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Practice style differences between family physicians and internists.

C M Conry1, W D Pace, D S Main

  • 1Department of Family Medicine, University of Colorado School of Medicine, Denver.

The Journal of the American Board of Family Practice
|November 1, 1991
PubMed
Summary
This summary is machine-generated.

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Physician practice styles are converging, with family physicians and internists showing similar referral rates and encounter times. However, differences in diagnostic testing and patient management persist, impacting healthcare costs and training.

Area of Science:

  • Health Services Research
  • Medical Practice Analysis
  • Physician Practice Styles

Background:

  • Physician services account for a significant portion of healthcare expenditures.
  • Evaluating specialty practice styles is crucial for cost containment strategies.
  • Understanding practice variations informs policy on physician training and service delivery.

Purpose of the Study:

  • Compare practice style differences between family physicians and internists.
  • Analyze changes in family physicians' practice styles from 1981 to 1985.
  • Identify practice variations impacting healthcare resource allocation.

Main Methods:

  • Utilized the 1981 and 1985 National Ambulatory Medical Care Survey data.
  • Focused on seven primary care diagnoses for comparative analysis.

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  • Examined referral patterns, patient encounter duration, diagnostic testing, and procedures.

    • Main Results:

    • Family physicians reduced referrals and encounter times by 1985 compared to internists.
    • Significant differences observed in clinical laboratory testing, ECG ordering, and radiographic examinations between specialties.
    • Family physicians increased laboratory tests and ECGs ordered between 1981-1985, while referral and radiograph rates remained stable.

    Conclusions:

    • Practice styles of family physicians and internists are becoming more similar, yet distinct differences persist.
    • Observed practice variations have implications for physician training programs.
    • Understanding these evolving practice styles is essential for effective health care resource distribution.