Productivity, quality, and patient satisfaction
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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.
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 full-time 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.
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- Productivity, quality, and patient satisfaction
Journal of General Internal Medicine
Volume 16, Issue 10 , pp 663-667
- Cover Date
- Print ISSN
- Online ISSN
- Additional Links
- quality of care
- patient satisfaction
- part-time physicians
- women in medicine
- Industry Sectors
- Author Affiliations
- 1. Received from the Division of General Medicine, Boston, Mass
- 2. Harvard Medical School, Boston, Mass
- 4. the Brigham and Women’s Physician Hospital Organization, Brigham and Women’s Hospital, Boston, Mass
- 5. Department of Medicine, Division of Women’s Health, Boston, Mass
- 6. the Massachusetts General Physician Organization, Massachusetts General Hospital, Boston, Mass