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Titolo:
GRADUATE MEDICAL-EDUCATION REFORM - SERVICE PROVISION TRANSITION COSTS
Autore:
STODDARD JJ; KINDIG DA; LIBBY D;
Indirizzi:
UNIV WISCONSIN,SCH MED,HLTH POLICY PROGRAM,2ND FLOOR,BRADLEY MEM,1300UNIV AVE MADISON WI 53706 UNIV WISCONSIN,SCH MED,HLTH POLICY PROGRAM MADISON WI 53706 UNIV WISCONSIN,SCH MED,DEPT PEDIAT MADISON WI 00000 UNIV WISCONSIN,SCH MED,DEPT PREVENT MED MADISON WI 00000 MERITER HOSP MADISON WI 53715
Titolo Testata:
JAMA, the journal of the American Medical Association
fascicolo: 1, volume: 272, anno: 1994,
pagine: 53 - 58
SICI:
0098-7484(1994)272:1<53:GMR-SP>2.0.ZU;2-A
Fonte:
ISI
Lingua:
ENG
Soggetto:
PHYSICIAN-ASSISTANTS; HOUSE STAFF; RESIDENTS; CARE;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Science Citation Index Expanded
Citazioni:
39
Recensione:
Indirizzi per estratti:
Citazione:
J.J. Stoddard et al., "GRADUATE MEDICAL-EDUCATION REFORM - SERVICE PROVISION TRANSITION COSTS", JAMA, the journal of the American Medical Association, 272(1), 1994, pp. 53-58

Abstract

Objective.-To analyze the potential strategies and costs of house staff substitution under a reformed system of graduate medical education. Design.-An economic model using two scenarios for substitution of house staff (residents and fellows): (1) a lower-cost model under which nonphysician providers assume many house staff responsibilities, but additional aspects of their workload are taken over by staff physicians,nurses, and ancillary personnel; and (2) a higher-cost traditional model that relies more heavily on staff physicians to replace house officers. Setting.-US teaching hospitals. Main Outcome Measures.-Projectednet substitution costs of house staff on a per full-time equivalent basis and aggregate national cost estimates of substitution. Results.-Net annual house staff substitution costs were estimated to be $58 000 and $77 000 per replaced full-time equivalent house officer, respectively, under the two scenarios. Assuming elimination of approximately 23200 house staff under a reformed system, total (net) substitution costs to teaching hospitals were estimated at approximately $1.4 billion to $1.8 billion nationally on an annual basis. Conclusions.-Graduate medical education reform, while likely to result in substantial long-term cost savings, will necessitate transitions in service provision that are likely to generate some new costs in the short term.

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Documento generato il 05/07/20 alle ore 07:09:21