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  1. Graduate medical education reform : service provision transition costs.

    Article - En anglais

    Objective

    - To analyze the potential strategies and costs of house staff substitution under a reformed system of graduate medical education.

    Design

    - An economic model using two scenarios for substitution of house staff (residents and fellows) : (1) a lower-cost model under which nonphysician providers assume many house staff responsibilities, but additional aspects of their workload are taken over by staff physicians, nurses, and ancillary personnel ; and (2) a higher-cost traditional model that relies more heavily on staff physicians to replace house officers.

    Setting

    - US teaching hospitals.

    Main Outcome Measures

    - Projected net substitution costs of house staff on a per full-time equivalent basis and aggregate national cost estimates of substitution.

    Mots-clés Pascal : Economie santé, Organisation santé, Homme, Etats Unis, Hôpital, Médecin, Formation professionnelle, Amérique du Nord, Amérique

    Mots-clés Pascal anglais : Health economy, Public health organization, Human, United States, Hospital, Physician, Occupational training, North America, America

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

    Cote : 94-0547140

    Code Inist : 002B30A01B. Création : 09/06/1995.