Evidence map›Paper›PMID 32960381›Full record

ArticleHealth care management science2021

A Markov chain model for analysis of physician workflow in primary care clinics.

Sujee Lee, Philip A Bain, Albert J Musa, Jingshan Li

Abstract read
PubMed Publisher
In one paragraph

Article in Health care management science, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
1.4field-weighted citation impact, top 15% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed, 9 citations in OpenAlex.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors at 2 institutions in 1 country.

Sujee LeeDepartment of Industrial and Systems Engineering, University of Wisconsin, Madison, WI, USA.
Philip A BainSSM Health Dean Medical Group, Madison, WI, USA.
Albert J MusaSSM Health Dean Medical Group, Madison, WI, USA.
Jingshan LiDepartment of Industrial and Systems Engineering, University of Wisconsin, Madison, WI, USA. jingshan.li@wisc.edu.ORCID http://orcid.org/0000-0002-2692-5920
Dean Health Systems · USUniversity of Wisconsin–Madison · US

Funding

National Science Foundation 1536987
6 · The paper itself

Abstract

This paper studies physician workflow management in primary care clinics using terminating Markov chain models. The physician workload is characterized by face-to-face encounters with patients and documentation of electronic health record (EHR) data. Three workflow management policies are considered: preemptive priority (stop ongoing documentation tasks if a new patient arrives); non-preemptive priority (finish ongoing documentation even if a new patient arrives); and batch documentation (start and finish documentation when the desired number of tasks is reached). Analytical formulas are derived to quantify the performance measures of three management policies, such as physician's daily working time, patient's waiting time, and documentation waiting time. A comparison of the results under three policies is carried out. Finally, a case study in a primary care clinic is carried out to illustrate model applicability. Such a work provides a quantitative tool for primary care physicians to design and manage their workflow to improve care quality.

Indexed as

PhysiciansWorkflowAmbulatory Care FacilitiesElectronic Health RecordsHumansMarkov ChainsOrganizational PolicyWaiting ListsDocumentationFace-to-face-encounterMarkov chainOperations researchPhysician workflowPrimary care

Identifiers

PMID32960381
OpenAlexW3087097579

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.