Matthies F
Department of Family Medicine, Harbor-UCLA Medical Center, Torrance 90502.
J Am Board Fam Pract. 1991 Jan-Feb;4(1):27-31.
The family health center of a family practice training program was eliminated from the county hospital budget following funding cuts, forcing the program faculty to create an independent nonprofit community clinic in which to train residents and provide care to established patients. A county audit of the new clinic after 2 years' operation showed substantial savings, particularly for administrative overhead. This report presents data showing the cost advantages to a small private clinic with faculty management compared with costs in a hospital-managed outpatient clinic; the savings were sufficient to assure continuation of the training program. Increased flexibility under faculty management provided a more realistic teaching environment and new research opportunities.
一个家庭医疗培训项目的家庭健康中心在资金削减后被从县医院预算中剔除，这迫使该项目的教员创建了一个独立的非营利性社区诊所，用于培训住院医师并为现有患者提供护理。新诊所在运营两年后的一次县审计显示节省了大量资金，尤其是行政开支方面。本报告呈现的数据表明，与医院管理的门诊诊所相比，由教员管理的小型私人诊所具有成本优势；节省的资金足以确保培训项目的持续开展。教员管理下增加的灵活性提供了更现实的教学环境和新的研究机会。
