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The organization of physician services in solo and group medical practice
Abstract:
While the effects of physician organization have been examined extensively, little is known about factors related to physicians' choice of either the solo or group practice setting. This study develops a model of physician practice mode choice that includes variables measuring both the characteristics of individual physicians and the socioeconomic environment. The analysis is stratified by 9 specialty groupings to allow a comparison of inter-specialty differences in practice mode choice. Findings suggest that, in general, the group practice physician tends to be board-certified, a member of the American Medical Association (AMA), younger than 55 years old and a graduate of a U.S. medical school. In addition to this general profile, substantial differences exist by specialty. A number of environmental factors are also shown to be related to the practice mode decision. Finally, results are discussed in relation to trends in the health care field and possible effects on the future distribution of group versus solo practice physicians.
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Methods Of Healthcare Delivery System
Managed Care System:
The managed care system is designed to control the cost while maintaining the quality of care. The patient's care from admission to discharge is planned by the primary care provider or the case manager, also known as the gatekeeper. In a managed care system, the number of care providers is limited...
Healthcare Agencies I
Interdisciplinary Care: The Health Care Team-I
Physicians
The physician's primary responsibility is to diagnose illness and direct the medical or surgical treatment of the condition. The authority to admit patients to a healthcare agency or institution and practice care within that setting is granted to physicians by the healthcare agency or institution itself.
Integrated Healthcare System
Methods of Documentation I: Source-Oriented Records
In an SOR, each discipline involved in patient care maintains a separate medical record section. This record-keeping method enables easy tracking of patient progress and ensures healthcare staff have access to up-to-date information.
Key Attributes include the following:
Methods of Documentation II: POMR

