Allocation of Physician Time in Ambulatory Practice: A Time and Motion Study in 4 Specialties

Sinsky, Christine A.; Colligan, Lacey; Li, Ling; Prgomet, Mirela; Reynolds, Sam; Goeders, Lindsey E.; Westbrook, Johanna I.; Tutty, Michael; Blike, George T.

doi:10.7326/m16-0961

Cited by 986 publications

(756 citation statements)

References 43 publications

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“…In a study published in the Annals of Internal Medicine [2], physicians in ambulatory care practice, devoted only 27% of their time in face-to-face contact with their patients and 49% on desk work and filling out the electronic medical record, in order to maximize revenue from the insurance company. Meanwhile, the health care system continues to waste enormous amounts of money on billing and insurance-related bureaucracy.…”

Section: Statement For Primary Care Physiciansmentioning

confidence: 99%

Primary Care Physicians, Health Promotion and Health Care Reform

Fein¹

2017

J Healthc Commun

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This commentary is submitted for the Journal of Healthcare Communications special issue on Primary Care and Health Promotion. It argues that the renewed national debate over health care reform in the United States has resulted in a surge of support for single payer, improved Medicare for All reform. Primary care physicians, as well as patients, have a major stake in single payer reform. One way that primary care physicians can improve health promotion is involvement in single payer reform.

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Section: Statement For Primary Care Physiciansmentioning

confidence: 99%

Primary Care Physicians, Health Promotion and Health Care Reform

Fein¹

2017

J Healthc Commun

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“…Physicians now spend half their time on electronic documentation and other clerical/administrative tasks. 13 Overall, the average US hospital now devotes more than one quarter of its budget to administration, a share that is continuing to increase, and is already twice that in Canada (or Scotland). 14 Why is hospital administration so much leaner in Canada?…”

mentioning

confidence: 99%

It Is Time to Liberate Hospitals from Profit-Centered Care

2018

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“…Physicians enter medicine focused on patients, but one study notes that ambulatory physicians spend less than one third of their time in direct clinical care. 6 Although new physicians usually have fresh experience and skills from their training program in avoiding burnout, they often have additional stressors of relocation, adaptation to a new practice setting, financial adjustments of increased income/debt repayment, and "catch up" on personal and family obligations after navigating medical school and residency.…”

mentioning

confidence: 99%