Evaluation of an Ambulatory Medical-Care Delivery System
| Autor: | Soghikian K, Robert G. Feldman, Morris F. Collen, James H. Duncan, Robert H. Richart, Garfield |
|---|---|
| Rok vydání: | 1976 |
| Předmět: |
Waiting time
Pediatrics medicine.medical_specialty Cost–benefit analysis business.industry Cost-Benefit Analysis media_common.quotation_subject General Medicine Payment medicine.disease Medical care California Ambulatory care Evaluation Studies as Topic Physicians Ambulatory Ambulatory Care medicine Humans Nurse Practitioners Medical emergency Delivery system business Delivery of Health Care media_common |
| Zdroj: | New England Journal of Medicine. 294:426-431 |
| ISSN: | 1533-4406 0028-4793 |
| DOI: | 10.1056/nejm197602192940806 |
| Popis: | We designed a medical-care-delivery system specifically to relieve the impaired access to care that has invariably assompanied the elimination of personal fees by prepaid plans, Medicare and other third-party payment plans. The solution involved the entry of patients through a paramedically staffed health-evaluation servece that effectively separated patients into three basic health-status groups-the well and worried well (68.4 per cent); the asymptomatic sick (3.9 per cent); and the sick (27.7 per cent)--a process that permitted matching the needs of each group with appropriate services. The system achieved increased physician accessibility to new patients by 20 times, reduced the waiting time for new appointments from six to eight weeks to a day or two, saved physician time and costs for entry work to a day or two, saved physician time and costs for entry work-up by 70 to 80 per cent reduced total resources used throughout the year by +32,550 per 1000 entrants, and proved very satisfactory to patients and generally so to staff. |
| Databáze: | OpenAIRE |
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