{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,17]],"date-time":"2026-02-17T05:43:53Z","timestamp":1771307033351,"version":"3.50.1"},"reference-count":56,"publisher":"BMJ","issue":"2","funder":[{"DOI":"10.13039\/100008891","name":"Loma Linda University","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100008891","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["J Clin Pathol"],"accepted":{"date-parts":[[2023,9,22]]},"published-print":{"date-parts":[[2024,2]]},"abstract":"<jats:sec>\n                    <jats:title>Aims<\/jats:title>\n                    <jats:p>To compare burn-out in laboratory professionals (LPs) with exposure to consolidation to those without, and to investigate the role of social support as a moderator in the exposure to mergers and acquisitions (M&amp;A).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Surveys were sent to the clinical LPs, including 732 with exposure to M&amp;A and 819 without. The dependent variable was burn-out, and the independent variable was exposure to M&amp;A. In investigating the role of social support in exposure group, a logistic regression was used with education, time since M&amp;A, gender, merger types, practice setting, lab hierarchy and race as covariates.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Exposure to M&amp;A was associated with higher levels of burn-out (p&lt;0.05). In logistic regression of the workforce exposed to M&amp;A, the odds for LP developing a high level of burn-out are lowered by 7.1% for every unit of increase in social support (OR 0.93; 95% CI 0.88 to 0.98; p=0.004).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>LPs exposed to M&amp;A are more likely to experience higher levels of burn-out but having social support can protect against burn-out, which has policy implications for leadership managing laboratories in times of M&amp;A.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1136\/jcp-2023-209124","type":"journal-article","created":{"date-parts":[[2023,11,1]],"date-time":"2023-11-01T13:24:25Z","timestamp":1698845065000},"page":"98-104","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":3,"title":["Health impacts in pathology workforce during mergers and acquisitions (M&amp;A)"],"prefix":"10.1136","volume":"77","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-6986-9992","authenticated-orcid":false,"given":"Paul Zone","family":"Chiou","sequence":"first","affiliation":[{"name":"Clinical Laboratory Science, Rutgers Biomedical and Health Sciences, Newark, New Jersey, USA"},{"name":"Loma Linda University School of Public Health, Loma Linda, California, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"R Patti","family":"Herring","sequence":"additional","affiliation":[{"name":"Loma Linda University School of Public Health, Loma Linda, California, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jisoo","family":"Oh","sequence":"additional","affiliation":[{"name":"Loma Linda University School of Public Health, Loma Linda, California, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ernest","family":"Medina","sequence":"additional","affiliation":[{"name":"Loma Linda University School of Public Health, Loma Linda, California, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2023,11,1]]},"reference":[{"key":"2025120519153927000_77.2.98.1","doi-asserted-by":"crossref","first-page":"1868","DOI":"10.1056\/NEJMsa1901383","article-title":"Changes in quality of care after hospital mergers and acquisitions. reply","volume":"382","author":"Beaulieu","year":"2020","journal-title":"N Engl J Med"},{"key":"2025120519153927000_77.2.98.2","doi-asserted-by":"publisher","DOI":"10.1377\/hlthaff.2017.0556"},{"key":"2025120519153927000_77.2.98.3","first-page":"135","article-title":"Merging cultures: organizational culture and leadership in a health system merger","volume":"65","author":"Chesley","year":"2020","journal-title":"J Healthc Manag"},{"key":"2025120519153927000_77.2.98.4","unstructured":"Gapenski LC , Pink GH . 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