Bending the cost curve and increasing revenue: a family medicine model that works!

Abstract:

:This article attempts to illustrate ways in which family physician practices are able to demonstrate high value, enhanced quality, and streamlined costs, essential components of practice sustainability. Specific examples are provided to assist practices to consider questions and information that allow for skillful engagement during contract negotiations, consider increasing practice revenues by adopting practice enhancements that make sense for the location of the practice and community needs, develop workflow analyses, and review opportunities for expense reduction.

journal_name

Prim Care

journal_title

Primary care

authors

Katz BJ,Needham MR

doi

10.1016/j.pop.2012.08.004

subject

Has Abstract

pub_date

2012-12-01 00:00:00

pages

671-81

issue

4

eissn

0095-4543

issn

1558-299X

pii

S0095-4543(12)00072-3

journal_volume

39

pub_type

杂志文章
  • Advance directives and establishing the goals of care.

    abstract::This article addresses advance directives and methods to establish the goals of care for remaining life in the decisional and nondecisional patient. Without these discussions, patient autonomy is negated, and the opportunity to provide patient-centered care using shared decision making is lost. ...

    journal_title:Primary care

    pub_type: 杂志文章,评审

    doi:10.1016/s0095-4543(05)70027-0

    authors: Leland J

    更新日期:2001-06-01 00:00:00

  • Alternative medicine in maternity care.

    abstract::Primary care physicians are confronted daily with questions from their patients about alternative medicine. When maternity care patients seek information about such therapies, careful attention must be paid to issues of safety and efficacy for both the mother and her unborn child. This article clarifies the role of al...

    journal_title:Primary care

    pub_type: 杂志文章,评审

    doi:10.1016/s0095-4543(05)70151-2

    authors: Petrie KA,Peck MR

    更新日期:2000-03-01 00:00:00

  • Rhinosinusitis.

    abstract::Although sinusitis is common, controversy exists regarding terminology, diagnostic criteria, indications for imaging, and treatment guidelines. Patients who are diagnosed with bacterial sinusitis should be started on amoxicillin-clavulanate unless an allergy to penicillin is reported, in which case doxycycline or a re...

    journal_title:Primary care

    pub_type: 杂志文章,评审

    doi:10.1016/j.pop.2013.10.006

    authors: DeCastro A,Mims L,Hueston WJ

    更新日期:2014-03-01 00:00:00

  • Differential diagnosis of paralysis agitans.

    abstract::Paralysis agitans may be mimicked by other disease processes and drugs which disturb the structural or functional integrity of the dopaminergic nigrostriatal system. In another group of patients, isolated symptoms or signs such as tremor or increased muscle tone are considered out of the context of the total clinical ...

    journal_title:Primary care

    pub_type: 杂志文章

    doi:

    authors: Baxter DW

    更新日期:1977-09-01 00:00:00

  • Recognition and management of soft tissue injuries of the ankle in the athlete.

    abstract::The ankle is the site of frequent athletic injuries, the most significant of which include Achilles' rupture, peroneal tendon dislocation, and lateral ligamentous rupture. Evaluation techniques and treatment methods stressing an early but graduated return to function are discussed for the major soft tissue injuries of...

    journal_title:Primary care

    pub_type: 杂志文章

    doi:

    authors: Stover CN

    更新日期:1980-06-01 00:00:00

  • Gastroesophageal Reflux Disease.

    abstract::Gastroesophageal reflux disease (GERD) is a gastrointestinal motility disorder that results from the reflux of stomach contents into the esophagus or oral cavity resulting in symptoms or complications. The typical symptoms of GERD are heartburn and regurgitation of gastric contents into the oropharynx. GERD affects qu...

    journal_title:Primary care

    pub_type: 杂志文章,评审

    doi:10.1016/j.pop.2017.07.001

    authors: Kellerman R,Kintanar T

    更新日期:2017-12-01 00:00:00

  • Health care workers.

    abstract::More people are employed in the health care sector than in any other industry in the United States. Health care workers are exposed to a wide variety of hazards, including biological, chemical, physical and psychological stressors. Concerns about exposure to contagious diseases such as HIV, Hepatitis B and C, and tube...

    journal_title:Primary care

    pub_type: 杂志文章,评审

    doi:10.1016/s0095-4543(05)70190-1

    authors: Udasin IG

    更新日期:2000-12-01 00:00:00

  • Motivating change in health behavior. Implications for health promotion and disease prevention.

    abstract::Motivational approaches that build on the concepts of risk and harm reduction are new developments in the application of behavioral sciences to health promotion and disease prevention. This article develops a generic approach for helping practitioners motivate patients to change unhealthy behaviors. ...

    journal_title:Primary care

    pub_type: 杂志文章,评审

    doi:

    authors: Botelho RJ,Skinner H

    更新日期:1995-12-01 00:00:00

  • Eating disorders: a guide for the primary care physician.

    abstract::The diagnostic criteria for eating disorders are described, including assessment of complications related to semi-starvation, binge eating, and purging. The key components of treatment are presented, including normalization of eating, individual and family therapy, and cognitive behavioral therapy. The role of the pri...

    journal_title:Primary care

    pub_type: 杂志文章,评审

    doi:10.1016/s0095-4543(03)00075-7

    authors: Powers PS,Santana CA

    更新日期:2002-03-01 00:00:00

  • Common childhood rashes. A problem-oriented approach.

    abstract::A problem-oriented algorithm is used to categorize skin eruptions in children into 10 morphologic groups, eliminating much of the difficulty and confusion of antiquated terms. This approach results in rapid differential diagnosis of common skin rashes in children. ...

    journal_title:Primary care

    pub_type: 杂志文章

    doi:

    authors: Weston WL

    更新日期:1984-09-01 00:00:00

  • Models of Health Care: Interprofessional Approaches to Serving Immigrant Populations.

    abstract::Developing an integrated model of health care for refugees, asylees, immigrants, and special immigrant visa holders requires a multifaceted approach due to their unique and complex health care needs. This article provides an in-depth understanding of the components necessary to develop a model of care addressing the n...

    journal_title:Primary care

    pub_type: 杂志文章,评审

    doi:10.1016/j.pop.2020.10.003

    authors: Elmore CE,Compton R,Uhlmann E

    更新日期:2021-03-01 00:00:00

  • Acute gastroenteritis syndromes in children.

    abstract::The most common conditions of gastroenteritis in children and avoidance of errors in their management are emphasized in this article. ...

    journal_title:Primary care

    pub_type: 杂志文章

    doi:

    authors: Paisley J

    更新日期:1984-09-01 00:00:00

  • Guillain-Barré syndrome.

    abstract::Guillain-Barré syndrome and its clinical variants are a group of rapidly progressing, potentially debilitating neurologic disorders that may have significant morbidity/mortality if left unrecognized or untreated. The most common symptoms include ascending limb weakness and paralysis, which may progress to respiratory ...

    journal_title:Primary care

    pub_type: 杂志文章,评审

    doi:10.1016/j.pop.2015.01.001

    authors: Ansar V,Valadi N

    更新日期:2015-06-01 00:00:00

  • Clinical exercise testing. A review of personal and community practice experience.

    abstract::Protocols for clinical exercise stress testing aid functional evaluation of cardiac impairment of ambulatory persons. Normal standards, criteria for functional impairment and exercise-enhanced prediction of risk of future cardiac events provide guidelines for clinical management. This review highlights development and...

    journal_title:Primary care

    pub_type: 杂志文章,评审

    doi:

    authors: Bruce RA

    更新日期:1994-09-01 00:00:00

  • Radiology of arthritis.

    abstract::The radiographic evaluation of the arthritides still relies primarily on the plain films that are readily available to every practicing clinician. The radiographic examination serves primarily to confirm the clinician's diagnosis based on the history, clinical findings, and laboratory studies and to document the sever...

    journal_title:Primary care

    pub_type: 杂志文章,评审

    doi:

    authors: Beachley MC,Franklin JW,Ostlund W,Fielding E,Lenkey J,Urbanik E

    更新日期:1993-12-01 00:00:00

  • Physical examination of the shoulder in the primary care setting.

    abstract::Shoulder problems are extremely common reasons for visiting a primary care physician. To make a correct diagnosis, an appropriate physical examination must be performed. This article describes a systematic approach to the physical examination, correlating the various maneuvers and tests with the anatomy and pathology ...

    journal_title:Primary care

    pub_type: 杂志文章

    doi:10.1016/j.pop.2004.08.001

    authors: McShane JM,Graveley MJ,Hopper BD

    更新日期:2004-12-01 00:00:00

  • Family medicine obstetrics: pregnancy and nutrition.

    abstract::This article discusses pregnancy and nutrition in 3 main timeframes, the prepregnancy nutritional health evaluation, nutrition during pregnancy, and nutrition during the puerperium, and also includes comments on nutrition and lactation. This article begins with a brief review of the risks of obesity (increased body ma...

    journal_title:Primary care

    pub_type: 杂志文章,评审

    doi:10.1016/j.pop.2011.11.003

    authors: Harnisch JM,Harnisch PH,Harnisch DR Sr

    更新日期:2012-03-01 00:00:00

  • Genitourinary malignancies.

    abstract::Malignancies of the male genitourinary system make up a significant proportion of current urologic practice. The primary physician plays an important role in the early detection and referral of patients with these problems. Early treatment offers the best chance of disease control. It is encouraging that some of the m...

    journal_title:Primary care

    pub_type: 杂志文章,评审

    doi:

    authors: Selman SH

    更新日期:1989-12-01 00:00:00

  • Anaphylaxis: diagnosis and treatment.

    abstract::Anaphylaxis is a clinical syndrome and is caused by many different agents. Acute therapy is epinephrine. Chronic therapy depends on the agent causing the anaphylaxis, but usually consists of avoidance of the agent only. Individuals who suffer from this problem should be issued epinephrine and wear or carry medical ale...

    journal_title:Primary care

    pub_type: 杂志文章,评审

    doi:10.1016/s0095-4543(05)70089-0

    authors: Freeman TM

    更新日期:1998-12-01 00:00:00

  • Management of dyslipidemias in the age of statins.

    abstract::Evidence for the effectiveness of lipid-lowering therapy in reducing CHD risk continues to emerge. In primary prevention, clinical trials have demonstrated a benefit for middle-aged, high-risk men with high LDL cholesterol and, more recently, for men and women with "average" LDL and low HDL cholesterol. Although low H...

    journal_title:Primary care

    pub_type: 杂志文章,评审

    doi:10.1016/s0095-4543(03)00095-2

    authors: Green ML

    更新日期:2003-12-01 00:00:00

  • Assessing child development.

    abstract::The family practitioner has an important role in the detection of infants and young children with developmental delays. The physician may be the first or only professional in regular contact with infants and young children. Interpretation of a child's developmental status is best done with a clear understanding of the...

    journal_title:Primary care

    pub_type: 杂志文章

    doi:

    authors: Kimmel SR,Quinn EA,Phelps KA

    更新日期:1994-12-01 00:00:00

  • Gastroenteritis and antibiotic-associated diarrhea.

    abstract::Acute gastroenteritis is a common cause of emergency and office visits. This article reviews causes, pathogenesis, diagnosis, prevention, and treatment. The incidence of antibiotic-associated colitis is increasing worldwide as a consequence of widespread use of broad-spectrum antibiotics for various illnesses. The pat...

    journal_title:Primary care

    pub_type: 杂志文章,评审

    doi:10.1016/s0095-4543(02)00060-x

    authors: Jabbar A,Wright RA

    更新日期:2003-03-01 00:00:00

  • Clinical practice. How physicians make medical decisions and why medical decision making can help.

    abstract::Medical decision making (MDM) contains tools that can contribute to the skill and expertise of physicians. MDM is especially useful for primary care physicians. Practicing in this clinical world is practicing in a world of great uncertainty--the world in which many of these tools were designed to be useful. ...

    journal_title:Primary care

    pub_type: 杂志文章,评审

    doi:

    authors: Bergus GR,Hamm RM

    更新日期:1995-06-01 00:00:00

  • Insulin pump therapy (continuous subcutaneous insulin infusion).

    abstract::Continuous subcutaneous insulin infusion has provided patients who have diabetes with a system for achieving treatment targets with a lower incidence of severe hypoglycemia. Patients prefer the flexibility, convenience, and physiologic glycemic control of continuous subcutaneous insulin infusion. Future insulin pumps ...

    journal_title:Primary care

    pub_type: 杂志文章,评审

    doi:10.1016/j.pop.2007.07.005

    authors: White RD

    更新日期:2007-12-01 00:00:00

  • Routine screening tests for the adolescent.

    abstract::Routine preventive health examinations for adolescents should be conducted annually, and screening tests are an important part of such periodic evaluations. This article outlines the recommended screening tests for all teenagers, and defines the additional screening tests necessary for high risk youth. Annual health s...

    journal_title:Primary care

    pub_type: 杂志文章

    doi:

    authors: Long TJ

    更新日期:1987-03-01 00:00:00

  • Pediatric asthma for the primary care practitioner.

    abstract::Asthma is a complex disease, involving many different allergic, inflammatory, and environmental components. It is a disease for which patient and family education and a team-based approach are paramount for successful management. Guidelines have been put forth by the National Heart, Lung and Blood Institute, which pro...

    journal_title:Primary care

    pub_type: 杂志文章,评审

    doi:10.1016/j.pop.2014.09.013

    authors: VanGarsse A,Magie RD,Bruhnding A

    更新日期:2015-03-01 00:00:00

  • Junior League Football: risks versus benefits.

    abstract::Major concerns about physical injury, emotional stress, poor adult leadership, and interference with junior high school football programs contribute to the Junior League Football controversy. In the final analysis, benefits of participation in these football programs are shown to far outweigh the risks. ...

    journal_title:Primary care

    pub_type: 杂志文章

    doi:

    authors: Godshall RW

    更新日期:1980-06-01 00:00:00

  • Psoriasis.

    abstract::Psoriasis is a common affliction that family practitioners and other primary care physicians are certain to encounter in their daily practice. This disease presents in many manifestations and in a diffuse patient population. The therapeutic tools available to combat this disease are numerous, as are their untoward eff...

    journal_title:Primary care

    pub_type: 杂志文章,评审

    doi:10.1016/s0095-4543(05)70202-5

    authors: Drew GS

    更新日期:2000-06-01 00:00:00

  • Adolescent health care maintenance in a teen-friendly clinic.

    abstract::Adolescence is marked by complex physical, cognitive, social, and emotional development, which can be stressful for families and adolescents. Before the onset of puberty, providers should clearly lay the groundwork for clinical care and office visits during the adolescent years. This article addresses the guidelines a...

    journal_title:Primary care

    pub_type: 杂志文章,评审

    doi:10.1016/j.pop.2014.05.001

    authors: Chaisson N,Shore WB

    更新日期:2014-09-01 00:00:00

  • Pediatric sleep disorders.

    abstract::Pediatric sleep disorders represent a heterogeneous collection of disturbances that require varied intervention strategies. The diagnosis of some sleep disorders (eg, OSAS, narcolepsy, PLMD) require PSG, whereas others can be diagnosed during an office visit with a thorough medical,psychiatric, and sleep history. Slee...

    journal_title:Primary care

    pub_type: 杂志文章,评审

    doi:10.1016/j.pop.2005.02.005

    authors: Capp PK,Pearl PL,Lewin D

    更新日期:2005-06-01 00:00:00