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Medical Scribes as an Input in Health-Care Production: Evidence from a Randomized Experiment

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  • Andrew I. Friedson

    (Department of Economics, University of Colorado Denver Author email: Andrew.Friedson@ucdenver.edu)

Abstract

Medical scribes are charting specialists who prepare patient charts in the physician's stead, creating efficiency gains in production via specialization of labor. The scribe industry has grown rapidly in recent years, but relatively little is known about its impact on health-care production. I use data from a randomized experiment in which scribes were assigned to some, but not all, physician shifts in three emergency rooms over nine months. Generally, I find that scribes significantly decrease physician overtime usage, increase the number of relative value units per shift, and decrease patient wait times. The size of the benefits of scribes varies considerably based on the types of shifts worked and characteristics of the physician matched with the scribe.

Suggested Citation

  • Andrew I. Friedson, 2018. "Medical Scribes as an Input in Health-Care Production: Evidence from a Randomized Experiment," American Journal of Health Economics, University of Chicago Press, vol. 4(4), pages 479-503, Fall.
    • Handle: RePEc:ucp:amjhec:v:4:y:2018:i:4:p:479-503
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    References listed on IDEAS

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    Cited by:

    1. Dillender, Marcus & Friedson, Andrew & Gian, Cong & Simon, Kosali, 2019. "Does the healthcare educational market respond to short-run local demand?," Economics of Education Review, Elsevier, vol. 73(C).
    2. Kim, Jounghyeon & McCullough, Jeffrey S. & Lee, Jinhyung, 2022. "Do liquidity constraints affect the investment decisions of California hospitals?," Economic Modelling, Elsevier, vol. 113(C).

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    More about this item

    Keywords

    medical scribes; emergency rooms; health-care production; specialization of labor;
    All these keywords.

    JEL classification:

    • I11 - Health, Education, and Welfare - - Health - - - Analysis of Health Care Markets
    • J24 - Labor and Demographic Economics - - Demand and Supply of Labor - - - Human Capital; Skills; Occupational Choice; Labor Productivity
    • L23 - Industrial Organization - - Firm Objectives, Organization, and Behavior - - - Organization of Production

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