Garnick D W, Luft H S, Hunt S S
GHAA J. 1986 Winter;7(2):13-21.
In summary, this study provides evidence that with as few as five diagnosis it is possible to identify some physician group practices that consistently treat patients with more or fewer visits, on average. However, even among group practices that vary considerably in size, location, and organizational structure, there is little deviation from the norm in terms of office visits. A study of more than 30 patients per site using data from both office records and insurance claims is needed, however, to examine the entire spectrum of treatment, including lab tests, special procedures, medications, and hospitalization. Such future studies may exploit the possibilities and avoid the pitfalls describes here to better characterize physicians' practice patterns.
总之,本研究提供了证据表明,仅通过五项诊断就有可能识别出一些医生团体诊所,这些诊所平均来看治疗患者的就诊次数或多或少是一致的。然而,即使在规模、位置和组织结构差异很大的团体诊所中,门诊就诊方面也几乎没有偏离常态。不过,需要对每个地点超过30名患者进行研究,使用来自办公室记录和保险理赔的数据,以检查整个治疗范围,包括实验室检查、特殊程序、药物治疗和住院治疗。未来的此类研究可以利用这里描述的可能性并避免陷阱,从而更好地描述医生的执业模式。