BACKGROUND: In hospitals, decisions are often made under time pressure. There is, however, little evidence on how time pressure affects the quality of treatment and the documentation behaviour of physicians. SETTING: We implemented a controlled laboratory experiment with a healthcare framing in which international medical students in the Czech Republic treated patients in the role of hospital physicians. We varied the presence of time pressure and a documentation task. RESULTS: We observed worse treatment quality when individuals were faced with a combination of a documentation task and time pressure. In line with the concept of the speed-accuracy trade-off, we showed that quality changes are likely driven by less accuracy. Finally, we showed that while documentation quality was relatively high overall, time pressure significantly lowered the latter leading to a higher hypothetical profit loss for the hospital. CONCLUSIONS: Our results suggest that policy reforms aimed at increasing staffing and promoting novel technologies that facilitate physicians' treatment decisions and support their documentation work in the hospital sector might be promising means of improving the treatment quality and reducing inefficiencies potentially caused by documentation errors.
- MeSH
- časové faktory MeSH
- dokumentace * normy MeSH
- kvalita zdravotní péče * MeSH
- lékaři * psychologie MeSH
- lidé MeSH
- Check Tag
- lidé MeSH
- mužské pohlaví MeSH
- Publikační typ
- časopisecké články MeSH
- Geografické názvy
- Česká republika MeSH
We use survey data to study how trust in government and consensus for the pandemic policy response vary with the propensity for altruistic punishment in Italy, the early epicenter of the pandemic. Approval for the management of the crisis decreases with the size of the penalties that individuals would like to see enforced for lockdown violations. People supporting stronger punishment are more likely to consider the government's reaction to the pandemic as insufficient. However, after the establishment of tougher sanctions for risky behaviors, we observe a sudden flip in support for the government. Higher amounts of the desired fines become associated with a higher probability of considering the COVID policy response as too extreme, lower trust in government, and lower confidence in the truthfulness of the officially provided information. These results suggest that lockdowns entail a political cost that helps explain why democracies may adopt epidemiologically suboptimal policies.
- MeSH
- COVID-19 * MeSH
- kontrola infekčních nemocí MeSH
- lidé MeSH
- pandemie MeSH
- SARS-CoV-2 MeSH
- vláda MeSH
- Check Tag
- lidé MeSH
- Publikační typ
- časopisecké články MeSH
