Use of Diagnostic Services by Physicians in Community Practice
Bibliographic Data
| ID | 9102946 |
|---|---|
| Authors | John M Eisenberg (University of Pennsylvania), David Nicklin (0000-0003-2508-045X, University of Pennsylvania) |
| Year | 1981 |
| Volume | 19 |
| Issue | 3 |
| Pages | 297-309 |
| Publication date | 1981-03-01 |
| Peer Reviewed | Yes |
| Open Access | No |
| Type | ARTICLE |
| Venue | Medical Care (JOURNAL) |
| Journal identifiers | ISSN: 0025-7079 • E-ISSN: 1537-1948 |
| Publisher | Ovid Technologies (Wolters Kluwer Health) (PUBLISHER) |
| DOI | 10.1097/00005650-198103000-00005 |
| PMID | 7218895 |
| OpenAlex | W2057514385 |
| Language | EN |
| Citations received | 23 |
| References cited | 6 |
This study analyzes the use of diagnostic studies by community physicians. Data from billing claims for outpatient visits by Medicaid recipients in three northeastern Pennsylvania counties during a 38-month period were studied, including 55,420 visits to 336 physicians. The use of outpatient laboratory tests and roentgenograms was correlated with the personal characteristics of the prescribing physicians. When case mix was controlled, analysis by specialty showed that internists ordered approximately the same number of procedures as family physicians, and both groups ordered more procedures than general practitioners. The number of years since medical school graduation showed a statistically significant inverse relationship with laboratory and radiology use. Public school graduates ordered more laboratory tests than private school graduates, and foreign medical graduates ordered more roentgenograms than domestic graduates. Other variables, including size and location of practice, and osteopathic or medical training, were not significantly related to patterns of use
Family medicine · Graduation (instrument) · Health care · Medicaid · Medical education · Medical school · Private practice · Specialty · Healthcare Policy and Management · Medicine · Patient Satisfaction in Healthcare · Primary Care and Health Outcomes
The effects of physicians' training and personality on test ordering for ambulatory patients
Comparison of Family Medicine and Internal Medicine
Physician Sensitivity to the Price of Diagnostic Tests
Influencing Behavior of Physicians Ordering Laboratory Tests
The Influence of Attending Physician Subspecialization on Hospital Length of Stay
Case History Questionnaires in the Study of Doctors?? Use of Resources
The Use of Medical Resources by Residency-Trained Family Physicians and General Internists
Interspecialty Variation in Office-Based Care
Laboratory Test Form Design Influences Test Ordering by General Practitioners in the Netherlands
A Review of Physician Cost-Containment Strategies for Laboratory Testing
Differences in Medical Referral Decisions for Obesity Among Family Practitioners, General Internists, and Gynecologists
Changes in Ambulatory Testing for Hypertensive Patients 1971-1980
Estimating Physician Costliness
The Effect of Physician Personality on Laboratory Test Ordering for Hypertensive Patients
Practice Pattern Variation Between Two Medical Schools
Development of Attitudes about Sharing Decision-Making
Self-Esteem, Reaction to Uncertainty, and Physician Practice Variation
Patterns of physicians' use of medical resources in ambulatory settings
The Impact of Physician Involvement in Managed Care on Efficient Use of Hospital Resources
Physician Utilization
Prestige of Training Programs and Experience of Bypass Surgeons As Factors in Adjusted Patient Mortality Rates
The effects of patient characteristics on ambulatory test ordering
Professional uncertainty and physician medical decision-making in a multiple treatment framework
Determinants of medical care utilization
Medicaid Records as a Valid Data Source; The Tennessee Experience
Non-Medical Factors Influencing Use of Diagnostic X-ray by Physicians
The Effect of Medical Training Factors on Physician Utilization Behavior
Variation among Physicians in Use of Laboratory Tests II. Relation to Clinical Productivity and Outcomes of Care
Financial Incentives to Perform Medical Procedures and Laboratory Tests
| Unique citing works | 23 |
|---|---|
| Citations per year | 0,52 |
| Citation span | 1982 - 2002 (21) |
| Citation velocity | historical |
| Highly cited | No |
| Citation types | Neutral: 7 |