Comments on doctoral education.
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Biomedical subjects
Publications and source records attributed to P D Bonnet.
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This study concerns the changes in the use of medical care services as the duration of membership in a prepaid group plan increases. For each of ten cohorts of members of the prepaid group practice in Columbia, Maryland, the use of provider visits (for both "well" care and "problem-oriented" care), of inpatient hospital services, and of prescribed drugs were determined, and time trends for each type of service were developed. The rate of total provider visits (TPV's per member) and the proportion of "well" care visits declined during the first year of membership and were followed by stabilization during the second year in the Plan. Because of large variations in hospital days, but only a small total number of hospital days, no association between hospital use and duration of membership could be shown. The rate of new prescriptions filled (NPF's) also decreased as length of time in the Plan increased.
This study examines the popular belief that increased educational supervision and increased administrative support in university outpatient clinics will improve physician performance, which in turn will improve the process and outcome of patient care. Positive effects on house officers' attitudes and better functioning of clinics with respect to follow-up, information retrieval, and prescribing practices were demonstrated. However, no differences in the process and outcome of care were identified by faculty judges using implicit criteria.
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Explore the source record for details and available documents.
Explore the source record for details and available documents.