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Research Letters | Oct 8, 2012

Providing Primary Care in the United States: The Work No One Sees

Liselotte N. Dyrbye, MD, MHPE; Colin P. West, MD, PhD; Timothy C. Burriss, BBA; Tait D. Shanafelt, MD

Arch Intern Med. 2012;172(18):1420-1421. doi:10.1001/archinternmed.2012.3166.

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Practice redesign efforts to improve the efficiency of primary care practice and increase the volume of patients primary care providers are able to care for must take into account all tasks associated with the provision of care, including those outside the face-to-face encounter that often go unrecognized. In the present study, we empirically measured a wide breadth of outpatient care tasks associated with the provision of primary care over the course of an entire year in a large group of academic general internists, adjusted for actual number of work days and number of patients seen, to accurately assess the total work associated with provision of primary care in the outpatient setting.

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Dyrbye LN, West CP, Burriss TC, Shanafelt TD. Providing Primary Care in the United States: The Work No One Sees. Arch Intern Med. 2012;172(18):1420-1421. doi:10.1001/archinternmed.2012.3166.

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