Literature DB >> 11788328

Medicare reimbursement policy and teaching physicians' behavior in hospital clinics: the changes of 1996.

Robert S Stern1.   

Abstract

PURPOSE: To determine the frequency of attending physicians' contacts with residents' patients in hospital-based outpatient clinics and changes in these practices after June 1996.
METHOD: Using data from the National Hospital Ambulatory Medical Care Surveys, 1993 to 1997, the author determined the numbers and characteristics of residents' patients in hospital-based outpatient clinics and the proportions of these patients also seen by a staff physician before and after the date new explicit national guidelines for Medicare Part B reimbursement (IL-372) took effect (July 1, 1996). Logistic regression models were used to identify patients' and clinics' attributes associated with a higher chance of a resident's patient's also being seen by a staff physician and changes after June 30, 1996.
RESULTS: From 1993 to 1997, residents saw about 15,000,000 hospital-based clinic outpatients each year. Overall, 45% of residents' patients also saw a staff physician. The odds that a resident's patient would also see a staff physician varied substantially among patients seen in different regions of the country, types of clinics, and patients' sociodemographic characteristics. Overall, after July 1, 1996, the odds that a resident's patient would also see a staff physician increased significantly (odds ratio 1.64, 95% CI = 1.11 to 2.41), but the proportion of Medicare-insured patients who also saw a staff physician did not increase significantly.
CONCLUSION: The proportion of residents' patients also seen by a staff physician increased after June 1996. The lack of a similar significant increase for patients 65 and over with Medicare suggests that the more explicit and stricter interpretation of Medicare regulations did not primarily affect Medicare-insured patients but rather changed the process of care for all clinic patients.

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Year:  2002        PMID: 11788328     DOI: 10.1097/00001888-200201000-00016

Source DB:  PubMed          Journal:  Acad Med        ISSN: 1040-2446            Impact factor:   6.893


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