The Cost of a Primary Care Teaching Program in a Prepaid Group Practice
Autor: | Gerald T. Perkoff, Patricia Wirth, Lawrence Kahn |
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Rok vydání: | 1978 |
Předmět: |
medicine.medical_specialty
Faculty Medical education Teaching program Efficiency Primary care Pediatrics Medical care Nursing Internal Medicine Medicine Productivity Reimbursement Insurance Health Missouri Primary Health Care business.industry Public Health Environmental and Occupational Health Internship and Residency Economics Medical Time and motion study Education Medical Graduate Time and Motion Studies Family medicine Costs and Cost Analysis Group Practice General pediatrics Full-time equivalent business |
Zdroj: | Medical Care. 16:61-71 |
ISSN: | 0025-7079 |
DOI: | 10.1097/00005650-197801000-00005 |
Popis: | Costs were determined for a teaching program in general pediatrics and general internal medicine for advanced residents in a prepaid group practice, the Medical Care Group of Washington University. A time and motion study was conducted to measure the productivity of faculty physicians before and after the establishment of the teaching program. There was a statistically significant loss in productivity for internists and an apparent loss, though not significant, for pediatricians as a result of their teaching effort, but the productivity of the residents more than compensated for the loss. The residual positive value of a full time equivalent (FTE) pediatric resident after reimbursement of all possible lost productivity by faculty pediatricians represented 43.9 per cent of a FTE pediatrician. For a FTE resident in internal medicine the residual positive value was 49.7 per cent of a FTE internist. |
Databáze: | OpenAIRE |
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