Patient Care Outside of Office Visits: A Primary Care Physician Time Study
被引:52
作者:
Chen, Melinda A.
论文数: 0引用数: 0
h-index: 0
机构:
Weill Cornell Med Coll, Dept Med, Div Clin Epidemiol & Evaluat Sci Res, New York, NY 10065 USAWeill Cornell Med Coll, Dept Med, Div Clin Epidemiol & Evaluat Sci Res, New York, NY 10065 USA
Chen, Melinda A.
[1
]
Hollenberg, James P.
论文数: 0引用数: 0
h-index: 0
机构:
Weill Cornell Med Coll, Dept Med, Div Clin Epidemiol & Evaluat Sci Res, New York, NY 10065 USAWeill Cornell Med Coll, Dept Med, Div Clin Epidemiol & Evaluat Sci Res, New York, NY 10065 USA
Hollenberg, James P.
[1
]
Michelen, Walid
论文数: 0引用数: 0
h-index: 0
机构:
Generat No Manhattan Hlth Network, New York, NY USAWeill Cornell Med Coll, Dept Med, Div Clin Epidemiol & Evaluat Sci Res, New York, NY 10065 USA
Michelen, Walid
[2
]
Peterson, Janey C.
论文数: 0引用数: 0
h-index: 0
机构:
Weill Cornell Med Coll, Dept Med, Div Clin Epidemiol & Evaluat Sci Res, New York, NY 10065 USAWeill Cornell Med Coll, Dept Med, Div Clin Epidemiol & Evaluat Sci Res, New York, NY 10065 USA
Peterson, Janey C.
[1
]
Casalino, Lawrence P.
论文数: 0引用数: 0
h-index: 0
机构:
Weill Cornell Med Coll, Dept Publ Hlth, Div Outcomes & Effectiveness Res, New York, NY USAWeill Cornell Med Coll, Dept Med, Div Clin Epidemiol & Evaluat Sci Res, New York, NY 10065 USA
Casalino, Lawrence P.
[3
]
机构:
[1] Weill Cornell Med Coll, Dept Med, Div Clin Epidemiol & Evaluat Sci Res, New York, NY 10065 USA
[2] Generat No Manhattan Hlth Network, New York, NY USA
[3] Weill Cornell Med Coll, Dept Publ Hlth, Div Outcomes & Effectiveness Res, New York, NY USA
primary care;
care management/care coordination;
ambulatory care;
MEDICAL HOME;
COORDINATION;
COST;
D O I:
10.1007/s11606-010-1494-7
中图分类号:
R19 [保健组织与事业(卫生事业管理)];
学科分类号:
摘要:
BACKGROUND: Patient care provided by primary care physicians outside of office visits is important for care coordination and may serve as a substitute for office visits. OBJECTIVES: To describe primary care physicians' ambulatory patient care activities outside of office visits ("AOVs") and their perceptions of the extent to which AOVs substitute for visits and may be performed by support staff. DESIGN: Cross-sectional direct observational study. PARTICIPANTS: Thirty-three general internists in 20 practices in two health care systems (one public, one private) in the New York metropolitan area. MAIN MEASURES: Duration of AOVs by type of activity and whether they pertain to a patient visit on the study day (visit specific) or not (non-visit specific). Physician perceptions of the: (1) extent that non-visit-specific AOVs substitute for visits that would have otherwise occurred, (2) extent that visits that occurred could have been substituted for by AOVs, and (3) potential role of support staff in AOVs. KEY RESULTS: Physicians spent 20% of their workday performing AOVs, 62% of which was for non-visit specific AOVs. They perceived that a median of 37% of non-visit-specific AOV time substituted for visits, representing a potential five visits saved per day. They also perceived that 15% of total AOV time (excluding charting) could be performed by support staff. Forty-two percent of physicians indicated that one or more visits during the study day could be substituted for by AOVs. CONCLUSIONS: Though time spent on AOVs is generally not reimbursed, primary care general internists spent significant time performing AOVs, much of which they perceived to substitute for visits that would otherwise have occurred. Policies supporting physician and staff time spent on AOVs may reduce health care costs, save time for patients and physicians, and improve care coordination.
机构:
Hebrew Univ Jerusalem, Fac Med, Braun Sch Publ Hlth & Community Med, Ein Kerem Campus, Jerusalem, IsraelHebrew Univ Jerusalem, Fac Med, Braun Sch Publ Hlth & Community Med, Ein Kerem Campus, Jerusalem, Israel
Rose, Adam J.
Ahmad, Wiessam Abu
论文数: 0引用数: 0
h-index: 0
机构:
Hebrew Univ Jerusalem, Fac Med, Braun Sch Publ Hlth & Community Med, Ein Kerem Campus, Jerusalem, IsraelHebrew Univ Jerusalem, Fac Med, Braun Sch Publ Hlth & Community Med, Ein Kerem Campus, Jerusalem, Israel
Ahmad, Wiessam Abu
Spolter, Faige
论文数: 0引用数: 0
h-index: 0
机构:
Hebrew Univ Jerusalem, Fac Med, Braun Sch Publ Hlth & Community Med, Ein Kerem Campus, Jerusalem, IsraelHebrew Univ Jerusalem, Fac Med, Braun Sch Publ Hlth & Community Med, Ein Kerem Campus, Jerusalem, Israel
Spolter, Faige
Khazen, Maram
论文数: 0引用数: 0
h-index: 0
机构:
Hebrew Univ Jerusalem, Fac Med, Braun Sch Publ Hlth & Community Med, Ein Kerem Campus, Jerusalem, IsraelHebrew Univ Jerusalem, Fac Med, Braun Sch Publ Hlth & Community Med, Ein Kerem Campus, Jerusalem, Israel
Khazen, Maram
Golan-Cohen, Avivit
论文数: 0引用数: 0
h-index: 0
机构:
Leumit Hlth Serv, Res Inst, Tel Aviv, IsraelHebrew Univ Jerusalem, Fac Med, Braun Sch Publ Hlth & Community Med, Ein Kerem Campus, Jerusalem, Israel
Golan-Cohen, Avivit
Vinker, Shlomo
论文数: 0引用数: 0
h-index: 0
机构:
Leumit Hlth Serv, Res Inst, Tel Aviv, Israel
Sackler Sch Med, Tel Aviv, IsraelHebrew Univ Jerusalem, Fac Med, Braun Sch Publ Hlth & Community Med, Ein Kerem Campus, Jerusalem, Israel
Vinker, Shlomo
Green, Ilan
论文数: 0引用数: 0
h-index: 0
机构:
Leumit Hlth Serv, Res Inst, Tel Aviv, IsraelHebrew Univ Jerusalem, Fac Med, Braun Sch Publ Hlth & Community Med, Ein Kerem Campus, Jerusalem, Israel
Green, Ilan
Israel, Ariel
论文数: 0引用数: 0
h-index: 0
机构:
Leumit Hlth Serv, Res Inst, Tel Aviv, IsraelHebrew Univ Jerusalem, Fac Med, Braun Sch Publ Hlth & Community Med, Ein Kerem Campus, Jerusalem, Israel
Israel, Ariel
Merzon, Eugene
论文数: 0引用数: 0
h-index: 0
机构:
Leumit Hlth Serv, Res Inst, Tel Aviv, Israel
Ariel Univ, Adelson Sch Med, Ariel, IsraelHebrew Univ Jerusalem, Fac Med, Braun Sch Publ Hlth & Community Med, Ein Kerem Campus, Jerusalem, Israel
机构:
Univ Colorado, Hlth Sci Ctr, Dept Med, Div Gen Internal Med, Denver, CO 80262 USAUniv Colorado, Hlth Sci Ctr, Dept Med, Div Gen Internal Med, Denver, CO 80262 USA
Barry, DW
Melhado, TV
论文数: 0引用数: 0
h-index: 0
机构:
Univ Colorado, Hlth Sci Ctr, Dept Med, Div Gen Internal Med, Denver, CO 80262 USAUniv Colorado, Hlth Sci Ctr, Dept Med, Div Gen Internal Med, Denver, CO 80262 USA
Melhado, TV
Chacko, KM
论文数: 0引用数: 0
h-index: 0
机构:
Univ Colorado, Hlth Sci Ctr, Dept Med, Div Gen Internal Med, Denver, CO 80262 USAUniv Colorado, Hlth Sci Ctr, Dept Med, Div Gen Internal Med, Denver, CO 80262 USA
Chacko, KM
Lee, RSM
论文数: 0引用数: 0
h-index: 0
机构:
Univ Colorado, Hlth Sci Ctr, Dept Med, Div Gen Internal Med, Denver, CO 80262 USAUniv Colorado, Hlth Sci Ctr, Dept Med, Div Gen Internal Med, Denver, CO 80262 USA
Lee, RSM
Steiner, JF
论文数: 0引用数: 0
h-index: 0
机构:
Univ Colorado, Hlth Sci Ctr, Dept Med, Div Gen Internal Med, Denver, CO 80262 USAUniv Colorado, Hlth Sci Ctr, Dept Med, Div Gen Internal Med, Denver, CO 80262 USA
Steiner, JF
Kutner, JS
论文数: 0引用数: 0
h-index: 0
机构:
Univ Colorado, Hlth Sci Ctr, Dept Med, Div Gen Internal Med, Denver, CO 80262 USAUniv Colorado, Hlth Sci Ctr, Dept Med, Div Gen Internal Med, Denver, CO 80262 USA
机构:
Harvard Med Sch, Beth Israel Deaconess Med Ctr, Boston, MA 02115 USATemple Univ Hlth Syst, Fox Chase Canc Ctr, 333 Cottman Ave, Philadelphia, PA 19111 USA
Dodge, Laura E.
Buss, Mary
论文数: 0引用数: 0
h-index: 0
机构:
Harvard Med Sch, Beth Israel Deaconess Med Ctr, Boston, MA 02115 USATemple Univ Hlth Syst, Fox Chase Canc Ctr, 333 Cottman Ave, Philadelphia, PA 19111 USA
机构:
Hebrew Univ Jerusalem, Fac Med, Braun Sch Publ Hlth & Community Med, Ein Kerem Campus, Jerusalem, IsraelHebrew Univ Jerusalem, Fac Med, Braun Sch Publ Hlth & Community Med, Ein Kerem Campus, Jerusalem, Israel
Rose, Adam J.
Ahmad, Wiessam Abu
论文数: 0引用数: 0
h-index: 0
机构:
Hebrew Univ Jerusalem, Fac Med, Braun Sch Publ Hlth & Community Med, Ein Kerem Campus, Jerusalem, IsraelHebrew Univ Jerusalem, Fac Med, Braun Sch Publ Hlth & Community Med, Ein Kerem Campus, Jerusalem, Israel
Ahmad, Wiessam Abu
Spolter, Faige
论文数: 0引用数: 0
h-index: 0
机构:
Hebrew Univ Jerusalem, Fac Med, Braun Sch Publ Hlth & Community Med, Ein Kerem Campus, Jerusalem, IsraelHebrew Univ Jerusalem, Fac Med, Braun Sch Publ Hlth & Community Med, Ein Kerem Campus, Jerusalem, Israel
Spolter, Faige
Khazen, Maram
论文数: 0引用数: 0
h-index: 0
机构:
Hebrew Univ Jerusalem, Fac Med, Braun Sch Publ Hlth & Community Med, Ein Kerem Campus, Jerusalem, IsraelHebrew Univ Jerusalem, Fac Med, Braun Sch Publ Hlth & Community Med, Ein Kerem Campus, Jerusalem, Israel
Khazen, Maram
Golan-Cohen, Avivit
论文数: 0引用数: 0
h-index: 0
机构:
Leumit Hlth Serv, Res Inst, Tel Aviv, IsraelHebrew Univ Jerusalem, Fac Med, Braun Sch Publ Hlth & Community Med, Ein Kerem Campus, Jerusalem, Israel
Golan-Cohen, Avivit
Vinker, Shlomo
论文数: 0引用数: 0
h-index: 0
机构:
Leumit Hlth Serv, Res Inst, Tel Aviv, Israel
Sackler Sch Med, Tel Aviv, IsraelHebrew Univ Jerusalem, Fac Med, Braun Sch Publ Hlth & Community Med, Ein Kerem Campus, Jerusalem, Israel
Vinker, Shlomo
Green, Ilan
论文数: 0引用数: 0
h-index: 0
机构:
Leumit Hlth Serv, Res Inst, Tel Aviv, IsraelHebrew Univ Jerusalem, Fac Med, Braun Sch Publ Hlth & Community Med, Ein Kerem Campus, Jerusalem, Israel
Green, Ilan
Israel, Ariel
论文数: 0引用数: 0
h-index: 0
机构:
Leumit Hlth Serv, Res Inst, Tel Aviv, IsraelHebrew Univ Jerusalem, Fac Med, Braun Sch Publ Hlth & Community Med, Ein Kerem Campus, Jerusalem, Israel
Israel, Ariel
Merzon, Eugene
论文数: 0引用数: 0
h-index: 0
机构:
Leumit Hlth Serv, Res Inst, Tel Aviv, Israel
Ariel Univ, Adelson Sch Med, Ariel, IsraelHebrew Univ Jerusalem, Fac Med, Braun Sch Publ Hlth & Community Med, Ein Kerem Campus, Jerusalem, Israel
机构:
Univ Colorado, Hlth Sci Ctr, Dept Med, Div Gen Internal Med, Denver, CO 80262 USAUniv Colorado, Hlth Sci Ctr, Dept Med, Div Gen Internal Med, Denver, CO 80262 USA
Barry, DW
Melhado, TV
论文数: 0引用数: 0
h-index: 0
机构:
Univ Colorado, Hlth Sci Ctr, Dept Med, Div Gen Internal Med, Denver, CO 80262 USAUniv Colorado, Hlth Sci Ctr, Dept Med, Div Gen Internal Med, Denver, CO 80262 USA
Melhado, TV
Chacko, KM
论文数: 0引用数: 0
h-index: 0
机构:
Univ Colorado, Hlth Sci Ctr, Dept Med, Div Gen Internal Med, Denver, CO 80262 USAUniv Colorado, Hlth Sci Ctr, Dept Med, Div Gen Internal Med, Denver, CO 80262 USA
Chacko, KM
Lee, RSM
论文数: 0引用数: 0
h-index: 0
机构:
Univ Colorado, Hlth Sci Ctr, Dept Med, Div Gen Internal Med, Denver, CO 80262 USAUniv Colorado, Hlth Sci Ctr, Dept Med, Div Gen Internal Med, Denver, CO 80262 USA
Lee, RSM
Steiner, JF
论文数: 0引用数: 0
h-index: 0
机构:
Univ Colorado, Hlth Sci Ctr, Dept Med, Div Gen Internal Med, Denver, CO 80262 USAUniv Colorado, Hlth Sci Ctr, Dept Med, Div Gen Internal Med, Denver, CO 80262 USA
Steiner, JF
Kutner, JS
论文数: 0引用数: 0
h-index: 0
机构:
Univ Colorado, Hlth Sci Ctr, Dept Med, Div Gen Internal Med, Denver, CO 80262 USAUniv Colorado, Hlth Sci Ctr, Dept Med, Div Gen Internal Med, Denver, CO 80262 USA
机构:
Harvard Med Sch, Beth Israel Deaconess Med Ctr, Boston, MA 02115 USATemple Univ Hlth Syst, Fox Chase Canc Ctr, 333 Cottman Ave, Philadelphia, PA 19111 USA
Dodge, Laura E.
Buss, Mary
论文数: 0引用数: 0
h-index: 0
机构:
Harvard Med Sch, Beth Israel Deaconess Med Ctr, Boston, MA 02115 USATemple Univ Hlth Syst, Fox Chase Canc Ctr, 333 Cottman Ave, Philadelphia, PA 19111 USA