Annual Scientific Session of the American Surgical Association. San Diego, CA, USA, 1999/04.
Objective To review retrospectively a 4-year experience with pediatric surgical networking at a major academic medical center in the Midwest.
Background The growth of managed care in the United States during the past decade has had a major impact on the practice of medicine in general, but especially on academic medicine.
In some academic medical centers, the loss of market share has not only affected clinical activity but has also compromised the educational and research missions of these institutions.
Methods At the authors'institution, a networking strategy in pediatric surgery was established in 1993 and implemented on July 1,1994.
In 1994, one new satellite practice was established ; over the next 4 years, four additional practices were added, including one in another state.
To assess the impact on financial status, clinical activity, education, and academic productivity, the following parameters were analyzed : gross and net revenue, surgical cases, clinic visits, ranking of the pediatric surgery residency, publications, grant support, and development and endowment funds.
Results Gross and net revenue increased from $3,273,000 and $302,000 in 1993 to $10,087,000 and $2,826,000, respectively, in 1998.
Surgical cases and clinic visits increased from 1240 and 3751 in 1993 to 5872 and 11,604, respectively, in 1998.
At the medical center's children's hospital, surgical cases and clinic visits increased from 1240 and 3751 to 2592 and 4729 during the same time period. (...)
Mots-clés Pascal : Chirurgie, Pédiatrie, Stratégie, Réseau, Université, Spécialité médicale, Centre santé, Article synthèse, Résultat, Enfant, Homme, Etats Unis, Amérique du Nord, Amérique, Organisation santé
Mots-clés Pascal anglais : Surgery, Pediatrics, Strategy, Network, University, Medical specialty, Health center, Review, Result, Child, Human, United States, North America, America, Public health organization
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 99-0515382
Code Inist : 002B25N. Création : 18/05/2000.