Docs with their Eyes on the Clock? The Effect of Time Pressures on Primary Care Productivity

Journal Article

Docs with their Eyes on the Clock? The Effect of Time Pressures on Primary Care Productivity

Abstract

This paper examines how time pressure, an important constraint faced by medical care providers, affects productivity in primary care. We generate empirical predictions by incorporating time pressure into a model of physician behavior by Tai-Seale and McGuire (2012). We use data from the electronic health records of a large integrated delivery system and leverage unexpected schedule changes as variation in time pressure. We find that greater time pressure reduces the number of diagnoses recorded during a visit and increases both scheduled and unscheduled follow-up care. We also find some evidence of increased low-value care, decreased preventive care, and decreased opioid prescribing.

External Link (payment needed to access article):

https://www.sciencedirect.com/science/article/abs/pii/S0167629621000278?via%3Dihub

Research Area: 

Centers

To reuse content from Urban Institute, visit copyright.com, search for the publications, choose from a list of licenses, and complete the transaction.
LATEST IN Health and Health Policy
To reuse content from Urban Institute, visit copyright.com, search for the publications, choose from a list of licenses, and complete the transaction.