Physician Discretion and Patient Pick-up: How Familiarity Encourages Multitasking in the Emergency Department
研究急诊科医生如何利用自由裁量权选择患者，发现医生之间的熟悉度越高，接诊患者越多、多任务处理越多、患者等待时间越短，且不损害处理时间或住院时长。
Patient demand for emergency medical services has never been greater. In the United States, as fewer people access medical care through a primary care provider, more people access care through the hospital emergency department (ED). Unlike other types of queuing systems, however, the ED allows physicians discretion in whom they serve. That is, ED queues do not operate solely under a policy of “first-come, first-served, by severity.” Therefore, we wanted to know: “What leads physicians to select which patients, and how many patients, they will treat?” We explore how familiarity between peer physicians affects patient selection and the chosen multitasking level, a process more commonly known in the ED as “patient pick-up.” We find greater familiarity leads to an increase in patient pick-up rate, observed multitasking, and shorter patient wait time, with no identifiable negative impact to patient processing time or length of stay.