scholarly journals Patient Care Outside of Office Visits: A Primary Care Physician Time Study

2010 ◽  
Vol 26 (1) ◽  
pp. 58-63 ◽  
Author(s):  
Melinda A. Chen ◽  
James P. Hollenberg ◽  
Walid Michelen ◽  
Janey C. Peterson ◽  
Lawrence P. Casalino
2006 ◽  
Vol 21 (9) ◽  
pp. 926-930 ◽  
Author(s):  
Jeffrey S. Harman ◽  
Peter J. Veazie ◽  
Jeffrey M. Lyness

2017 ◽  
Vol 16 (4) ◽  
pp. e278-e283 ◽  
Author(s):  
Louise H. Hall ◽  
Judith Johnson ◽  
Jane Heyhoe ◽  
Ian Watt ◽  
Kevin Anderson ◽  
...  

2012 ◽  
Vol 3 (2) ◽  
pp. 125-131 ◽  
Author(s):  
Francis Mercado ◽  
Margaret Mercado ◽  
Nancy Myers ◽  
Michael Hewit ◽  
Nairmeen Awad Haller

Background and Aims: Studies have identified factors important to patients in consideration of a primary care physician (PCP). Few have explored relevant differences in choosing between family medicine (FM) and internal medicine (IM) physicians. The objective of this study was to identify differences in rating of factors perceived to be important to racially diverse FM and IM patients in the selection of a PCP, and to determine patient knowledge of PCP training. Settings, Design, Methods, and Material: This observational study used self-administered questionnaires to obtain information from adult participants at 2 continuity clinics, FM and IM. Participants rated 16 factors on their importance in selecting a PCP. Demographics and information regarding participants’ knowledge of PCP training were collected. Statistical Analyses Used and Results: 857 surveys were completed. Data were analyzed using descriptive statistics, Student t test, χ2, and multivariate logistic regression. Sixty-five percent and 32% of participants were Caucasian or African American, respectively. Combined responses from both clinics revealed g ood patient care as the factor ranked highest in importance for selecting a PCP, followed by good communication skills. Forty-eight percent and 35% of FM and IM participants, respectively, did not know whether their PCP was trained in IM or FM. More than 50% of participants were not familiar with the scope of their physicians’ practice. Conclusions: Our results suggest that good patient care and communication are similarly important to all patients, regardless of race. Practices should maintain focus on these qualities, as well as on patient education regarding the relevant differences between FM and IM physicians. Results from this study are consistent with prior research on these issues in more racially homogenous populations.


1992 ◽  
Vol 13 (4) ◽  
pp. 125-125
Author(s):  
Jan E. Drutz

Most pediatricians have been asked at one time or another to be a consultant or have been the primary care physician asking for a consultation. We or our consultant colleagues, however, often fail to appreciate the subleties inherent in our respective roles. Although communication among physicians, both written and verbal, is essential for optimal patient care, communication between individual physician, parent, and patient not only extends common courtesy but also remains crucial in our present medicolegal climate. How often have we failed to tell a parent that we have asked for a consultant's opinion or, more embarrassingly, been asked to be the consultant and then walked in on the patient only to discover that no member of the family had ever been told by the patient's physician who we were or why we were there?


2006 ◽  
Vol 0 (0) ◽  
pp. 060721075157051-??? ◽  
Author(s):  
Jeffrey S. Harman ◽  
Peter J. Veazie ◽  
Jeffrey M. Lyness

Author(s):  
Adrian Garcia Mosqueira ◽  
Meredith Rosenthal ◽  
Michael L. Barnett

As health systems seek to incentivize physicians to deliver high-value care, the relationship between physician compensation and health care delivery is an important knowledge gap. To examine physician compensation nationally and its relationship with care delivery, we examined 2012-2015 cross-sectional data on ambulatory primary care physician visits from the National Ambulatory Medical Care Survey. Among 175 762 office visits with 3826 primary care physicians, 15.4% of primary care physicians reported salary-based, 4.5% productivity-based, and 12.9% “mixed” compensation, while 61.4% were practice owners. After adjustment, delivery of out-of-visit/office care was more common for practice owners and “mixed” compensation primary care physicians, while there was little association between compensation type and rates of high- or low-value care delivery. Despite early health reform efforts, the overall landscape of physician compensation has remained strongly tethered to fee-for-service. The lack of consistent association between compensation and care delivery raises questions about the potential impact of payment reform on individual physicians’ behavior.


2005 ◽  
Vol 38 (3) ◽  
pp. 176-188 ◽  
Author(s):  
Lisa Pizziferri ◽  
Anne F. Kittler ◽  
Lynn A. Volk ◽  
Melissa M. Honour ◽  
Sameer Gupta ◽  
...  

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