The Effect of a Physician Partner Program on Physician Efficiency and Patient Satisfaction

Reuben, David B.; Knudsen, Janine; Senelick, Wendy; Glazier, Eve; Koretz, Brandon

doi:10.1001/jamainternmed.2014.1315

Cited by 89 publications

(27 citation statements)

References 4 publications

(4 reference statements)

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“…One study found that 3 geriatric physicians practicing in a similar model had shorter visit times; however, the time the provider spent communicating with patients was not measured. 8 The same model did not decrease duration of 2 internists' visit times, but did reduce previsit and after-visit work. 8 Another study found that scribe use decreased one cardiologist's time in the room but increased direct physician-patient interaction, without affecting patient satisfaction.…”

Section: Discussionmentioning

confidence: 92%

“…8 The same model did not decrease duration of 2 internists' visit times, but did reduce previsit and after-visit work. 8 Another study found that scribe use decreased one cardiologist's time in the room but increased direct physician-patient interaction, without affecting patient satisfaction. 9 The results of our work confirm that physicianpatient interaction time can be improved by a team-based model.…”

Section: Discussionmentioning

confidence: 92%

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A Team-based Model of Primary Care Delivery and Physician-patient Interaction

Misra‐Hebert

Rabovsky

Chen

et al. 2015

The American Journal of Medicine

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Section: Discussionmentioning

confidence: 92%

Section: Discussionmentioning

confidence: 92%

A Team-based Model of Primary Care Delivery and Physician-patient Interaction

Misra‐Hebert

Rabovsky

Chen

et al. 2015

The American Journal of Medicine

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“…Team documentation has been associated with greater physician and staff satisfaction, improved revenues, and the capacity of the team to manage a larger panel of patients while going home earlier. 33,34 • Use pre-visit planning and pre-appointment laboratory testing to reduce time wasted on the review and follow-up of laboratory results…”

Section: Addressing the Fourth Aimmentioning

confidence: 99%

From Triple to Quadruple Aim: Care of the Patient Requires Care of the Provider

Bodenheimer

Sinsky

2014

The Annals of Family Medicine

2,617

1,882

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The Triple Aim-enhancing patient experience, improving population health, and reducing costs-is widely accepted as a compass to optimize health system performance. Yet physicians and other members of the health care workforce report widespread burnout and dissatisfaction. Burnout is associated with lower patient satisfaction, reduced health outcomes, and it may increase costs. Burnout thus imperils the Triple Aim. This article recommends that the Triple Aim be expanded to a Quadruple Aim, adding the goal of improving the work life of health care providers, including clinicians and staff. INTRODUCTION Since Don Berwick and colleagues introduced the Triple Aim into the health care lexicon, this concept has spread to all corners of the health care system. The Triple Aim is an approach to optimizing health system performance, proposing that health care institutions simultaneously pursue 3 dimensions of performance: improving the health of populations, enhancing the patient experience of care, and reducing the per capita cost of health care.1 The primary Triple Aim goal is to improve the health of the population, with 2 secondary goals-improving patient experience and reducing costs-contributing to the achievement of the primary goal.In visiting primary care practices around the country, 2 the authors have repeatedly heard statements such as, "We have adopted the Triple Aim as our framework, but the stressful work life of our clinicians and staff impacts our ability to achieve the 3 aims." These sentiments made us wonder, might there be a fourth aim-improving the work life of health care clinicians and staff-that, like the patient experience and cost reduction aims, must be achieved in order to succeed in improving population health? Should the Triple Aim become the Quadruple Aim? RISING EXPECTATIONS OF PHYSICIANS AND PRACTICESSociety expects more and more of physicians and practices, particularly in primary care. Patients want their health to be better, to be seen in a timely fashion with empathy, and to enjoy a continuous relationship with a high-quality clinician whom they choose.3 A patient-centered practice has been described as, "They give me exactly the help I need and want exactly when I need and want it."4 Yet for primary care, society has not provided the resources to meet these lofty benchmarks. PHYSICIAN BURNOUTThe wide gap between societal expectations and professional reality has set the stage for 46% of US physicians to experience symptoms of Professional burnout is characterized by loss of enthusiasm for work, feelings of cynicism, and a low sense of personal accomplishment and is associated with early retirement, alcohol use, and suicidal ideation. 5,7 According to a recent RAND Corporation survey, the principal driver of physician satisfaction is the ability to provide quality care.7 Physician dissatisfaction, therefore, is an early warning sign of a health care system creating barriers to high-quality practice.We have heard physicians making such statements as:"The joy of practicing medici...

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“…Similarly, the addition of a Physician Partner, who acted as a scribe and performed administrative duties in a medical clinic led patients to report high satisfaction by increasing the amount physician contact. 31 Guss and colleagues 32 implemented a telephone call to patients after discharge from the emergency department in an effort to improve patient satisfaction. Patients who received a post-discharge phone call were more likely to recommend the hospital compared with those who did not receive a phone call (89% vs 56%).…”

Section: Additional Patient and Hospital Factors That Influence Patiementioning

confidence: 99%

Is There a Relationship Between Patient Satisfaction and Favorable Surgical Outcomes?

Tevis

Kennedy

Kent

2015

Advances in Surgery

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Summary Satisfaction of patients with their health care is gaining importance as a measure of hospital quality due to public reporting of these values and an increasing connection between hospital reimbursement and scores on the current tool to measure satisfaction, the Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) survey. We found that high hospital and surgical volume and low rates of risk-adjusted mortality are associated with high patient satisfaction. However, other favorable patient outcomes are not consistently associated with positive satisfaction scores on HCAHPS. Contributors to patients' perceptions of their care are likely multifactorial and not related just to outcomes traditionally assessed by surgeons or hospitals. Moving in a direction of patient centered care, with a focus on increased understanding and involvement of patients in the care process, will likely strengthen the relationship between surgical outcomes and patient satisfaction.

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The Effect of a Physician Partner Program on Physician Efficiency and Patient Satisfaction

Abstract: Drs Reuben and Koretz had full access to all the data in the study and take responsibility for the integrity of the data and the accuracy of the data analysis.

Cited by 89 publications

References 4 publications

A Team-based Model of Primary Care Delivery and Physician-patient Interaction

A Team-based Model of Primary Care Delivery and Physician-patient Interaction

From Triple to Quadruple Aim: Care of the Patient Requires Care of the Provider

Is There a Relationship Between Patient Satisfaction and Favorable Surgical Outcomes?

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