There are not buttons in this style of elevator other than door open door close and call for help.
Used correctly, it can massively improve the elevator usage experience. Used incorrectly, it ends up being worse than a "indicate travel direction" system.
Having used it in 3 (I think) buildings with this system, it was definitely used correctly in one, definitely NOT used correctly in another and in the third, I was mostly present sufficiently outside normal working hours that I cannot with certainty state how it was used.
And as you seldom unselect, it's Huffman coding for the win ;-)
living on the top floor of a highrise, i was occasionally able to use that when i realized that i forgot something at home (although most times it takes me longer to realize that than the elevator needs to make it all the way down)
it is also very useful when the kids are naughty and press all the buttons for fun