Women in Medicine: Two Points of View I. The Future of Women Physicians

Eg, Dimond

doi:10.1001/jama.1983.03330260025024

Cited by 9 publications

(3 citation statements)

References 4 publications

(2 reference statements)

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“…5 However, many believe that part-time PCPs are less efficient clinicians than their full-time colleagues and provide a lower degree of access and continuity for patients. 6,7 Citing the benefits of provider continuity, several health insurers in our region, such as Massachusetts' Managed Medicaid program (A. Hanson, MD, personal communication), Blue Cross Blue Shield of Massachusetts, 8 and Neighborhood Health Plan of Rhode Island 9 exclude some part-time PCPs from their networks. On the basis of similar assumptions, some academic medical centers also discourage part-time clinical activity through financial and other incentive systems.…”

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confidence: 99%

Productivity, Quality, and Patient Satisfaction. Comparison of Part-time and Full-time Primary Care Physicians

et al. 2001

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CONTEXT: Although few data are available, many believe that part-time primary care physicians (PCPs) are less productive and provide lower quality care than full-time PCPs. Some insurers exclude part-time PCPs from their provider networks.OBJECTIVE: To compare productivity, quality of preventive care, patient satisfaction, and risk-adjusted resource utilization of part-time and full-time PCPs.DESIGN: Retrospective cohort study. SETTING: Boston.PARTICIPANTS: PCPs affiliated with 2 academic outpatient primary care networks.MEASUREMENTS: PCP productivity, patient satisfaction, resource utilization, and compliance with screening guidelines.RESULTS: Part-time PCP productivity was greater than that of full-time PCPs (2.1 work relative value units (RVUs)/bookable clinical hour versus 1.3 work RVUs/bookable clinical hour, P < .01). A similar proportion of part-time PCPs (80%) and fulltime PCPs (75%) met targets for mammography, Pap smears, and cholesterol screening (P = .67). After adjusting for clinical case mix, practice location, gender, board certification status, and years in practice, resource utilization of part-time PCPs ($138 [95% confidence interval (CI), $108 to $167]) was similar to that of full-time PCPs ($139 [95% CI, $108 to $170], P = .92). Patient satisfaction was similar for part-time and full-time PCPs.CONCLUSIONS: In these academic primary care practices, rates of patient satisfaction, compliance with screening guidelines, and resource utilization were similar for part-time PCPs compared to full-time PCPs. Productivity per clinical hour was markedly higher for part-time PCPs. Despite study limitations, these data suggest that academic part-time PCPs are at least as efficient as full-time PCPs and that the quality of their work is similar. KEY WORDS: productivity; quality of care; patient satisfaction; part-time physicians; women in medicine. J GEN INTERN MED 2001;16:663±667.

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confidence: 99%

Productivity, Quality, and Patient Satisfaction. Comparison of Part-time and Full-time Primary Care Physicians

et al. 2001

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“…Primary care internists pursuing academic interests in addition to clinical medicine will often devote a majority of their work effort (up to 80%) to research or teaching 5 . However, many believe that part‐time PCPs are less efficient clinicians than their full‐time colleagues and provide a lower degree of access and continuity for patients 6,7 . Citing the benefits of provider continuity, several health insurers in our region, such as Massachusetts' Managed Medicaid program (A. Hanson, MD, personal communication), Blue Cross Blue Shield of Massachusetts, 8 and Neighborhood Health Plan of Rhode Island 9 exclude some part‐time PCPs from their networks.…”

mentioning

confidence: 99%

Productivity, quality, and patient satisfaction

et al. 2001

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In these academic primary care practices, rates of patient satisfaction, compliance with screening guidelines, and resource utilization were similar for part-time PCPs compared to full-time PCPs. Productivity per clinical hour was markedly higher for part-time PCPs. Despite study limitations, these data suggest that academic part-time PCPs are at least as efficient as full-time PCPs and that the quality of their work is similar.

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“…Most women still will have 20 years or more left to practice radiology after their children are grown [6]. Statistically, they are likely to practice longer than their male peers [7].…”

Section: Perspectivementioning

confidence: 99%