Task Selection and Patient "Pick-up" - How Familiarity Encourages Physician Multitasking in the Emergency Department

22 Pages Posted: 29 Jun 2020 Last revised: 28 Jun 2021

See all articles by RJ Niewoehner

RJ Niewoehner

University of North Carolina (UNC) at Chapel Hill - Kenan-Flagler Business School

Diwas Singh KC

Emory University - Goizueta Business School

Bradley R. Staats

University of North Carolina Kenan-Flagler Business School

Date Written: June 25, 2021

Abstract

Background: Patient demand for emergency medical services continues to rise from all-time highs. ED physicians generally respond to this rising demand by increasing their level of multitasking.

Aim: What leads ED physicians to select which patients, and how many patients, they will treat? Queuing models frequently assume individual servers operate independently of other servers. In contrast, we consider how familiarity between peers affects a physician’s chosen multitasking level through patient selection, otherwise known as “patient pick-up."

Methods: Using data from multiple EDs, we quantify the effect of familiarity on multitasking empirically, show this effect occurs due to changes in pick-up behavior, and explore the combined impact of familiarity and multitasking on other ED outcomes.

Results: Among ED physicians, greater average familiarity leads to observed multitasking, an increase in patient pick-up rate, and shorter patient wait time -- all with no identifiable, negative impact to patient processing time or length of stay. Moreover, these effects intensify at the end of a physician’s shift and for patients in severe condition.

Conclusion: Within more familiar groups, physicians appear willing to exert more effort. This study explicates how these benefits materialize and illustrates why researchers must consider server familiarity moving forward.

Keywords: Healthcare, Discretion, Productivity, Familiarity, Empirical Operations

Suggested Citation

Niewoehner, Robert J. and KC, Diwas Singh and Staats, Bradley R., Task Selection and Patient "Pick-up" - How Familiarity Encourages Physician Multitasking in the Emergency Department (June 25, 2021). Available at SSRN: https://ssrn.com/abstract=3618730 or http://dx.doi.org/10.2139/ssrn.3618730

Robert J. Niewoehner (Contact Author)

University of North Carolina (UNC) at Chapel Hill - Kenan-Flagler Business School ( email )

McColl Building
Chapel Hill, NC 27599-3490
United States

Diwas Singh KC

Emory University - Goizueta Business School ( email )

1300 Clifton Road
Atlanta, GA 30322-2722
United States

Bradley R. Staats

University of North Carolina Kenan-Flagler Business School ( email )

McColl Building, CB#3490
Chapel Hill, NC 27599
United States

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