A comparison of hospital outpatient departments and private practice.
Date of Pub
Friedman, Robert H; Henderson, Mary G; Malbon, Alan
This article addresses cost differences between primary care physicians in private practice and hospital outpatient departments
(OPD's). The analysis utilizes ambulatory visit groups (AVG's), the outpatient equivalent of diagnosis-related groups (DRG's),
to adjust for case mix. Major findings are that OPD's have higher per visit costs than physicians' private offices; internists
are more expensive than general practitioners regardless of site; and ancillary service costs are actually slightly higher
in private practice. Any prospective payment system for ambulatory care must consider these costs differences.
Comparative Study : Costs and Cost Analysis : Diagnosis-Related Groups/economics : Outpatient Clinics, Hospital/economics
: Primary Health Care/economics : Private Practice/economics : Support, Non-U.S. Gov't : Support, U.S. Gov't, Non-P.H.S. :