Allocation of physician time in ambulatory practice: a time and motion study in 4 specialties

C Sinsky, L Colligan, L Li, M Prgomet… - Annals of internal …, 2016 - acpjournals.org
Background: Little is known about how physician time is allocated in ambulatory care.
Objective: To describe how physician time is spent in ambulatory practice. Design …

[BOOK][B] Redefining health care: creating value-based competition on results

ME Porter, EO Teisberg - 2006 - books.google.com
The US health care system is in crisis. At stake are the quality of care for millions of
Americans and the financial well-being of individuals and employers squeezed by …

[HTML][HTML] A time-motion study of primary care physicians' work in the electronic health record era

R Young, S Burge, K Kumar, J Wilson, D Ortiz - Family medicine, 2018 - journals.stfm.org
Abstract Background and Objectives: Electronic health records (EHRs) have had mixed
effects on the workflow of ambulatory primary care. In this study, we update previous …

Impact of scribes on physician satisfaction, patient satisfaction, and charting efficiency: a randomized controlled trial

R Gidwani, C Nguyen, A Kofoed… - The Annals of Family …, 2017 - Annals Family Med
PURPOSE Scribes are increasingly being used in clinical practice despite a lack of high-
quality evidence regarding their effects. Our objective was to evaluate the effect of medical …

The increasing number of clinical items addressed during the time of adult primary care visits

ED Abbo, Q Zhang, M Zelder, ES Huang - Journal of General Internal …, 2008 - Springer
BACKGROUND Primary care physicians report that there is insufficient time to meet patients'
needs during clinical visits, but visit time has increased over the past decade. OBJECTIVE …

Measuring primary care exam length using electronic health record data

HT Neprash, A Everhart, D McAlpine, LB Smith… - Medical care, 2021 - journals.lww.com
Background: Physicians' time with patients is a critical input to care, but is typically measured
retrospectively through survey instruments. Data collected through the use of electronic …

Expanding primary care capacity by reducing waste and improving the efficiency of care

SA Shipman, CA Sinsky - Health Affairs, 2013 - healthaffairs.org
Most solutions proposed for the looming shortage of primary care physicians entail
strategies that fall into one of three categories: train more, lose fewer, or find someone else …

[HTML][HTML] Participant observation of time allocation, direct patient contact and simultaneous activities in hospital physicians

M Weigl, A Müller, A Zupanc, P Angerer - BMC health services research, 2009 - Springer
Background Hospital physicians' time is a critical resource in medical care. Two aspects are
of interest. First, the time spent in direct patient contact–a key principle of effective medical …

Hospital doctors' workflow interruptions and activities: an observation study

M Weigl, A Müller, A Zupanc, J Glaser… - BMJ quality & …, 2011 - qualitysafety.bmj.com
Background Interruptions of hospital doctors' workflow are a frequent stressor, eventually
jeopardising quality of clinical performance. To enhance the safety of hospital doctors' work …

The myth of standardized workflow in primary care

GT Holman, JW Beasley, BT Karsh… - Journal of the …, 2016 - academic.oup.com
Objective Primary care efficiency and quality are essential for the nation's health. The
demands on primary care physicians (PCPs) are increasing as healthcare becomes more …