
  11. Çavuş Alan S, Özen R, Özen A, Eryol A. A Study on Job Satisfaction and Burnout Levels of Veterinarians in Türkiye. Vet Med Sci 2025 Jul;11(4):e70500.
    doi: 10.1002/vms3.70500pubmed: 40677100google scholar: lookup
  12. Lezon R, Rohlf V, Rayment D, Howell TJ. The Impact of Job Demands, Job Resources, and Organisational Justice on Global Health and Turnover Intentions in Animal Care Workers. Animals (Basel) 2025 Feb 3;15(3).
    doi: 10.3390/ani15030420pubmed: 39943190google scholar: lookup
  13. O'Connor I, Gouveia K. Job satisfaction and animal welfare at slaughter: A survey of Official Veterinarians in the United Kingdom and Republic of Ireland. Anim Welf 2025;34:e7.
    doi: 10.1017/awf.2024.43pubmed: 39935771google scholar: lookup
  14. Corrigan VK, Newman RL, Richmond P, Strand EB, Vaisman JM. The future of flourishing in veterinary medicine: a systems-informed positive psychology approach in veterinary education. Front Vet Sci 2024;11:1484412.
    doi: 10.3389/fvets.2024.1484412pubmed: 39846024google scholar: lookup
  15. Hernández-Esteve I, Zumbado M, Henríquez-Hernández LA. Burnout and mental health among veterinarians: The role of self-compassion and associated risk factors. Vet Rec 2025 Mar 1;196(5):e4960.
    doi: 10.1002/vetr.4960pubmed: 39692364google scholar: lookup
  16. Osca A, Barrado J, Millán L. Validation of the burnout assessment tool-core symptoms in Spanish veterinarians, sex invariance, and cutoff points. Front Vet Sci 2024;11:1454775.
    doi: 10.3389/fvets.2024.1454775pubmed: 39474273google scholar: lookup
  17. Alwood AJ, Ferrentino DA, Olson SA, Rodriguez VI. The positive impact of daily well-being practices on individual veterinary professionals' professional quality of life self-assessment scores within an emergency and specialty hospital. Front Vet Sci 2024;11:1381090.
    doi: 10.3389/fvets.2024.1381090pubmed: 39444740google scholar: lookup
  18. Fraser-Celin VL, Boulton A, Keil K, Rock MJ, Adams C. When veterinarians treat plus-sized pets: Insights for veterinary practice. Can Vet J 2024 Sep;65(9):920-926.
    pubmed: 39219604
  19. Peixoto MM, Cunha O. Life satisfaction, psychological distress, compassion satisfaction and resilience: when the pleasure of helping others protects veterinary staff from emotional suffering. Vet Res Commun 2024 Oct;48(5):3489-3498.
    doi: 10.1007/s11259-024-10510-0pubmed: 39162767google scholar: lookup
  20. Kogan LR, Rishniw M. Career transition plans of veterinarians in clinical practice. Front Vet Sci 2024;11:1433891.
    doi: 10.3389/fvets.2024.1433891pubmed: 39132443google scholar: lookup
  21. Li K, Mooney E, McArthur M, Hall E, Quain A. A comparison between veterinary small animal general practitioners and emergency practitioners in Australia. Part 1: demographic and work-related factors. Front Vet Sci 2024;11:1355505.
    doi: 10.3389/fvets.2024.1355505pubmed: 38577547google scholar: lookup
  22. Li K, Mooney E, McArthur M, Hall E, Quain A. A comparison between veterinary small animal general practitioners and emergency practitioners in Australia. Part 2: client-related, work-related, and personal burnout. Front Vet Sci 2024;11:1355511.
    doi: 10.3389/fvets.2024.1355511pubmed: 38482165google scholar: lookup
  23. Bes I, Shoman Y, Al-Gobari M, Rousson V, Guseva Canu I. Organizational interventions and occupational burnout: a meta-analysis with focus on exhaustion. Int Arch Occup Environ Health 2023 Nov;96(9):1211-1223.
    doi: 10.1007/s00420-023-02009-zpubmed: 37758838google scholar: lookup
  24. Steffey MA, Griffon DJ, Risselada M, Scharf VF, Buote NJ, Zamprogno H, Winter AL. Veterinarian burnout demographics and organizational impacts: a narrative review. Front Vet Sci 2023;10:1184526.
    doi: 10.3389/fvets.2023.1184526pubmed: 37470072google scholar: lookup