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At least 613 records · Page 34Linked to original sources
PubMed1989

Practice patterns of family physicians with 2-year residency v. 1-year internship training: do both roads lead to Rome?

Are there differences in patterns of practice between actively practising physicians who have been certified after a 2-year family practice residency and matched physicians without certification who have completed the standard 1-year internship? With the use of billing files prepared by the British Columbia Medical Association a group of 65 family practice certificants in active practice in British Columbia was compared with a control group of 130 internship trainees matched by year and school of graduation, category of billing (i.e., solo or group) and region. A wide range of practice features was assessed for the fiscal years 1984-85, 1985-86 and 1986-87. No differences were detected between the groups in 1986-87 for the following practice variables: number of patients (1888 and 1842 respectively), number of personal services billed for (7265 and 7173), number of personal services per patient (3.9), amount of funding for personal services ($140,192 and $140,100) and amount per patient for personal services ($77 and $79). Age-adjusted costs for male and female patients were similar in the two groups. Of six services thought to be influenced by type of training, only maternity care generated a significantly higher number of billings in the study group (341 v. 249). These results suggest that there is no demonstrable effect of training on patterns of practice. However, the question of the effect of training on quality of care and whether the 2-year residency may have a longer effect on practice patterns should be the focus of future research.

Accounting↗
PubMed1988

Large medical group-practice organizations and employed physicians: a relationship in transition.

Out of the revolution in medical practice is being forged a new type of group-practice organization--larger and more complex, more tightly administered, and more strategically aware than its antecedents. A typology is offered to contribute to an understanding of the changing physician/group-practice relationship. Drawing upon historical and contemporary literature, initial and following-up field observations, and extensive interviews, large medical group-practice organizations are analyzed according to basic orientation toward the health care market, and to a belief in how medical practice should be organized. The revolution in practice will be stamped on future health care arrangements, and will be transmitted into the professional culture of medicine.

Employment↗
PubMed1979

Inhospital family practice--a one year summary.

A review of 914 medical records of patients hospitalized at the Polyclinic Medical Center of Harrisburg by members of the Department of Family Practice is presented. The age distribution of these patients was essentially bimodal, with peak numbers in the less than one year and greater than 65 years age groups. Physicians and physician groups which perform obstetrics rendered hospital care to a larger number of infants than those not performing obstetrics. The family physicians gave hospital care for a large number of different conditions. The family physicians frequently consulted other medical specialists, especially cardiologists and general surgeons. The consultation rate varied considerably among the physicians studied.

Adolescent↗