PMID: 8614167May 1, 1996Paper

The impact of practicing in multiple hospitals on physician profiles

Medical Care
M E MillerH G Welch

Abstract

Although physicians are all too familiar with the psychologic impact of having multiple responsibilities, the associated impact on practice styles has not been examined systematically. To provide some data on the effects of "work dispersion," we examined the hypothesis that the inpatient resource use of physicians would rise with the number of hospitals in which they work. Data for 1991 from Medicare's National Claims History File were used to profile a sample of attending physicians (n = 33,756) in seven states. The attending physician "profile" was the case mix-adjusted relative value of all physician services (regardless of who delivered them) that were delivered during each patient's hospital stay. Relative value was measured in relative value units, used by Medicare in determining physician payments. The authors then categorized physicians in terms of the number of hospitals to which they admitted patients. Physician profiles were adjusted further to control for geography, physician specialty, and characteristics of the physician's primary (ie, most used) hospital. One third of the physicians in the sample had admissions to more than one hospital. Physicians working in one hospital had inpatient practice profiles 2.1% belo...Continue Reading

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Citations

Mar 16, 2001·Journal of Experimental Psychology. Human Perception and Performance·S H Creem, D R Proffitt
Dec 3, 2003·The New England Journal of Medicine·John D BirkmeyerF Lee Lucas
Aug 24, 2006·Annals of Surgery·Jennifer F WaljeeJohn D Birkmeyer
Mar 19, 2016·Health Services Research·Kyle H SheetzJustin B Dimick
May 27, 2017·Annals of Surgery·Kyle H SheetzJustin B Dimick
Feb 22, 2018·Critical Care : the Official Journal of the Critical Care Forum·Ricardo CastroUNKNOWN Latin-American Intensive Care Network - LIVEN (www.redliven.org)

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