| Financing ambulatory care education in internal medicine. | |
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MedLine Citation:
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PMID: 2406398 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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As graduate medical education (GME) shifts to ambulatory settings, it is critical that financing follow suit. However, present financing of GME by Medicare is linked to payment for inpatient service, and few other payors pay explicitly for education. Human capital theory suggests that hospitals will be unwilling to finance GME unless their expenses are reimbursed. Reform of Medicare should include changes in how residents' time in ambulatory settings is counted, incentives for primary care education, and direction of funds to medical educators (rather than hospital administrators). Other federal initiatives could include changes in U.S. Department of Veterans Affairs (VA) support of residents and in Title VII grants. Non-federal payors also should contribute to paying for GME. Physician payment reform could help finance primary care GME, and an additional payment for bills submitted by physician-teachers should be considered. Medical educators must share responsibility by assuring that residencies are operated efficiently and that national needs for physicians are not subjugated to local service requirements. |
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Authors:
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J M Eisenberg |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: Journal of general internal medicine Volume: 5 ISSN: 0884-8734 ISO Abbreviation: J Gen Intern Med Publication Date: 1990 Jan-Feb |
Date Detail:
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Created Date: 1990-03-19 Completed Date: 1990-03-19 Revised Date: 2009-02-24 |
Medline Journal Info:
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Nlm Unique ID: 8605834 Medline TA: J Gen Intern Med Country: UNITED STATES |
Other Details:
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Languages: eng Pagination: S70-80 Citation Subset: IM |
Affiliation:
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Section of General Internal Medicine, University of Pennsylvania, Philadelphia 19104. |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Ambulatory Care* Education, Medical, Graduate / economics* Humans Internal Medicine / education* Medicare Training Support* United States United States Department of Veterans Affairs |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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