The Relative Complexity of Primary Care Provided by Medical Specialists
作者:
Robert Mendenhall,
Christy Moynihan,
Stephen Radecki,
期刊:
Medical Care
(OVID Available online 1984)
卷期:
Volume 22,
issue 11
页码: 987-1001
ISSN:0025-7079
年代: 1984
出版商: OVID
关键词: primary care;internal medicine;hypertension;chronic ischemic heart disease;diabetes mellitus;chronic obstructive pulmonary disease
数据来源: OVID
摘要:
Utilizing national data on patient care provided by family practitioners, general internists, and subspecialists in internal medicine, this study examines the complexity of care provided by generalist physicians versus subspecialty physicians on a disease-specific basis. Limiting the analysis to “principal care” provided by office-based physicians, the study finds the complexity of care provided by cardiologists for heart disease and by endocrinologists for diabetes mellitus to be somewhat greater than that provided by family practitioners and general internists, though the magnitude of the differences is not large. For chronic obstructive pulmonary disease, however, pulmonary disease specialists are shown to provide care that is substantially more complex than that provided by their generalist colleagues. For all diseases and specialties, hospital care is substantially more complex than ambulatory care.
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