Statements in which the resource exists as a subject.
PredicateObject
rdf:type
lifeskim:mentions
pubmed:issue
8
pubmed:dateCreated
2001-1-24
pubmed:abstractText
The Balanced Budget Act of 1997 legislated the idea of reimbursing ambulatory sites for training medical professionals. However, very little is known about the costs of training in such settings. This paper assesses the cost of primary care training in ambulatory settings. Selection models were used to separate the cost of teaching from the cost of infrastructural differences between teaching and non-teaching sites. A probit equation modelled the likelihood of an ambulatory site having a teaching programme and a cost function related total medical practice costs to clinical output, the presence of a health professions educational programme, the price of resources used, characteristics of the medical practice and location. Data on 184 community health centres (CHCs), group practices, health maintenance organizations (HMOs) and outpatient clinics were used. Teaching sites were found to have 36% higher operating costs than their non-teaching counterparts: 38% of these higher costs were due to infrastructural differences and 62% were the 'pure' costs of teaching, i.e. the costs of teaching the net of infrastructural effects.
pubmed:language
eng
pubmed:journal
pubmed:citationSubset
IM
pubmed:status
MEDLINE
pubmed:month
Dec
pubmed:issn
1057-9230
pubmed:author
pubmed:copyrightInfo
Copyright 2000 John Wiley & Sons, Ltd.
pubmed:issnType
Print
pubmed:volume
9
pubmed:owner
NLM
pubmed:authorsComplete
Y
pubmed:pagination
715-26
pubmed:dateRevised
2006-11-15
pubmed:meshHeading
pubmed-meshheading:11137952-Allied Health Personnel, pubmed-meshheading:11137952-Ambulatory Care, pubmed-meshheading:11137952-Ambulatory Care Facilities, pubmed-meshheading:11137952-Community Health Centers, pubmed-meshheading:11137952-Education, Medical, Graduate, pubmed-meshheading:11137952-Education, Nursing, pubmed-meshheading:11137952-Group Practice, pubmed-meshheading:11137952-Health Maintenance Organizations, pubmed-meshheading:11137952-Humans, pubmed-meshheading:11137952-Least-Squares Analysis, pubmed-meshheading:11137952-Medicare, pubmed-meshheading:11137952-Models, Econometric, pubmed-meshheading:11137952-Primary Health Care, pubmed-meshheading:11137952-Teaching, pubmed-meshheading:11137952-Training Support, pubmed-meshheading:11137952-United States, pubmed-meshheading:11137952-United States Health Resources and Services Administration
pubmed:year
2000
pubmed:articleTitle
Estimating the cost of primary care training in ambulatory settings.
pubmed:affiliation
Health Services Research Division, Department of Medicine, Michigan State University, East Lansing, MI, USA. hogana@msu.edu
pubmed:publicationType
Journal Article, Research Support, U.S. Gov't, Non-P.H.S., Research Support, Non-U.S. Gov't