![]() ![]() Emergency physicians spend almost half of their time in indirect patient care. hospital physicians in internal medicine tend to work more time in indirect (56%) than in direct patient care (14%). The actual time spent in face-to-face contact has been shown to be limited. ![]() those that contribute to tight time schedules, affect the nature and length of the physician-patient interaction. Also, physicians' work satisfaction relates to the time they have for patient interaction. ![]() More specifically, physicians in direct interaction with patients and with sufficient time are able to respond appropriately to patients' needs and concerns. Two aspects seem to be especially important in the delivery of medical care: direct physician-patient contact and the burden of simultaneous task performance.Īn effective physician-patient contact characterized by competent communication and compassion has repeatedly been identified as being one of the core principles of medical care ]. Which activities clinicians allocate their time to is crucial to the quality of service. Hospital physicians' time is a valuable resource. The potential detrimental effects of frequently observed simultaneous activities on performance outcomes need further consideration. Patient-related working time in hospitals is limited. Applying logit-linear analyses, specific primary activities increase the probability of particular simultaneous activities. Communication with patients, documentation, and conversation with colleagues and nursing staff were the most frequently observed simultaneous activities. Physicians performed parallel simultaneous activities for 17–20% of their work time. Most time was allocated to documentation and conversation with colleagues and nursing staff. Hospital physicians spent 25.5% of their time at work in direct contact with patients. 71 points to good reliability of the instrument. Assessed variables of interest were time allocation, share of direct patient contact, and simultaneous activities. Complete day shifts of hospital physicians on wards, emergency ward, intensive care unit, and operating room were continuously observed. Methodsģ5 participant observations of internists and surgeons of a German municipal 300-bed hospital were conducted. Therefore an observation instrument for time-motion-studies in hospital settings was developed and tested. A preliminary study to gain insight into activity patterns, time allocation and simultaneous activities of hospital physicians was carried out. There is a call for instruments to assess these aspects. Second, simultaneous task performance ('multitasking') which may contribute to medical error, impaired safety behaviour, and stress. First, the time spent in direct patient contact – a key principle of effective medical care. Hospital physicians' time is a critical resource in medical care. ![]()
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