Medical supplying centers exhibit better supplying quality as joint practices

(openPR) - it insured an analysis of approximately 120 ambulatory supply installations in California with approximately 1.7 million now showed that the kind of the practice organization in the USA has also an influence on the supplying quality. It showed the research project accomplished with means of the Commonwealth find that both preventive measures and qualitatively high-worth therapy forms in supplying centers (with employee physicians) are converted as more frequently in joint practices, to which individual physicians unite as the independent medical profession organizational.

On the basis the accounts of the different supply installations it was analyzed how often with patients, who were applicable for it, certain preventive medical examinations were accomplished (mammography to the cancer of the breast diagnosis, the so-called Papanicolaou Frühdiagnostik to the diagnosis of bearing nut/mother tumors, the investigation on Chlamydien, bacteria of the mucous membranes in the eye, breath way and genital range). Beyond that also the execution of qualitatively high-quality therapy forms was examined when chronic illnesses (an investigation of the retina with Diabetikern and two other measures for asthmatics and/or patients after a Infarkt).

As result it showed up that in particular with the early recognition and preventive medical examinations supplying centers its patient this medical achievement more frequently assign become let than joint practices. Further it became clear due to a questioning of the directors/conductors of the supply installations that these more frequently PC-supported patient documents lead (37% to 2%) and just as also frequent measures to the quality assurance and - improvement accomplish (on the average 7,2 compared with 4.5 measures).

The scientists essentially attribute the found differences to two conditions. On the one hand do they assume that in supplying centers the co-operation of the physicians involved is more intensive and that also the centralized decision structure (which diagnostic and therapy forms for which illness with which patients) better founded and organized is. A second reason could be just as important according to opinion of the researchers involved: Other studies would have to make themselves shown that the younger medical profession decide itself today very much more frequently to accept an employee position in a supplying center instead of with colleagues independently. The younger medical profession are however simply better trained, so that this better qualification settles also in a higher supplying quality for patients.

Further information to the study:
www.forum-gesundheitspolitik.de/dossier/index301.htm

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