ITEMS IN FPM ON TOPIC:
Baumol's cost disease is an economic phenomenon in which labor-intensive industries tend to experience little or no increase in productivity over time despite advances in technology. This means that the cost of primary care medicine will continue to rise so long as patient-physician interaction remains the basis of medical practice.
The article, part of a series based on research from the Direct Observation of Primary Care Study, will the effects of high-volume practice on patient care.
The author describes the different ways physician productivity is currently being measured and how those measurements are being used.
The article shows physicians how they can determine their optimum staffing levels by comparing their practices to industry benchmarks.
This article describes how one group practice developed a performance evaluation process that incorporates physician self-evaluation, and it presents lessons learned from the practice's experience.
The article offers several explanations, some not obvious, for the drop in productivity that physicians often experience when moving from independent to employed practice. It goes on to suggest ways of dealing with the issues involved and maintaining or regaining productivity.
The author describes how physicians are often forced by circumstance to ration their time, and he calls for an open discussion of the ethical issues involved as well as greater advocacy for primary care resources.
The author, who led his group's EMR selection committee, describes changes in the market, in EMRs, and in health care that make this the right time for all practices to seriously consider purchasing an EMR system.
Introduces Gillette article in this issue; invites readers to respond.
This article will outline the process one clinic used to implement open-access scheduling, which frees up time on physicians' schedules each day to allow for same-day appointments.