Determinants of primary care physicians' referral pattern: A structural equation model approach
DC Field | Value | Language |
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dc.contributor.author | Chung, K. | - |
dc.contributor.author | Yang, D. | - |
dc.contributor.author | Lee, J.H. | - |
dc.date.accessioned | 2021-09-08T09:24:40Z | - |
dc.date.available | 2021-09-08T09:24:40Z | - |
dc.date.created | 2021-06-17 | - |
dc.date.issued | 2010 | - |
dc.identifier.issn | 1740-0600 | - |
dc.identifier.uri | https://scholar.korea.ac.kr/handle/2021.sw.korea/118342 | - |
dc.description.abstract | This study examines patient referrals by primary care physicians (PCP) with nurse practitioners and physician assistants (NP-PA) in their medical practices as compared to practices without them. The study uses data from the Robert Wood Johnson Foundation community tracking study (CTS) Physician Survey, Round I (1996-97) and II (1998-99). Structural equations with binary dependent variables were used to examine the links among managed care, the use of NP-PA, the complexity of patient's conditions, and the number of referrals. PCP's with NP-PA were found to have a greater likelihood of treating patients with complex conditions instead of referring them to specialists. Managed care related variables (i.e., large group practice/HMO, the percentage of patients for whom PCPs acted as gatekeepers, and the percentage of managed care revenue from capitated/prepaid contracts) affected PCP' patient referrals, but only through the increased use of NP-PA. PCP's with NP-PA were also found to provide appropriate care to the complex patients. These findings indicate that NP-PA enable PCP to concentrate on patients with more complex conditions thus reducing the number of referrals. In addition, NP-PA is found to affect the gatekeeper role of PCPs. Copyright © 2010 Inderscience Enterprises Ltd. | - |
dc.language | English | - |
dc.language.iso | en | - |
dc.publisher | Inderscience Publishers | - |
dc.title | Determinants of primary care physicians' referral pattern: A structural equation model approach | - |
dc.type | Article | - |
dc.contributor.affiliatedAuthor | Lee, J.H. | - |
dc.identifier.doi | 10.1504/IJPP.2010.030607 | - |
dc.identifier.scopusid | 2-s2.0-77957043810 | - |
dc.identifier.bibliographicCitation | International Journal of Public Policy, v.5, no.2-3, pp.259 - 271 | - |
dc.relation.isPartOf | International Journal of Public Policy | - |
dc.citation.title | International Journal of Public Policy | - |
dc.citation.volume | 5 | - |
dc.citation.number | 2-3 | - |
dc.citation.startPage | 259 | - |
dc.citation.endPage | 271 | - |
dc.type.rims | ART | - |
dc.type.docType | Article | - |
dc.description.journalClass | 1 | - |
dc.description.journalRegisteredClass | scopus | - |
dc.subject.keywordAuthor | Managed care | - |
dc.subject.keywordAuthor | Nurse practitioner | - |
dc.subject.keywordAuthor | Physician assistant | - |
dc.subject.keywordAuthor | Physician referral | - |
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