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

Overview of attention for article published in Annals of Internal Medicine, September 2016
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  • In the top 5% of all research outputs scored by Altmetric
  • One of the highest-scoring outputs from this source (#3 of 7,359)
  • High Attention Score compared to outputs of the same age (99th percentile)
  • High Attention Score compared to outputs of the same age and source (99th percentile)

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65 Mendeley
Title
Allocation of Physician Time in Ambulatory Practice: A Time and Motion Study in 4 Specialties
Published in
Annals of Internal Medicine, September 2016
DOI 10.7326/m16-0961
Pubmed ID
Authors

Christine Sinsky, Lacey Colligan, Ling Li, Mirela Prgomet, Sam Reynolds, Lindsey Goeders, Johanna Westbrook, Michael Tutty, George Blike, Sinsky, Christine, Colligan, Lacey, Li, Ling, Prgomet, Mirela, Reynolds, Sam, Goeders, Lindsey, Westbrook, Johanna, Tutty, Michael, Blike, George

Abstract

Little is known about how physician time is allocated in ambulatory care. To describe how physician time is spent in ambulatory practice. Quantitative direct observational time and motion study (during office hours) and self-reported diary (after hours). U.S. ambulatory care in 4 specialties in 4 states (Illinois, New Hampshire, Virginia, and Washington). 57 U.S. physicians in family medicine, internal medicine, cardiology, and orthopedics who were observed for 430 hours, 21 of whom also completed after-hours diaries. Proportions of time spent on 4 activities (direct clinical face time, electronic health record [EHR] and desk work, administrative tasks, and other tasks) and self-reported after-hours work. 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. While in the examination room with patients, physicians spent 52.9% of the time on direct clinical face time and 37.0% on EHR and desk work. The 21 physicians who completed after-hours diaries reported 1 to 2 hours of after-hours work each night, devoted mostly to EHR tasks. Data were gathered in self-selected, high-performing practices and may not be generalizable to other settings. The descriptive study design did not support formal statistical comparisons by physician and practice characteristics. 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. Outside office hours, physicians spend another 1 to 2 hours of personal time each night doing additional computer and other clerical work. American Medical Association.

Twitter Demographics

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Mendeley readers

The data shown below were compiled from readership statistics for 65 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
United States 5 8%
Belgium 1 2%
Netherlands 1 2%
Unknown 58 89%

Demographic breakdown

Readers by professional status Count As %
Other 12 18%
Researcher 11 17%
Professor > Associate Professor 10 15%
Student > Ph. D. Student 6 9%
Professor 5 8%
Other 21 32%
Readers by discipline Count As %
Medicine and Dentistry 49 75%
Computer Science 6 9%
Social Sciences 4 6%
Engineering 3 5%
Agricultural and Biological Sciences 1 2%
Other 2 3%

Attention Score in Context

This research output has an Altmetric Attention Score of 2082. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 23 April 2017.
All research outputs
#216
of 7,597,985 outputs
Outputs from Annals of Internal Medicine
#3
of 7,359 outputs
Outputs of similar age
#17
of 243,985 outputs
Outputs of similar age from Annals of Internal Medicine
#1
of 125 outputs
Altmetric has tracked 7,597,985 research outputs across all sources so far. Compared to these this one has done particularly well and is in the 99th percentile: it's in the top 5% of all research outputs ever tracked by Altmetric.
So far Altmetric has tracked 7,359 research outputs from this source. They typically receive a lot more attention than average, with a mean Attention Score of 25.1. This one has done particularly well, scoring higher than 99% of its peers.
Older research outputs will score higher simply because they've had more time to accumulate mentions. To account for age we can compare this Altmetric Attention Score to the 243,985 tracked outputs that were published within six weeks on either side of this one in any source. This one has done particularly well, scoring higher than 99% of its contemporaries.
We're also able to compare this research output to 125 others from the same source and published within six weeks on either side of this one. This one has done particularly well, scoring higher than 99% of its contemporaries.