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Balancing quality and utilization: Emergency physician level correlation between 72 h returns, admission, and CT utilization rates

Published:February 03, 2021DOI:https://doi.org/10.1016/j.ajem.2021.01.078
      Metrics, particularly those assessing physician productivity, resource utilization, or quality, are increasingly used to measure emergency physician performance for a range of purposes including quality improvement (QI) and even annual compensation. While prior work has shown complicated relationships between these measures at the facility level [
      • Smith J.S.
      • Shockley J.
      • Anderson S.
      • Liu X.
      Tension in the emergency department? the impact of flow stage times on managing patient-reported experiences and financial productivity. decision sciences.
      ], little work has examined whether these common measures compete or balance each other at the physician level, which may substantially influence the incentives faced by physicians, and thus, the care decisions made in the ED.
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