Zmijewski Polina, Fazendin Jessica M, Aburjania Zviadi, Gillis Andrea, Chen Herbert, Lindeman Brenessa
Department of Surgery, Division of Breast and Endocrine Surgery, University of Alabama at Birmingham, 1808 7th Ave South, BDB Suite 506, Birmingham, AL, USA.
Surg Pract Sci. 2022 Apr 6;9:100079. doi: 10.1016/j.sipas.2022.100079. eCollection 2022 Jun.
Academic medical centers (AMCs) rely on clinical revenue to support the missions of research and education. Funds Flow model (FFM) is a financial model proposed to enhance the ability to do that. Some have argued the FFM has increased pressure for clinical productivity (CP), so we measured CP before and after implementation of a FFM.
A FFM system was implemented in 2014. All Department of Surgery faculty with two years of practice prior to and after FFM initiation were included. The percentage of adjusted work relative value unit benchmarks met was compared between pre- and post-FFM using t-tests and ANOVA.
Fifty-one surgeons were included. There was no statistically significant difference in clinical productivity in the pre- and post-FFM periods. Thirteen surgeons (25%) had significantly lower CP after FFM implementation ( < 0.05).
No changes in faculty productivity were identified in individuals or by division after implementation of an FFM.
学术医疗中心（AMC）依靠临床收入来支持研究和教育使命。资金流模型（FFM）是一种旨在增强实现这一目标能力的财务模型。一些人认为FFM增加了临床生产力（CP）的压力，因此我们在实施FFM之前和之后对CP进行了测量。
2014年实施了FFM系统。纳入了在FFM启动之前和之后有两年实践经验的所有外科系教员。使用t检验和方差分析比较了FFM前后达到的调整后工作相对价值单位基准的百分比。
纳入了51名外科医生。FFM前后的临床生产力没有统计学上的显著差异。13名外科医生（25%）在FFM实施后CP显著降低（<0.05）。
实施FFM后，未发现个人或科室教员的生产力有变化。
