Switch to
Predicate | Object |
---|---|
rdf:type | |
lifeskim:mentions | |
pubmed:issue |
3
|
pubmed:dateCreated |
1987-9-24
|
pubmed:abstractText |
Data on efficiency, costs, and profits of 15 internal medicine outpatient group practices in university hospitals were collected for 9 months from interviews, a time-motion study, observations, and reviews of bills. Charges for a follow-up visit were about 25% higher than Medicare's allowable charges, but differed threefold across practices. Physicians spent more than half their allocated patient care or supervision time in other activities and 14% of nursing time was used for direct patient care. Visits to second- and third-year residents cost one half of those to faculty. Faculty supervision of second- and third-year residents was limited; it was, on average, 2 minutes per follow-up visit. Despite these inefficiencies, bad debts, and educational costs, practices appeared to break even financially. We conclude it is financially feasible for university hospitals to provide primary care to disadvantaged populations.
|
pubmed:language |
eng
|
pubmed:journal | |
pubmed:citationSubset |
AIM
|
pubmed:status |
MEDLINE
|
pubmed:month |
Sep
|
pubmed:issn |
0003-4819
|
pubmed:author | |
pubmed:issnType |
Print
|
pubmed:volume |
107
|
pubmed:owner |
NLM
|
pubmed:authorsComplete |
Y
|
pubmed:pagination |
399-405
|
pubmed:dateRevised |
2006-11-15
|
pubmed:meshHeading |
pubmed-meshheading:3619226-Costs and Cost Analysis,
pubmed-meshheading:3619226-Efficiency,
pubmed-meshheading:3619226-Faculty, Medical,
pubmed-meshheading:3619226-Fees, Medical,
pubmed-meshheading:3619226-Group Practice,
pubmed-meshheading:3619226-Hospitals, Teaching,
pubmed-meshheading:3619226-Hospitals, University,
pubmed-meshheading:3619226-Internship and Residency,
pubmed-meshheading:3619226-Outpatient Clinics, Hospital,
pubmed-meshheading:3619226-Primary Health Care,
pubmed-meshheading:3619226-Time and Motion Studies,
pubmed-meshheading:3619226-United States
|
pubmed:year |
1987
|
pubmed:articleTitle |
Providing primary general medical care in university hospitals: efficiency and cost.
|
pubmed:publicationType |
Journal Article,
Research Support, Non-U.S. Gov't
|