Quality of primary care practice in a large HMO according to physician specialty
| Autor: | Grumbach, K, Selby, J V, Schmittdiel, J A, Quesenberry, C P |
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| Rok vydání: | 1999 |
| Předmět: |
Adult
Aged 80 and over Male Primary Health Care Health Maintenance Organizations Health Promotion Middle Aged California Health Services Accessibility Cross-Sectional Studies Patient Satisfaction Surveys and Questionnaires Health Facility Environment Humans Medicine Regression Analysis Female Health Services Research Practice Patterns Physicians' Aged Quality of Health Care Specialization Research Article |
| Zdroj: | Health services research. 34(2) |
| ISSN: | 0017-9124 |
| Popis: | OBJECTIVE: To determine whether physician specialty was associated with differences in the quality of primary care practice and patient satisfaction in a large, group model HMO. DATA SOURCES/STUDY SETTING: 10,608 patients ages 35-85 years, selected using stratified probability sampling from the primary care panels of 60 family physicians (FPs), 245 general internists (GIMs), and 55 subspecialty internists (SIMs) at 13 facilities in the Kaiser Permanente Medical Care Program of Northern California. Patients were surveyed in 1995. STUDY DESIGN: A cross-sectional patient survey measured patient reports of physician performance on primary care measures of coordination, comprehensiveness, and accessibility of care, preventive care procedures, and health promotion. Additional items measured patient satisfaction and health values and beliefs. PRINCIPAL FINDINGS: Patients were remarkably similar across physician specialty groups in their health values and beliefs, ratings of the quality of primary care, and satisfaction. Patients rated GIMs higher than FPs on coordination (adjusted mean scores 68.0 and 58.4 respectively, p |
| Databáze: | OpenAIRE |
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