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Letters |2 May 2017

Allocation of Physician Time in Ambulatory Practice

Steven Bishop, MD; Jeffrey Kushinka, MD; Shin-Ping Tu, MD, MPH

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TO THE EDITOR:
Sinsky and colleagues' study (1) draws some unfortunate but unsurprising conclusions and gives weight to the concerns that we and our associates have had about the practice of medicine for some time. Looking beyond this study, if you could add up the additional time (that is, costs) layered onto practice, you would find an extraordinary tax on the provision of medical care. Physician burnout, workload compression, and other issues related to this taxation are the subjects of much study and scholarship. However, we are concerned that not enough is being done to eliminate or reduce the actual taxation as opposed to just studying it. Physicians choose medicine to care for the sick, not to tend to endless documents and forms. We are trapped in something economists call Harberger's triangle (2).
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Bishop S, Kushinka J, Tu S. Allocation of Physician Time in Ambulatory Practice. Ann Intern Med. ;166:682–683. doi: 10.7326/L17-0076

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Published: Ann Intern Med. 2017;166(9):682-683.

DOI: 10.7326/L17-0076

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2017 American College of Physicians
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