Document Detail


Time and financial analysis of an academic general internal medicine unit.
MedLine Citation:
PMID:  4062464     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
A detailed time and financial analysis of an academic general internal medicine unit was used to examine financial, educational, and research issues. The residents' outpatient service possessed the greatest patient visit and revenue capacity, but revenue recovery was limited by low productivity and collection rate. Outpatient revenue production could be improved but would still be less than current inpatient revenues. Full financial self-sufficiency would require improvements in several aspects of revenue production and would severely limit faculty time for teaching, personal study, and research. Indirect financial contributions to the medical center through hospitalizations and referrals dwarfed direct revenues. Several strategies for academic general internal medicine units to achieve financial and academic survival are possible, each with its own set of trade-offs. Because local circumstances differ, strategies and outcomes are likely to vary among units.
Authors:
D K Miller; E T Struckhoff; J R Drake
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  Archives of internal medicine     Volume:  145     ISSN:  0003-9926     ISO Abbreviation:  Arch. Intern. Med.     Publication Date:  1985 Nov 
Date Detail:
Created Date:  1985-11-25     Completed Date:  1985-11-25     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  0372440     Medline TA:  Arch Intern Med     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  2093-7     Citation Subset:  AIM; IM    
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MeSH Terms
Descriptor/Qualifier:
Efficiency
Fees, Medical
Financial Management / economics*
Financial Management, Hospital / economics*
Hospital Units / economics*
Hospitals, Teaching*
Hospitals, University*
Humans
Internal Medicine / economics*
Medical Staff, Hospital
Missouri
Primary Health Care / economics
Time and Motion Studies

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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