摸鱼的效率：来自急诊科的证据

中文摘要

工作排班在组织中利用劳动力方面发挥着重要作用。在对急诊科轮班医生的研究中，排班引发了两种扭曲：第一，医生在临近班次结束（EOS）时通过接诊更少的患者来“摸鱼”；第二，医生扭曲了患者护理，因在临近EOS接诊的患者身上花费较少时间而产生更高成本。考察这些效应如何随班次重叠而变化，揭示了两者之间的权衡。在正常工作结束时间后的一小时内，医生愿意花费高达其市场工资八倍的医院资源来保全闲暇。计入总成本后，我发现医生的摸鱼水平近似于次优水平。

Abstract

Work schedules play an important role in utilizing labor in organizations.In this study of emergency department physicians in shift work, schedules induce two distortions: First, physicians "slack off" by accepting fewer patients near end of shift (EOS).Second, physicians distort patient care, incurring higher costs as they spend less time on patients accepted near EOS.Examining how these effects change with shift overlap reveals a tradeoff between the two.Within an hour after the normal time of work completion, physicians are willing to spend hospital resources eight times more than their market wage to preserve their leisure.Accounting for overall costs, I find that physicians slack off at approximately second-best optimal levels.