You mention profit efficiency, but all three of my points make sense even in light of that: (i) insurance is literally the way doctors get paid; (ii) lawsuits are hella expensive, and (iii) regardless of profit incentives you can't not follow the law.
The software that doctors use is terrible. It's a perfect combination of extreme complexity, domination by just a couple companies (Epic and Cerner), legacy software (some still written in mumps, I hear!), and tons and tons of regulation.
I believe the VA has poured literally billions over the last decade to fully modernize it. It hasn't happened yet to my knowledge.
Doctors are expensive, but malpractice lawsuits are more expensive. Documentation is extremely important for lawsuits. If you get sued because a patient you saw last year later died and they're alleging improper health care(just to use a random example), it's highly dependent on having meticulously documented notes that document every single examination finding and treatment administered. Your memory isn't going to be accurate, and the prosecutor is going to be looking for any errors in documentation they can use.
I am sorry, have you been in the workplace in the past 20 years and have you tried adding up all the meeting that get shoved into your calendar? I am lucky if 50% of my day is not taken away from me
To imply that someone from higher up wouldn't tolerate' that most of my time is spent in meetings is simply laughable, they are the ones creating them!
Maybe, but this sounds like some vague hunch based on ???. I very highly doubt the healthcare industry would tolerate doctors wasting ~37.5% of their time (75% of paperwork time is wasteful * 50% of doctors' time spent on paperwork = minimum 37.5% of doctors time wasted). Doctors are expensive, so recouping anywhere near 40% of their time would be a priority.
It seems more likely that the paperwork is actually pretty useful (but the utility is not obvious to the lay observer), or at least useful enough that the wasted time isn't significant to the healthcare industry (which is already struggling with margins and personnel).