ArticleJournal of health economics2021
Docs with their eyes on the clock? The effect of time pressures on primary care productivity.
Article in Journal of health economics, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 30 papers, 2 of them syntheses that pooled 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.
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.
Who cites it
30 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- The association between team-based model of care characteristics and patient outcomes in community health centres: a systematic review.BMC primary care · 2026Pooled it
- Exploring Communication Dynamics Between Patients and Healthcare Providers in Oncology: A Systematic Review.Health expectations : an international journal of public participation in health care and health policy · 2025Pooled it
- Effect of Integrating Access to a Prescription Drug Monitoring Program Within the Electronic Health Record on the Frequency of Queries by Primary Care Clinicians: A Cluster Randomized Clinical Trial.JAMA health forum · 2022Trial
- Development of a hybrid artificial intelligence framework for pharmacotherapy optimization.International journal of clinical pharmacy · 2026Article
- Physician Consultation Time and Perceived Quality of Outpatient Care for New Cancer Patients in Korea: An Experimental Vignette Survey of the General Public and Physicians.Journal of Korean medical science · 2026Article
- Exploring the Role of Large Language Models in Primary Care: Qualitative Study of Physicians in the United States and the Netherlands.JMIR medical informatics · 2026Article
- Defining a theoretical framework for a quality referral at the primary-secondary care interface: a systematic scoping review with qualitative content analysis.The British journal of general practice : the journal of the Royal College of General Practitioners · 2026Article
- Edge-Hosted LLM-Assisted NICU Discharge Summary Generation: Field-Level Evaluation Using a Clinician-Defined Rubric.Healthcare (Basel, Switzerland) · 2026Article
- Training needs and curricular priorities for managing multimorbidity in Spanish primary care: findings from a national exploratory online survey.BMC primary care · 2026Article
- Can Adhering to Clinical Communication Guidelines Promote Trust, Liking and Respect for General Practitioners and Willingness to Discuss Depression? A Theory-Based Test.Behavioral sciences (Basel, Switzerland) · 2026Article
- Time to care: the lived experience of receiving care from a primary care service for people with frequent hospital admissions.Family medicine and community health · 2026Article
- Establishing Psychometric Properties of the Modified Barriers Experienced in Providing Healthcare Instrument.Healthcare (Basel, Switzerland) · 2026Article
- Sensitive and specific fNIRS-based approach for awareness detection in disorders of consciousness: proof of principle in healthy adults.Neurophotonics · 2025Article
- Primary care physicians' experiences with inbox triage.JAMIA open · 2025Article
- Efficiency in health care: connecting economic evaluations with implementation objectives.Implementation science communications · 2025Article
- The effect of workload on primary care doctors on referral rates and prescription patterns: evidence from English NHS.The European journal of health economics : HEPAC : health economics in prevention and care · 2025Article
- Knowledge, Attitudes, and Practices Regarding Herpes Zoster Vaccination Among Primary Healthcare Physicians: A Cross-sectional Survey in Jazan, Saudi Arabia.Oman medical journal · 2025Article
- Barriers to Providing Optimal Care in Idaho from the Perspective of Healthcare Providers: A Descriptive Analysis.Healthcare (Basel, Switzerland) · 2025Article
- Article
- Specific Medication Literacy in Older Adults with Asthma.The journal for nurse practitioners : JNP · 2024Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
5 authors.
Funding
Abstract
This paper examines how time pressure, an important constraint faced by medical care providers, affects productivity in primary care. We generate empirical predictions by incorporating time pressure into a model of physician behavior by Tai-Seale and McGuire (2012). We use data from the electronic health records of a large integrated delivery system and leverage unexpected schedule changes as variation in time pressure. We find that greater time pressure reduces the number of diagnoses recorded during a visit and increases both scheduled and unscheduled follow-up care. We also find some evidence of increased low-value care, decreased preventive care, and decreased opioid prescribing.
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Registered trials
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.