AI Article Synopsis
- The study investigates how primary care physicians' productivity relates to their delivery of preventive services to adult patients in a fee-for-service setting.
- The research involved analyzing the medical records of 452 patients treated by multiple doctors over 27 months, focusing on 10 specific preventive services.
- Results showed a weak overall correlation between physicians' productivity (measured in relative value units) and their provision of most preventive services, suggesting that time constraints may not be the main reason for the lack of preventive care, except for cervical cancer screening.
Article Abstract
Objective: To study the relationship between overall productivity and the rates at which primary care physicians, in a fee-for-service setting, deliver or prescribe preventive services to adult patients.
Patients And Methods: The charts of 452 adult patients treated by 8 family practitioners and 5 internists in a fee-for-service practice setting were randomly selected and abstracted for provision of 10 preventive services over a 27-month period. The percentage of eligible patients screened for each service was correlated with the production of each physician measured in relative value units (RVUs).
Results: The correlation coefficient between RVUs and the aggregate of the 10 services was 0.23 (95% confidence interval [CI], -0.36 to 0.70). The individual correlation coefficients between RVUs and 9 of the 10 preventive services ranged from -0.05 to 0.43. For cervical cancer screening, however, the correlation coefficient was -0.72 (95% CI, -0.91 to -0.24).
Conclusion: With the exception of screening for cervical cancer, the data presented in this study do little to support physicians' common belief that lack of time is the reason they are unable to incorporate prevention strategies into their clinical practice.
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| http://dx.doi.org/10.4065/75.2.156 | DOI Listing |
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