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Clinics without walls. Alternative practice structures for physicians in independent practice

D A Shaw

    Minnesota Medicine
    |February 1, 1993
    PubMed
    Summary

    Clinics Without Walls create integrated medical networks for improved patient care and physician communication. This model enhances access to decentralized facilities and expands services through shared resources.

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    Area of Science:

    • Healthcare Management
    • Medical Practice Organization
    • Integrated Healthcare Delivery

    Background:

    • Managed care organizations (MCOs) increasingly influence healthcare delivery.
    • Physician groups seek innovative models for efficient and accessible patient care.
    • Existing practice structures may limit communication and resource sharing.

    Purpose of the Study:

    • To introduce the Clinics Without Walls (CWW) integrated medical practice model.
    • To outline the operational framework and benefits of CWW networks.
    • To propose a prototype for implementation in medical practice.

    Main Methods:

    • Establishing integrated medical practice business organizations.
    • Contracting patient care services with MCOs and other entities.

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  • Developing a CWW prototype for network implementation.

    • Main Results:

    • CWW networks will receive revenue and manage expenses for contracted services.
    • Improved communication and information exchange among participating physicians.
    • Enhanced patient access to decentralized medical facilities and expanded services.

    Conclusions:

    • Clinics Without Walls offer a structure to enhance patient care through improved physician collaboration and resource sharing.
    • The CWW model benefits both patients and physicians by expanding service availability.
    • A detailed CWW prototype is under development for 1993 implementation.