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Titolo:
The impact of physician practice style on medical charges
Autore:
Bertakis, KD; Azari, R; Callahan, EJ; Helms, LJ; Robbins, JA;
Indirizzi:
Univ7Calif Davis, Sch Med, Dept Community & Family Med, Sacramento, CA 9581 Univ Calif Davis Sacramento CA USA 95817 Family Med, Sacramento, CA 9581
Titolo Testata:
JOURNAL OF FAMILY PRACTICE
fascicolo: 1, volume: 48, anno: 1999,
pagine: 31 - 36
SICI:
0094-3509(199901)48:1<31:TIOPPS>2.0.ZU;2-D
Fonte:
ISI
Lingua:
ENG
Soggetto:
CARE;
Keywords:
primary health care; physician's practice patterns; costs and cost analysis; health status;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Citazioni:
16
Recensione:
Indirizzi per estratti:
Indirizzo: Bertakis, KD Univ0,alif Davis, Sch Med, Dept Community & Family Med, 4860 Y St,Suite 230 Univ Calif Davis 4860 Y St,Suite 2300 Sacramento CA USA 95817
Citazione:
K.D. Bertakis et al., "The impact of physician practice style on medical charges", J FAM PRACT, 48(1), 1999, pp. 31-36

Abstract

BACKGROUND. There are differences in styles of care among primary care physicians. The purpose of our study was to determine whether differences in physician practice styles and patient health status generate different medical charges. METHODS. New adult patients (N = 509) were randomized to primary care physicians, and use of medical care services and associated charges were monitored for 1 year. RESULTS. Controlling for baseline patient health status, a technically oriented style of care was associated with significantly higher specialty care, emergency department, diagnostic, and total charges. Some practice behaviors, however, were associated with lower charges; for example, a practice style emphasizing patient activation was associated with significantly lowerprimary care charges. Both a lower baseline patient health status and a health status that declined over the study period predicted higher charges. CONCLUSIONS. Measurable differences in practice style are associated with differing medical care charges. Patients' health status was also an important determinant of medical charges and had implications for the assessment of physician utilization patterns.

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Documento generato il 01/10/20 alle ore 01:16:52