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Health impacts in pathology workforce during mergers and acquisitions (M&A)
  1. Paul Zone Chiou1,2,
  2. R Patti Herring2,
  3. Jisoo Oh2,
  4. Ernest Medina2
  1. 1Clinical Laboratory Science, Rutgers Biomedical and Health Sciences, Newark, New Jersey, USA
  2. 2Loma Linda University School of Public Health, Loma Linda, California, USA
  1. Correspondence to Dr. Paul Zone Chiou, Clinical Laboratory Science, Rutgers Biomedical and Health Sciences, Newark, NJ 07107, USA; paul.chiou{at}


Aims 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&A).

Methods Surveys were sent to the clinical LPs, including 732 with exposure to M&A and 819 without. The dependent variable was burn-out, and the independent variable was exposure to M&A. In investigating the role of social support in exposure group, a logistic regression was used with education, time since M&A, gender, merger types, practice setting, lab hierarchy and race as covariates.

Results Exposure to M&A was associated with higher levels of burn-out (p<0.05). In logistic regression of the workforce exposed to M&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).

Conclusion LPs exposed to M&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&A.

  • Laboratory Personnel

Data availability statement

Data are available on reasonable request.

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Data availability statement

Data are available on reasonable request.

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  • Handling editor Vikram Deshpande.

  • Twitter @chioup

  • Contributors PZC: conceptualisation, survey design, sample collection, data analysis, methodology, original draft writing, review and editing, RPH: conceptualisation, resources, review and editing, JO: methodology, resources, review and editing, EM: resources, review and editing. All authors have read and agreed to the published version manuscript. PZC accepted full responsibility as guarantor for the finished work and/or the conducted of the study, had access to the data and controlled the decision to publish.

  • Funding This study was funded by Loma Linda University, School of Public Health.

  • Competing interests None declared.

  • Provenance and peer review Not commissioned; externally peer reviewed.

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