Physician division of labor and patient selection for outpatient procedures.

نویسندگان

  • Guy David
  • Mark D Neuman
چکیده

Little is known about the ability of incentives to influence decisions by physicians regarding choices of settings for care delivery. In the context of outpatient procedural care, the emergence of freestanding ambulatory surgery centers (ASCs) as alternatives to hospital-based outpatient departments (HOPDs) creates a unique opportunity to study this question. We advance a model where physicians' division of labor between ASCs and HOPDs affects the medical complexity of patients treated in low-acuity settings (i.e. ASCs). Analyses of outpatient surgical procedure data show that physicians working exclusively in low-acuity settings (i.e. ASCs) treat patients of significantly higher medical complexity in these settings than do physicians who also practice in higher-acuity settings (i.e. HOPDs). This discrepancy shrinks with increasing procedural risk and with increasing distance between ASCs and acute care hospitals.

برای دانلود رایگان متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید

ثبت نام

اگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید

منابع مشابه

بررسی عوامل و راه کارهای رعایت حقوق بیمار

Objective: increase of patient's rights observance is one of the important goals of therapeutic group activities which will have useful role in improving health of the patient. Meanwhile, many physicians play important role in providing better services. Most of the physicians imagine themselves in a position that they are authorized to determine destiny of their patients. In some cases, the...

متن کامل

بررسی عوامل و راه کارهای رعایت حقوق بیمار

Objective: increase of patient's rights observance is one of the important goals of therapeutic group activities which will have useful role in improving health of the patient. Meanwhile, many physicians play important role in providing better services. Most of the physicians imagine themselves in a position that they are authorized to determine destiny of their patients. In some cases, the...

متن کامل

Developing a Psychometric Scale for Brief Evaluation of Outpatient Satisfaction

Background and Objectives: Patient satisfaction is a key feature of quality improvement in modern health care systems. The focus of patient satisfaction studies has been on inpatient satisfaction measurement. As such, valid and reliable instruments for assessment of outpatient satisfaction are lacking in the field. This study aimed to develop and validate a brief scale to facilitate assessing o...

متن کامل

Patient Flow Analysis in General Hospitals: How Clinical Disciplines Affect Outpatient Wait Times

Background: Overcrowding is an important problem for outpatient services in healthcare facilities. Patient flow analysis (PFA) is a useful method for identifying inefficiencies in and facilitating patient flow. Objective: PFA was used to estimate patient wait time and determine how different clinical disciplines impact wait times in the studied hospital.<...

متن کامل

Physician Rating Websites: an Analysis of Physician Evaluation and Physician Perception

Background: The goal of this study was to evaluate current physician ratings websites (PRWs) to determine whichfactors correlated to higher physician scores and evaluate physician perspective of PRWs.Methods: This study evaluated two popular websites, Healthgrades.com and Vitals.com, to gather information onpracticing physician members of the American Shoulder and Elbow Society database. A surv...

متن کامل

ذخیره در منابع من


  با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید

عنوان ژورنال:
  • Journal of health economics

دوره 30 2  شماره 

صفحات  -

تاریخ انتشار 2011