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UNC Chapel Hill - Kenan Flagler Business School, United States of America
Physicians spend more than 5 hours a day on EHR and 1 hour after work, causing burnout, attrition, and appointment delays. This paper examines the impact of workflow decisions on EHR time. Using 150,000 appointments from 74 family medicine physicians, we find pre-appointment EHR reduces workload and after-work hours, while post-appointment EHR decreases after-work hours but increases total EHR time. Our findings help healthcare administrators design EHR workflows to reduce physician burnout.
The cost of task switching: evidence from emergency departments
1The University of British Columbia, Canada; 2McGill University
We study how task switching in emergency departments (ED) impacts physician efficiency, quality of care, and patient routing. We find task switching hurts physician productivity, while its influence on quality is insignificant. ED physicians are switch-averse when routing patients. Leveraging the heterogeneity among task switches, we propose an implementable data-driven queue management method to partition patients into two queues. The simulation shows our method effectively improves efficiency.
Does telehealth reduce rural-urban care-access disparities? Evidence from covid-19 telehealth expansion
Guihua Wang, Shujing Sun
University of Texas Dallas
This study investigates the impact of telehealth expansion on rural-urban healthcare access disparities during COVID-19. The findings reveal an increased gap between rural and urban areas, with telehealth contributing to a 3.9% rise in the disparity. Urban patients adopt telehealth more, while rural patients rely on in-person visits. The research highlights the need to address barriers and promote equitable access to remote care, informing policymakers, healthcare providers, and researchers.