Research ArticleOriginal Research
Family Medicine Outpatient Encounters are More Complex Than Those of Cardiology and Psychiatry
David Katerndahl, Robert Wood and Carlos Roberto Jaén
The Journal of the American Board of Family
Medicine January 2011, 24 (1) 6-15; DOI: https://doi.org/10.3122/jabfm.2011.01.100057
David Katerndahl
MA, MD
Robert Wood
DrPH
Carlos Roberto Jaén
MD, PhD
References
- ↵Stange KC, Ferrer RL. Paradox of primary care. Ann Fam Med 2009; 7: 293–9.
- ↵Harrold LR, Field TS, Gurwitz JH. Knowledge, patterns of care, and outcomes of care for generalists and specialists. J Gen Intern Med 1999; 14: 499–511.
- ↵
- ↵Ayanian JZ, Hauptman PJ, Guadagnoli E, Antman EM, Pashos CL, McNeil BJ. Knowledge and practices of generalist and specialist physicians regarding drug therapy for acute myocardial infarction. N Engl J Med 1994; 331: 1136–42.
- ↵Nash IS, Corrato RR, Dlutowski MJ, O'Connor JP, Nash DB. Generalist versus specialist care for acute myocardial infarction. Am J Cardiol 1999; 83: 650–4.
- ↵Casale PN, Jones JL, Wolf FE, Pei Y, Eby LM. Patients treated by cardiologists have a lower in-hospital mortality for acute myocardial infarctions. J Am Coll Cardiol 1998; 32: 885–9.
- ↵Schreiber TL, Elkhatib A, Grines CL, O'Neill WW. Cardiologist versus internist management of patients with unstable angina. J Am Coll Cardiol 1995; 26: 577–82.
- ↵Go AS, Rao RK, Dauterman KW, Massie BM. Systematic review of the effects of physician specialty on the treatment of coronary disease and heart failure in the United States. Am J Med 2000; 108: 216–26.
- ↵Greenwald HP, Peterson ML, Garrison LP, et al. Interspecialty variation in office-based care. Med Care 1984; 22: 14–29.
- ↵Philbin EF, Jenkins PL. Differences between patients with heart failure treated by cardiologists, internists, family physicians, and other physicians. Am Heart J 2000; 139: 491–6.
- ↵Philbin EF, Weil HFC, Erb TA, Jenkins PL. Cardiology or primary care for heart failure in the community setting. Chest 1999; 116: 346–54.
- ↵
- ↵Foody JM, Rathore SS, Wang Y, et al. Physician specialty and mortality among elderly patients hospitalized with heart failure. Am J Med 2005; 118: 1120–5.
- ↵Indridason OS, Coffman CJ, Oddone EZ. Is specialty care associated with improved survival of patients with congestive heart failure? Am Heart J 2003; 145: 209–13.
- ↵Thompson C, Ostler K, Peveler RC, Baker N, Kinmonth AL. Dimensional perspective on the recognition of depressive symptoms in primary care. Br J Psychiatry 2001; 179: 317–23.
- Rost K, Zhang M, Fortney J, Smith J, Coyne J, Smith GR Jr. Persistently poor outcomes of undetected major depression in primary care. Gen Hosp Psychiatry 1998; 20: 12–20.
- Simon GE, Goldberg D, Tiemens BG, Ustun TB. Outcomes of recognized and unrecognized depression in an international primary care study. Gen Hosp Psychiatry 1999; 21: 97–105.
- ↵Ryan DH. Misdiagnosis in dementia. Intl J Geriatr Psychiatry 1994; 9: 141–7.
- ↵Hoffman RS. Diagnostic errors in the evaluation of behavioral disorders. JAMA 1982; 248: 964–7.
- ↵Katon W, Von Korff M, Lin E, et al. Collaborative management to achieve treatment guidelines. JAMA 1995; 273: 1026–31.
- ↵Olfson M, Klerman GL. Trends in the prescription of psychotropic medications. Med Care 1993; 31: 559–64.
- ↵Simon GE, Von Korff M, Rutter CM, Peterson A. Treatment process and outcomes for managed care patients receiving new antidepressant prescriptions from psychiatrists and primary care physicians. Arch Gen Psychiatry 2001; 58: 395–401.
- ↵Rosen AK, Reid R, Broemeling AM, Rakovski CC. Applying a risk-adjustment framework to primary care. Ann Fam Med 2003; 1: 44–51.
- ↵Smetana GW, Landon BE, Bindman AB, et al. Comparison of outcomes resulting from generalist versus specialist care for a single discrete medical condition. Arch Intern Med 2007; 167: 10–20.
- ↵
- ↵Stafford RS, Saglam D, Cuasino N, et al. Trends in adult visits to primary care physicians in the United States. Arch Fam Med 1999; 8: 26–32.
- ↵Ostbye T, Yarnall KSH, Krause KM, Pollak KI, Gradison M, Michener JL. Is there time for management of patients with chronic diseases in primary care? Ann Fam Med 2005; 3: 209–14.
- ↵Grant RW, Pirraglia PA, Meigs JB, Singer DE. Trends in complexity of diabetes care in the United States from 1991 to 2000. Arch Intern Med 2006; 164: 1134–9.
- ↵National Center for Health Statistics. National Ambulatory Medical Care Survey. Hyattsville, MD: US Department of Health and Human Services; 2000.
- ↵Katerndahl DA, Wood R, Jaen CR. Estimating relative complexity of care in ambulatory settings. Ann Fam Med 2010; 8: 341–7.
- ↵Bar-Yam Y. Dynamics of complex systems. Reading, MA: Perseus Books; 1997: 716.
- ↵Sabelli HC. Bios: a study of creation. Hackensack, NJ: World Scientific Publishing Company; 2005.
- ↵
- ↵Rosser WW. Approach to diagnosis by primary care clinicians and specialists. J Fam Pract 1996; 42: 139–44.
- ↵Graham R, Bagley B, Kilo CM, Spann SJ, Bogdewic SP. Task Force 1. Report of the task force on patient expectations, core values, reintegration, and the new model of family medicine. Ann Fam Med 2004; 2(Suppl 1): S33–S50.
- ↵Sox HC. Decision-making. J Fam Pract 1996; 42: 155–60.
- ↵Stange KC, Zyzanski SJ, Jaen CR, et al. Illuminating the black box. J Fam Pract 1998; 46: 377–89.
- ↵Rethans JJ, Saebu L. Do general practitioners act consistently in real practice when they meet the same patient twice? BMJ 1997; 314: 1170–3.
- ↵
- ↵Gottschalk A, Bauer MS, Whybrow PC. Evidence of chaotic mood variation in bipolar disorder. Arch Gen Psychiatry 1995; 52: 947–59.
- ↵Ely JW, Levinson W, Elder NC, Mainous AG 3rd, Vinson DC. Perceived causes of family physicians’ errors. J Fam Pract 1995; 40: 337–44.
- ↵
- Croskerry P, Shapiro M, Campbell S, et al. Profiles in patient safety. Acad Emerg Med 2004; 11: 289–99.
- ↵Blumenthal D, Causino N, Chang YC, et al. Duration of ambulatory visits to physicians. J Fam Pract 1999; 48: 264–71.
- ↵Zyzanski SJ, Stange KC, Langa D, Flocke SA. Trade-offs in high volume primary care practice. J Fam Pract 1998; 46: 397–402.
- ↵Temte J, Grasmick M, Barr J, Kunstman J, Jaeger A, Beasley J. Encounter problem density in primary care: a better measure of complexity? Paper presented at: Annual Meeting of the North American Primary Care Research Group; October 20–23, 2007; Vancouver, British Columbia.
- ↵
- ↵
- ↵
- ↵Elder NC, Vonder Meulen MB, Cassedy A. Identification of medical errors by family physicians during outpatient visits. Ann Fam Med 2004; 2: 125–9.
- ↵
- ↵
- ↵Britt H, Miller GC, Steven IO, et al. Collecting data on potentially harmful events. Fam Pract 1997; 14: 101–6.
- ↵
- ↵
- ↵
- Reid RJ, Fishman PA, Yu O, et al. Patient-centered medical home demonstration: a prospective, quasi-experimental, before and after evaluation. Am J Manag Care 2009; 15: e71–e87 (1–3).
- ↵Reid RJ, Coleman K, Johnson EA, et al. The group health medical home at year two: cost savings, higher patient satisfaction, and less burnout for providers. Health Aff (Millwood) 2010; 29: 835–43.
- ↵Stange KC, Nutting PA, Miller WL, et al. Defining and measuring the patient-centered medical home. J Gen Intern Med 2010; 25: 601–12.
- ↵Gilchrist VJ, Stange KC, Flocke SA, McCord G, Bourguet CC. Comparison of the National Ambulatory Medical Care Survey (NAMCS) measurement approach with direct observation of outpatient visits. Med Care 2004; 42: 276–80.
- ↵Beasley JW, Hankey TH, Erickson R, et al. How many problems do family physicians manage at each encounter? A WREN Study. Ann Fam Med 2004; 2: 405–10.
- ↵Flocke SA, Frank SH, Wenger DA. Addressing multiple problems in the family medicine office visit. J Fam Pract 2001; 50: 211–6.
- ↵Rethans JJ, Martin E, Metsemakers J. To what extent do clinical notes by general practitioners reflect actual medical performance? A study using simulated patients. Br J Gen Pract 1994; 44: 153–6.
- ↵Boisot M, Child J. Organizations as adaptive systems in complex environments. Organ Sci 1999; 10: 237–52.
In this issue
The Journal of the American Board of Family
Medicine
Vol. 24, Issue 1
January-February 2011
Family Medicine Outpatient Encounters are More Complex Than Those of Cardiology and Psychiatry
David Katerndahl, Robert Wood, Carlos Roberto Jaén
The Journal of the American Board of Family
Medicine Jan 2011, 24 (1) 6-15; DOI: 10.3122/jabfm.2011.01.100057
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