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Physician productivity: trends and determinants.

S Hurdle1, G C Pope

  • 1Health Economics Research, Inc., Needham, MA 02194.

Inquiry : a Journal of Medical Care Organization, Provision and Financing
|January 1, 1989
PubMed
Summary
This summary is machine-generated.

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Physician productivity declined significantly from the 1970s to the mid-1980s. This trend suggests that earlier projections of a physician surplus may be overstated, impacting healthcare workforce planning.

Area of Science:

  • Health Services Research
  • Medical Economics
  • Physician Workforce Studies

Background:

  • Physician surplus projections for the 1990s were based on constant physician productivity assumptions from the 1970s.
  • Empirical data on physician productivity trends over time were limited.

Purpose of the Study:

  • To examine trends in physician productivity from the 1970s to the mid-1980s.
  • To estimate the impact of physician and practice characteristics on current physician productivity.

Main Methods:

  • Utilized data from the Health Care Financing Administration-National Opinion Research Center (HCFA-NORC) physician surveys conducted in 1975, 1979, and 1984-85.
  • Analyzed trends in physician visit productivity and estimated the effects of various factors on productivity.

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Main Results:

  • Physician visit productivity experienced a significant decline between 1975 and 1984.
  • Participation in alternative health plans, except for Independent Practice Association (IPA) participants, was not associated with increased productivity.
  • Factors such as physician time, the use of nonphysician aides, and physician gender influenced productivity differently depending on the measures used (visits vs. revenues).

Conclusions:

  • The observed decline in physician productivity suggests that previously projected physician surpluses may be overestimated.
  • Understanding the dynamics of physician productivity is crucial for accurate healthcare workforce planning and policy development.