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Alternative models for academic family practices.

J Lloyd Michener1, Truls Østbye, Victoria S Kaprielian

  • 1Department of Community and Family Medicine, Duke University Medical Center, Durham, USA. miche001@mc.duke.edu

BMC Health Services Research
|March 22, 2006
PubMed
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Academic family practices can be economically viable without subsidies by improving efficiency and billing. Experimenting with alternative organizational models offers a path to sustainability for these essential healthcare settings.

Area of Science:

  • Health Services Research
  • Primary Care Medicine
  • Healthcare Management

Background:

  • The Future of Family Medicine Report highlights the need for redesigning the family physician workplace.
  • Academic family practices face significant economic pressures, often requiring external financial support.
  • There is a critical need for economically viable alternative models for academic family practices.

Purpose of the Study:

  • To present and evaluate several experimental models for academic family practices.
  • To identify strategies for achieving economic viability in academic family medicine.
  • To explore alternative service delivery models that align with family medicine principles.

Main Methods:

  • Comparison of a traditional academic family medicine center with alternative practice models.

Related Experiment Videos

  • Testing diverse practice types including multi-specialty arrangements and community-based clinics.
  • Financial analysis using consistent accounting across all tested models.

    • Main Results:

    • Academic family practices can operate without subsidies in certain settings.
    • Efficient patient throughput and appropriate billing are key to financial sustainability.
    • Continuity of care can be maintained for diverse community segments.

    Conclusions:

    • Experimentation with academic practice structures and organization is valuable.
    • Economically viable alternatives to traditional academic family practice models can be developed.
    • Alternative models demonstrate the potential for self-supporting academic family practices.