1
40
2
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Text
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URL Address
<a href="http://doi.org/10.1002/1099-1050(200012)9:8%3C715::aid-hec573%3E3.3.co;2-j" target="_blank" rel="noreferrer noopener">http://doi.org/10.1002/1099-1050(200012)9:8%3C715::aid-hec573%3E3.3.co;2-j</a>
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Pages
715-726
Issue
8
Volume
9
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Dublin Core
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Title
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Estimating The Cost Of Primary Care Training In Ambulatory Settings
Publisher
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Health Economics
Date
A point or period of time associated with an event in the lifecycle of the resource
2000
2000-12
Subject
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Business & Economics; care; cost and cost analysis; efficiency; Health Care Sciences & Services; medical education; medical-care; primary; selection models; variables
Creator
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Hogan A J; Franzini L; Boex J R
Description
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The Balanced Budget Act of 1997 legislated the idea of reimbursing ambulatory sites for training medical professionals. However, very little is known about the costs of training in such settings. This paper assesses the cost of primary care training in ambulatory settings. Selection models were used to separate the cost of teaching from the cost of infrastructural differences between teaching and non-teaching sites. A probit equation modelled the likelihood of an ambulatory site having a teaching programme and a cost function related total medical practice costs to clinical output, the presence of a health professions educational programme, the price of resources used, characteristics of the medical practice and location. Data on 184 community health centres (CHCs), group practices, health maintenance organizations (HMOs) and outpatient clinics were used. Teaching sites were found to have 36% higher operating costs than their non-teaching counterparts: 38% of these higher costs were due to infrastructural differences and 62% were the 'pure' costs of teaching, i.e. the costs of teaching the net of infrastructural effects. Copyright (C) 2000 John Wiley & Sons, Ltd.
Identifier
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<a href="http://doi.org/10.1002/1099-1050(200012)9:8%3C715::aid-hec573%3E3.3.co;2-j" target="_blank" rel="noreferrer noopener">10.1002/1099-1050(200012)9:8%3C715::aid-hec573%3E3.3.co;2-j</a>
Format
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Journal Article or Conference Abstract Publication
2000
Boex J R
Business & Economics
care
cost and cost analysis
Department of Family & Community Medicine
Efficiency
Franzini L
Health Care Sciences & Services
Health economics
Hogan A J
Journal Article or Conference Abstract Publication
Medical education
medical-care
NEOMED College of Medicine
primary
selection models
variables
-
Text
A resource consisting primarily of words for reading. Examples include books, letters, dissertations, poems, newspapers, articles, archives of mailing lists. Note that facsimiles or images of texts are still of the genre Text.
URL Address
<a href="http://doi.org/10.1097/00001888-200005000-00007" target="_blank" rel="noreferrer noopener">http://doi.org/10.1097/00001888-200005000-00007</a>
Pages
419–425
Issue
5
Volume
75
Dublin Core
The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/.
Title
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Measuring the costs of primary care education in the ambulatory setting.
Publisher
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Academic medicine : journal of the Association of American Medical Colleges
Date
A point or period of time associated with an event in the lifecycle of the resource
2000
2000-05
Subject
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*Ambulatory Care; Budgets; Costs and Cost Analysis; Education; Medical/*economics; United States
Creator
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Boex J R; Boll A; Franzini L; Hogan A J; Irby D; Meservey P M; Rubin R M; Seifer S D; Veloski J J
Description
An account of the resource
In 1995, the authors obtained cost, operations, and educational activity data from 98 ambulatory care sites across the United States in which primary care teaching was occurring and compared those data with the corresponding data from 84 ambulatory care sites where no teaching was going on. The teaching sites in the sample were found to have 24-36% higher operating costs than the non-teaching sites. This overall difference in costs is approximately the same difference in costs earlier estimated for university teaching hospitals compared with non-teaching hospitals. These costs are shared by all involved in the ambulatory education process: sponsors, sites, and faculty. In a related finding, the authors discovered that 30-50% of all ambulatory care sites thought not to be involved in education are in fact teaching at a high level of involvement. Further research into not only the costs but the value of education in the clinical setting is encouraged. The authors also hope that the publication of this report will encourage accrediting bodies and professional organizations to improve the information available about ambulatory care training in general.
Identifier
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<a href="http://doi.org/10.1097/00001888-200005000-00007" target="_blank" rel="noreferrer noopener">10.1097/00001888-200005000-00007</a>
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Article information provided for research and reference use only. All rights are retained by the journal listed under publisher and/or the creator(s).
*Ambulatory Care
2000
Academic medicine : journal of the Association of American Medical Colleges
Boex J R
Boll A
Budgets
Costs and Cost Analysis
Department of Family & Community Medicine
Education
Franzini L
Hogan A J
Irby D
Medical/*economics
Meservey P M
NEOMED College of Medicine
Rubin R M
Seifer S D
United States
Veloski J J