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Related Experiment Videos

Gastroesophageal reflux disease.

M V Rochman, J Prescott, D G Cave

    Managed Care Interface
    |July 1, 1999
    PubMed
    Summary

    Gastroenterologists incur higher costs for treating mild GERD patients than primary care physicians. However, primary care physicians provide shorter treatment durations, indicating potential cost-effectiveness in GERD management.

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    Area of Science:

    • Gastroenterology
    • Health Economics
    • General Practice

    Background:

    • Gastroesophageal reflux disease (GERD) is a common condition with varied treatment approaches.
    • Understanding practice patterns and associated costs is crucial for optimizing GERD management.
    • Primary care physicians (PCPs) and gastroenterologists may differ in their treatment strategies and resource utilization for GERD.

    Purpose of the Study:

    • To compare the utilization, charges, and prescription drug use for patients with lowest-severity GERD treated by gastroenterologists versus family physicians/general practitioners (FPs/GPs).
    • To analyze differences in patient-to-encounter (PTE) duration and associated costs between specialist and primary care management of GERD.
    • To highlight variations in practice patterns for GERD treatment.

    Main Methods:

    • Retrospective analysis of patient data comparing gastroenterologists and FPs/GPs.
    • Examination of utilization, covered charges, prescription drug utilization, and PTE duration.
    • Statistical comparison of cost-effectiveness and resource utilization between the two physician groups.

    Main Results:

    • Gastroenterologists showed higher utilization, covered charges, and prescription drug use per PTE for lowest-severity GERD patients compared to FPs/GPs.
    • Patients treated by FPs/GPs had significantly shorter PTE durations and lower overall charges.
    • Average prescription drug charges per PTE were also lower for FPs/GPs.

    Conclusions:

    • Practice patterns for GERD treatment vary significantly between gastroenterologists and FPs/GPs.
    • FPs/GPs appear to manage lowest-severity GERD with lower resource utilization and costs.
    • Further controlled studies are needed to compare practice patterns, quality of care, and cost-effectiveness between PCPs and specialists for GERD.

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