Definitions and factors associated with emergency physician productivity: a scoping review.

Autor: Anjum O; Department of Emergency Medicine, University of Ottawa, The Ottawa Hospital, Ottawa, ON, Canada. oanjum@toh.ca., Yadav K; Department of Emergency Medicine, University of Ottawa, The Ottawa Hospital, Ottawa, ON, Canada.; The Ottawa Hospital Research Institute, University of Ottawa, Ottawa, ON, Canada., Chhabra S; Department of Emergency Medicine, University of Ottawa, The Ottawa Hospital, Ottawa, ON, Canada., Mallick R; The Ottawa Hospital Research Institute, University of Ottawa, Ottawa, ON, Canada., Fournier K; Health Sciences Library, University of Ottawa, Ottawa, ON, Canada., Thiruganasambandamoorthy V; Department of Emergency Medicine, University of Ottawa, The Ottawa Hospital, Ottawa, ON, Canada.; The Ottawa Hospital Research Institute, University of Ottawa, Ottawa, ON, Canada., Cortel-LeBlanc MA; Department of Emergency Medicine, Queensway Carleton Hospital, Ottawa, ON, Canada.
Jazyk: angličtina
Zdroj: CJEM [CJEM] 2023 Apr; Vol. 25 (4), pp. 314-325. Date of Electronic Publication: 2023 Apr 01.
DOI: 10.1007/s43678-023-00479-1
Abstrakt: Purpose: There currently exists no standard productivity measure for emergency physicians. The objectives of this scoping review were to synthesize the literature to identify components of definitions and measurements of emergency physician productivity and to evaluate factors associated with productivity.
Methods: We searched Medline, Embase, CINAHL, and ProQuest One Business from inception to May 2022. We included all studies that reported on emergency physician productivity. We excluded studies that only reported departmental productivity, studies with non-emergency providers, review articles, case reports, and editorials. Data were extracted into predefined worksheets and a descriptive summary was presented. Quality analysis was performed with Newcastle-Ottawa Scale.
Results: After screening 5521 studies, 44 studies met full inclusion criteria. Components of the definition for emergency physician productivity included: number of patients managed, revenue generated, patient processing time, and a standardization factor. Most studies measured productivity using patients per hour, relative value units per hour, and provider-to-disposition time. The most studied factors influencing productivity included scribes, resident learners, electronic medical record implementation, and faculty teaching scores.
Conclusion: Emergency physician productivity is heterogeneously defined, but includes common elements such as patient volume, complexity, and processing time. Commonly reported productivity metrics include patients per hour and relative value units that incorporate patient volume and complexity, respectively. The findings of this scoping review can guide ED physicians and administrators to measure the impact of QI initiatives, promote efficient patient care, and optimize physician staffing.
(© 2023. The Author(s), under exclusive licence to Canadian Association of Emergency Physicians (CAEP)/ Association Canadienne de Médecine d'Urgence (ACMU).)
Databáze: MEDLINE
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