Understanding physician efficiency in emergency departments through the lens of patient-induced complexity

[...]while major payers rely on patient-per-hour (PPH) as the metric for physician productivity and reimbursement, practitioners aver that the metric risks prioritizing speed at the expense of quality. [...]there is a renewed debate to shift from the volume-based metrics for physician performance to...

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Published inThe American journal of emergency medicine Vol. 73; pp. 230 - 231
Main Authors Taiwo, Enayon Sunday, Zaerpour, Farzad, Soltani, Narges, Menezes, Mozart B.C.
Format Journal Article
LanguageEnglish
Published United States Elsevier Inc 01.11.2023
Elsevier Limited
Subjects
Data envelopment analysis
Efficiency
Emergency medical care
Investigations
Physicians
Stochasticity
Writing
Canada
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Summary:[...]while major payers rely on patient-per-hour (PPH) as the metric for physician productivity and reimbursement, practitioners aver that the metric risks prioritizing speed at the expense of quality. [...]there is a renewed debate to shift from the volume-based metrics for physician performance to composite metrics that account for quality of care and other stochastic factors influencing variability in the service system. Based on our model definition, an increasing physician efficiency occurs in any one or more of the following cases: (1) PPH is increasing, (2) the percentage of non-revisits within 72 h is increasing, and (3) the average service time reduces. [...]investigating physician efficiency using a multi-dimensional value-based index that accounts for volume, quality, and speed, we favor adopting alternative payment models that jointly encourage care quality and productivity and emphasize reduced re-hospitalization rate and increased patient access.
Bibliography:SourceType-Other Sources-1
content type line 63
ObjectType-Correspondence-1
ISSN:0735-6757
1532-8171
DOI:10.1016/j.ajem.2023.07.040