Allocation of Physician Time in Ambulatory Practice¶
Sinsky, C., Colligan, L., Li, L., Prgomet, M., Reynolds, S., Goeders, L., Westbrook, J., et al. (2016). Allocation of Physician Time in Ambulatory Practice: A Time and Motion Study in 4 Specialties. Annals of Internal Medicine, 165(11), 753-760.
Cited by¶
2 citations across 2 artifacts.
Each citation links to the sentence it supports in the citing article.
Primes¶
- Accidental Vs Essential Complexity
- The no-silver-bullet forecast transfers to physician-burnout discourse, predicting real gains on the accidental side, such as record-workflow load, and bounded gains on the essential side, the irreducible difficulty of reasoning about a multi-system patient — and the forecast and the recurring disappointment match.
This sourceDocuments the large share of physician time consumed by electronic-health-record and clerical work (49.2% on EHR/desk work vs 27.0% direct clinical face time) — the accidental workflow load attackable by record-system redesign, distinct from the essential difficulty of clinical reasoning.
Supported in partVerified against the publisher's abstract
Supplies the quantitative accidental load — 49.2% of office-day time on EHR/desk work vs 27.0% direct face time — but nothing on burnout discourse, essential complexity, or disappointment.
“During the office day, physicians spent 27.0% of their total time on direct clinical face time with patients and 49.2% of their time on EHR and desk work.”
- The no-silver-bullet forecast transfers to physician-burnout discourse, predicting real gains on the accidental side, such as record-workflow load, and bounded gains on the essential side, the irreducible difficulty of reasoning about a multi-system patient — and the forecast and the recurring disappointment match.
- Coordination-Overhead Inversion
- Clinical record-keeping: electronic health records once supported care; their compliance apparatus (billing-code attestation, documentation-quality reviews, optimisation committees) now consumes clinician hours exceeding patient-contact hours in many specialties.
Supported in partVerified against the publisher's abstract
The abstract backs a ~2:1 EHR-and-desk-work to direct-patient-time ratio, but attributes that time to EHR and desk work generally, not to billing, documentation-review or optimisation compliance apparatus.
“For every hour physicians provide direct clinical face time to patients, nearly 2 additional hours is spent on EHR and desk work within the clinic day.”
- Clinical record-keeping: electronic health records once supported care; their compliance apparatus (billing-code attestation, documentation-quality reviews, optimisation committees) now consumes clinician hours exceeding patient-contact hours in many specialties.
Verification¶
Does it exist? Confirmed. This work's DOI resolves to a registered record, which fixes its identity. That is all it fixes.
Does it back the claim? Read against the text for 2 of 2 citations: 2 supported in part. Each verdict is shown under its citation below, with what in the work backs the sentence.
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Registry ID ref:488b32524c31 · see in the full table