Search PubMed⌕ Search

SEARCH · Search PubMed

Results for “HOSPITAL OUTPATIENT CLINICS”

Search indexed PubMed citations on genomics, clinical trials, systematic reviews and public health. Explore titles, authors and supplied subject terms, then open the PubMed record.

Quote a phrase for an exact phrase match. Source license links do not imply unrestricted reuse.

At least 289 records · Page 16Linked to original sources
PubMed2002

Medicare reimbursement policy and teaching physicians' behavior in hospital clinics: the changes of 1996.

PURPOSE: To determine the frequency of attending physicians' contacts with residents' patients in hospital-based outpatient clinics and changes in these practices after June 1996. METHOD: Using data from the National Hospital Ambulatory Medical Care Surveys, 1993 to 1997, the author determined the numbers and characteristics of residents' patients in hospital-based outpatient clinics and the proportions of these patients also seen by a staff physician before and after the date new explicit national guidelines for Medicare Part B reimbursement (IL-372) took effect (July 1, 1996). Logistic regression models were used to identify patients' and clinics' attributes associated with a higher chance of a resident's patient's also being seen by a staff physician and changes after June 30, 1996. RESULTS: From 1993 to 1997, residents saw about 15,000,000 hospital-based clinic outpatients each year. Overall, 45% of residents' patients also saw a staff physician. The odds that a resident's patient would also see a staff physician varied substantially among patients seen in different regions of the country, types of clinics, and patients' sociodemographic characteristics. Overall, after July 1, 1996, the odds that a resident's patient would also see a staff physician increased significantly (odds ratio 1.64, 95% CI = 1.11 to 2.41), but the proportion of Medicare-insured patients who also saw a staff physician did not increase significantly. CONCLUSION: The proportion of residents' patients also seen by a staff physician increased after June 1996. The lack of a similar significant increase for patients 65 and over with Medicare suggests that the more explicit and stricter interpretation of Medicare regulations did not primarily affect Medicare-insured patients but rather changed the process of care for all clinic patients.

Ambulatory Care Facilities↗
PubMed2003

Improving outpatient department efficiency: a randomized controlled trial comparing hospital and general-practice telephone reminders.

AIMS: This study aimed to ascertain whether or not telephone reminders reduce non-attendance at hospital outpatient clinics and whether telephone reminders from general practitioners are more effective than those made from hospitals. METHODS: Outpatient department appointments for three general practitioners (GPs) over a three-month period, were randomized into three groups: 'Hospital', 'GP', and 'Control'. Patients in the Hospital and the GP groups were reminded of their appointment by telephone 24 hours beforehand, by a hospital waiting-list clerk or their general practitioner respectively. Information was recorded on appointment awareness and subsequent attendance history. RESULTS: A total of 109 patients were included in the study. The three study groups had 'no show' rates of 3% (GP), 8% (Hospital), and 27% (Control). The combined 'no show' rate for the groups reminded by telephone was 5%. The combined telephone-reminded group was statistically different from the Control group (p = 0.004). There was no statistical difference between the GP group and the Hospital group (p = 0.764). CONCLUSIONS: In this study, telephone reminders significantly decreased outpatient department 'no show' rates. The source of the telephone reminder made no difference to non-attendance.

Appointments and Schedules↗