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1
Effects of hospital-based primary care setting on internists' treatment of primary care episodes.基于医院的基层医疗环境对内科医生处理基层医疗事件的影响。
Health Serv Res. 1981 Winter;16(4):383-405.
2
Effect of hospital-based primary care setting on internists' use of inpatient hospital resources.
Med Care. 1981 Feb;19(2):160-71. doi: 10.1097/00005650-198102000-00004.
3
Case-mix differences among ambulatory patients seen by internists in various settings.内科医生在不同环境下诊治的门诊患者之间的病例组合差异。
Health Serv Res. 1981 Winter;16(4):407-13.
4
Differences in resource use and costs of primary care in a large HMO according to physician specialty.根据医生专业划分，大型健康维护组织中初级医疗的资源使用和成本差异。
Health Serv Res. 1999 Jun;34(2):503-18.
5
The content of adult primary care episodes.成人初级保健诊疗的内容。
Public Health Rep. 1982 Jan-Feb;97(1):48-57.
6
Utilization and costs for children who have special health care needs and are enrolled in a hospital-based comprehensive primary care clinic.有特殊医疗需求且在医院综合初级保健诊所登记的儿童的医疗服务利用情况及费用
Pediatrics. 2005 Jun;115(6):e637-42. doi: 10.1542/peds.2004-2084.
7
Measuring hospital ambulatory care costs.衡量医院门诊护理成本。
Health Serv Res. 1981 Winter;16(4):414-9.
8
Evaluating the impact of ambulatory care on health care costs.评估门诊护理对医疗保健成本的影响。
Health Care Plann Mark. 1982 Jan;1(4):25-38.
9
Costs vs quality in different types of primary care settings.不同类型基层医疗环境下的成本与质量
JAMA. 1994 Dec 28;272(24):1903-8.
10
A comparison of hospital outpatient departments and private practice.医院门诊部与私人诊所的比较。
Health Care Financ Rev. 1985 Summer;6(4):69-81.

引用本文的文献

1
Expenditures for ambulatory episodes of care: the Michigan Medicaid experience.门诊护理费用：密歇根医疗补助计划的经验
Health Care Financ Rev. 1989 Winter;11(2):43-55.
2
How do HMOs achieve savings? The effectiveness of one organization's strategies.健康维护组织（HMOs）如何实现节约？一个组织策略的有效性。
Health Serv Res. 1998 Apr;33(1):79-99.
3
Effects of parental smoking on medical care utilization by children.父母吸烟对儿童医疗保健利用的影响。
Am J Public Health. 1984 Jan;74(1):30-4. doi: 10.2105/ajph.74.1.30.
4
Ambulatory visit groups: a framework for measuring productivity in ambulatory care.门诊就诊分组：一种衡量门诊医疗服务生产率的框架。
Health Serv Res. 1984 Oct;19(4):415-37.
5
The demand for hospital outpatient services.对医院门诊服务的需求。
Health Serv Res. 1984 Aug;19(3):383-412.
6
Hospital-based group practice: does it change clinic patterns of care?
J Gen Intern Med. 1987 Jan-Feb;2(1):11-9. doi: 10.1007/BF02596243.
7
Looking at the patient in the mix: is case mix methodology unfair to the hospital outpatient department?审视混合情况下的患者：病例组合方法对医院门诊部是否不公平？
J Gen Intern Med. 1988 Sep-Oct;3(5):471-5. doi: 10.1007/BF02595924.

本文引用的文献

1
Hospital-sponsored primary care group practices: a developing modality of care.医院主办的初级保健团队执业模式：一种不断发展的医疗模式。
Health Med Care Serv Rev. 1978 Sep-Dec;1(5-6):1, 3-13.
2
Hospital-based versus free-standing primary care costs.基于医院的初级保健成本与独立式初级保健成本对比。
J Ambul Care Manage. 1979 Feb;2(1):1-20. doi: 10.1097/00004479-197902000-00002.
3
Assessing health quality--the case for tracers.评估健康质量——追踪指标的作用
N Engl J Med. 1973 Jan 25;288(4):189-94. doi: 10.1056/NEJM197301252880406.
4
HMO performance: the recent evidence.健康维护组织（HMO）的绩效：近期证据
Milbank Mem Fund Q Health Soc. 1973 Summer;51(3):271-317.
5
Primary care for nontraumatic illness at the emergency department and the family physician's office.急诊科和家庭医生办公室对非创伤性疾病的初级护理。
Can Med Assoc J. 1976 Feb 21;114(4):333-7.
6
Cost of primary health care services in the emergency department and the family physician's office.急诊科和家庭医生办公室的初级医疗保健服务成本。
Can Med Assoc J. 1975 May 3;112(9):1096-8, 1113.
7
Quality of outpatient pediatric care: the influence of physicians' background, socialization, and work/information environment on performance.儿科门诊护理质量：医生背景、社会化程度以及工作/信息环境对绩效的影响。
J Health Soc Behav. 1978 Dec;19(4):348-60.
8
A method for analyzing resource use in ambulatory care settings.
Med Care. 1977 Dec;15(12):1024-44. doi: 10.1097/00005650-197712000-00006.

基于医院的基层医疗环境对内科医生处理基层医疗事件的影响。

Effects of hospital-based primary care setting on internists' treatment of primary care episodes.

作者信息

Gold M

出版信息

Health Serv Res. 1981 Winter;16(4):383-405.

PMID:6799428
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC1072263/
Abstract

The amount of primary care provided at hospitals is increasing, yet little information exists on the relative costs of this form of care. To address this issue, we compared the treatment resources used by internists practicing in hospital-based and free-standing clinics. The study site was the Kaiser-Permanente Medical Care Program, Oregon Region. To control for case mix, the analysis focused on episodes of six specified conditions; upper respiratory infection, urinary tract infection, hypertension, abdominal pain, chest pain, and physical exam. The California Relative Value Schedule was used to define care intensity by summarizing the clinical, laboratory, and radiology services provided. Results indicate that setting exerts little influence on the intensity of primary care for the episodes studied; care of similar intensity is provided in hospital-based and free-standing settings.

摘要

医院提供的初级保健数量在增加，但关于这种护理形式的相对成本的信息却很少。为了解决这个问题，我们比较了在医院附属诊所和独立诊所执业的内科医生所使用的治疗资源。研究地点是俄勒冈州地区的凯撒医疗保健计划。为了控制病例组合，分析集中在六种特定疾病的发作上：上呼吸道感染、尿路感染、高血压、腹痛、胸痛和体格检查。加利福尼亚相对价值量表用于通过汇总提供的临床、实验室和放射学服务来定义护理强度。结果表明，环境对所研究疾病发作的初级保健强度影响很小；在医院附属和独立环境中提供的护理强度相似。