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  1. Use of standardized patients to assess between-physician variations in resource utilization.

    Article - En anglais

    Context. - As medical costs are increasingly being scrutinized, there is heightened interest in defining variations in physician behavior in clinical settings.

    Objective

    - To evaluate if standardized patient (SP) technology is a reliable and feasible method of studying interphysician variations in test ordering, referral requests, prescribing behavior, and visit costs.

    Design

    - The study was conducted with blinded SP visits to family medicine and internal medicine residents, university-affiliated family physicians, and community-based family physicians.

    Resource utilization and visit costs were assessed using test requisitions, consult requests, and prescriptions that were collected by the SPs.

    Setting

    - Physicians'offices in ambulatory care, hospital-based clinics and in the community.

    Participants

    - Four persons (aged 57-77 years) trained to simulate having osteoarthritis of the hip.

    In one simulation, the patient had gastropathy due to nonsteroidal anti-inflammatory drug use, and in the other, the patient sought therapy for hip discomfort.

    Main Outcome Measures

    - Reliability of cost estimates of physician services, tests, consultations, prescriptions, and total visits and test-ordering behavior for nonsteroidal anti-inflammatory gastropathy.

    Results

    - Overall, 112 (63%) of the physicians who were sent invitations to the study agreed to participate. (...)

    Mots-clés Pascal : Médecin, Analyse coût, Economie santé, Evaluation, Pratique professionnelle, Homme

    Mots-clés Pascal anglais : Physician, Cost analysis, Health economy, Evaluation, Professional practice, Human

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

    Cote : 97-0514526

    Code Inist : 002B30A05. Création : 13/02/1998.