Members of Congress and others have questioned whether expanding the scope of the Medicare graduate medical education (GME) program to include nurse practitioners (NPs) and physician assistants (PAs) could help mitigate the effects of a physician shortage in the United States. A Senate Committee on Appropriations report asked the US Government…

Introduction: Knowledge translation (KT) initiatives have the potential to improve prescribing quality and produce savings that exceed the cost of the KT program itself, including the cost of evaluation using pragmatic study methods. Our objective was to measure the impact and estimated savings resulting from the distribution of individualized…

The usefulness of hospital charges as a means of teaching medical students the relationship between the quality and the cost of medical care provided by primary care physicians (internists and family physicians) is presented. It is believed that such case studies can aid medical students in understanding their developing role as "generators of…

The medical school-hospital relationship is examined in terms of graduate medical education, primary care initiatives, classification of patients, financing house staff, hospital referrals, and planning constraints. (LBH)

Exploding medical delivery costs and monopolistic practices have brought wide public disenchantment with the American way of healing. Medical school admission practices, more than any other single factor, influence the demography and therefore the availability of health care in the U.S. (Editor/LBH)

In California, school districts are categorized as public health screening centers and are required to have school doctors or school nurse practitioners provide complete physical examination services. A survey was conducted in a school district with an enrollment of about 12,000 students to determine parental attitudes toward this service, and…

A bibliography on financing the education of physicians for primary care is presented, based on a search of the "Index Medicus" primarily for the period 1971-1983. Selected articles from 1984 are also included. The approximately 65 references are listed alphabetically by the lead author's surname. Selected periodical articles have been…

Physician employment needs in Ohio were reviewed, with attention to supply and demand, medical school enrollments, and attendant costs. The major focus was to develop an information system and methodology that would support planning for medical school education. Specific concerns were: (1) whether physician production in Ohio's medical schools and…

The report investigates production and the cost effects of teaching within hospital departments. Models of primary production show that the cost effects of teaching are determined by the salaries paid to students (including residents, interns, medical students, and technical trainees) and physicians, by the levels of student inputs used in…