Skip to main content

Effect of prepaid health plans on a family practice residency.

Publication ,  Journal Article
Bradley, DW; Gehlbach, SH
Published in: J Med Educ
August 1988

The rapid growth of prepaid health care plans imposes clinical, financial, and educational changes on residency programs. In the study reported here, the authors examined some perceived and actual effects of such plans on a family medicine center associated with a family medicine residency training program. In the study, 37 residents and 19 faculty members completed a 5-point, 16-item survey covering the effect of the prepaid plans used at the center on the program's practice profile, cost-containment efforts, and education activities over a three-year period. Overall, the respondents agreed with the need for cost containment that accompanied participation in the prepaid plan and agreed that prepaid plans increased the number of patient visits and visits by family members. The residents and faculty members agreed that prepaid patients were more demanding and were seen more often for minor or inappropriate problems. Regarding the educational impact of the prepaid plans, the respondents agreed that they improved their clinical decision-making, and no significant concern regarding limitation of laboratory or consultations was noted. Some of the respondents' perceptions were corroborated by findings in the clinic data base that showed increased numbers of patient visits, more visits by members of the same family, and no significant change in outpatient consultation rates.

Duke Scholars

Published In

J Med Educ

DOI

ISSN

0022-2577

Publication Date

August 1988

Volume

63

Issue

8

Start / End Page

611 / 616

Location

United States

Related Subject Headings

  • Internship and Residency
  • Health Maintenance Organizations
  • Family Practice
  • Attitude of Health Personnel
 

Citation

APA
Chicago
ICMJE
MLA
NLM
Bradley, D. W., & Gehlbach, S. H. (1988). Effect of prepaid health plans on a family practice residency. J Med Educ, 63(8), 611–616. https://doi.org/10.1097/00001888-198808000-00004
Bradley, D. W., and S. H. Gehlbach. “Effect of prepaid health plans on a family practice residency.J Med Educ 63, no. 8 (August 1988): 611–16. https://doi.org/10.1097/00001888-198808000-00004.
Bradley DW, Gehlbach SH. Effect of prepaid health plans on a family practice residency. J Med Educ. 1988 Aug;63(8):611–6.
Bradley, D. W., and S. H. Gehlbach. “Effect of prepaid health plans on a family practice residency.J Med Educ, vol. 63, no. 8, Aug. 1988, pp. 611–16. Pubmed, doi:10.1097/00001888-198808000-00004.
Bradley DW, Gehlbach SH. Effect of prepaid health plans on a family practice residency. J Med Educ. 1988 Aug;63(8):611–616.

Published In

J Med Educ

DOI

ISSN

0022-2577

Publication Date

August 1988

Volume

63

Issue

8

Start / End Page

611 / 616

Location

United States

Related Subject Headings

  • Internship and Residency
  • Health Maintenance Organizations
  • Family Practice
  • Attitude of Health Personnel