Compensation and Production in Family Medicine by Practice Ownership:

Health Services Research & Managerial Epidemiology

Alison C.Essary¹ 

关键词: primary care;    cost-effectiveness;    access to care;    efficiency;    health economics;    medical costs;   

DOI  :  10.1177/2333392815624111

学科分类：医学（综合）

来源: Sage Journals

【 摘 要 】

The increasing focus on high performance, patient-centered, team-based care calls for a strategy to evaluate cost-effective primary care. The trend toward physician practice consolidation further challenges the primary care health care system. Productivity measures establish provider value and help inform decision making regarding resource allocation in this evolving health care system. In this national survey of family medicine practices, physician assistant (PA) productivity, as defined by mean annual patient encounters, exceeds that of both nurse practitioners (NPs) and physicians in physician-owned practices and of NPs in hospital or integrated delivery system-owned practices. Total compensation, defined as salary, bonus, incentives, and honoraria for physicians, is significantly more compared to both PAs and NPs, regardless of practice ownership or productivity. Physician assistants and NPs earn equivalent compensation, regardless of practice ownership or productivity. Not only do these data support ...

【 授权许可】

CC BY