ONE OF the biggest sticking points for physicians in managed care has become the relentless drive for increased productivity.1,2 Physicians complain about having to work harder and harder to stay in the same place; their objections seem unexceptionable enough. What is odd, however, is that when one steps back to look at the bigger picture, one finds that productivity is invariably defined, across all fields of office-based medicine, by the number of outpatient visits per hour or per day. Other professions do not work this way: attorneys, accountants, and architects do not bill just for the time spent with clients; professors' salaries are not based solely on the amount of time they spend with students in class and during office hours.
Poplin C. Productivity in Primary Care: Work Smarter, Not Harder. Arch Intern Med. 2000;160(9):1231–1233. doi:10.1001/archinte.160.9.1231
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