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Methods of Documentation II: POMR

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Related Experiment Video

Updated: Jul 8, 2026

Intraoperative Video Consultation Following Bile Duct Transection Facilitates Direct OR Transfer for Robotic Hepaticojejunostomy at Tertiary Center
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Busy physicians.

Jostein Grytten1, Rune Sørensen

  • 1Dental Faculty, University of Oslo, Blindern, 0316 Oslo, Norway. josteing@odont.uio.no

Journal of Health Economics
|January 18, 2008
PubMed
Summary
This summary is machine-generated.

General practitioners with fewer registered patients attract more external patients. This study found no evidence of revenue compensation, even when considering visits from patients not on their list.

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Area of Science:

  • Health Services Research
  • General Practice
  • Healthcare Economics

Background:

  • Investigating physician behavior regarding patient volume and treatment intensity is crucial for healthcare system efficiency.
  • Previous studies hypothesized that general practitioners might over-treat to compensate for patient shortages, but lacked robust patient population measures.
  • Understanding patient flow and physician list dynamics is key to analyzing practice management strategies.

Purpose of the Study:

  • To empirically test the hypothesis that general practitioners compensate for patient deficits by increasing treatment intensity.
  • To examine revenue compensation in general practice, considering both list patients and external patients.
  • To analyze the impact of patient list dynamics on physician behavior in Norway.

Main Methods:

  • Utilizing Norwegian registry data where most patients are listed with a single general practitioner.
  • Analyzing physician patient lists and tracking patient movements between physicians.
  • Comparing treatment patterns and revenue for physicians with patient deficits versus surpluses, including external patient consultations.

Main Results:

  • Physicians experiencing a deficit of patients on their list attract a higher number of external patients compared to those with a surplus.
  • No evidence of revenue compensation was found when consultations with external patients were factored into the analysis.
  • Patient list dynamics significantly influence patient attraction, challenging previous assumptions about revenue-driven treatment intensity.

Conclusions:

  • Physician patient attraction dynamics play a significant role in practice management.
  • The hypothesis of revenue compensation through increased treatment intensity in response to patient shortages is not supported by this study's findings.
  • Healthcare policy should consider patient flow and list management when evaluating general practitioner practice patterns and resource allocation.