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  1. A community collaborative practice experience between Med/Peds and family practice.

    Article - En anglais


    The medical literature has followed educational outcomes of Medicine-Pediatric (Med/Peds) physicians, but limited studies exist as to clinical outcomes for these combined specialty physicians.

    Although a variety of practice environments are available for a growing number of Med/Peds physicians, a collaborative practice setting with family physicians may optimize the Med/Peds practice potential.

    This study investigates clinical practice outcomes and utilization efficiencies of collaborative Med/Peds family practice physicians within a community, which should provide an effective model in a growing managed care environment.


    Two collaborative practice settings in a moderate size Midwest community were analyzed with respect to patient demographics and utilization scores provided by a practice management group and a nationally based health care network.

    Current Procedural Terminology (CPT) coding was used to follow demographic trends for over 45,000 patient visits for 1 year.

    Efficiency ratings (Z-scores) were used over the same year for over 6,000 health care network patient visits to 10 collaborative practice-based physicians, which were then compared to 141,101 community family practice patient encounters, 26,617 general internist patient encounters, and 29,995 patient encounters to pediatricians for utilization trends. (...)

    Mots-clés Pascal : Médecine, Disposition pratique, Expérience professionnelle, Relation médecin malade, Etude comparative, Coopération, Soin intégré, Médecin généraliste, Communauté, Spécialiste information, Coût, Evaluation, Homme, Organisation santé

    Mots-clés Pascal anglais : Medicine, Practical measure, Professional experience, Physician patient relation, Comparative study, Cooperation, Managed care, General practitioner, Community, Information scientist, Costs, Evaluation, Human, Public health organization

    Logo du centre Notice produite par :
    Inist-CNRS - Institut de l'Information Scientifique et Technique

    Cote : 97-0342399

    Code Inist : 002B30A09. Création : 12/09/1997.