Differences between generalists and specialists in characteristics of patients receiving gastrointestinal procedures

Journal of General Internal Medicine

Volumn 15, Issue 3, 2000, Pages 188-194

  Meyer, Gregg S ^a,b   Cheng, Eme Y ^b   Elting, Jeffrey ^c  

^a AGENCY FOR HEALTHCARE RESEARCH AND QUALITY   (United States)

^b UNIFORMED SERVICES UNIVERSITY OF THE HEALTH SCIENCES   (United States)

^c NATIONAL DEFENSE UNIVERSITY   (United States)

Author keywords

Colonoscopy; Esophagogastroduodenoscopy; Generalist physician; Physician practice patterns; Sigmoidoscopy; Specialist

Indexed keywords

ARTICLE; COLONOSCOPY; DIAGNOSTIC PROCEDURE; GASTROINTESTINAL ENDOSCOPY; GASTROINTESTINAL TRACT; MEDICAL PRACTICE; MEDICARE; PATIENT ATTITUDE; RETROSPECTIVE STUDY; SCREENING; SIGMOIDOSCOPY;

AGED; CERTIFICATION; ENDOSCOPY, DIGESTIVE SYSTEM; FAMILY PRACTICE; FEMALE; GASTROENTEROLOGY; HEALTH SERVICES ACCESSIBILITY; HUMANS; INSURANCE CLAIM REVIEW; INTERNAL MEDICINE; LOGISTIC MODELS; MALE; MEDICARE; POPULATION SURVEILLANCE; RETROSPECTIVE STUDIES; RURAL HEALTH; SAMPLING STUDIES; SURGERY; UNITED STATES;

EID: 0034014565     PISSN: 08848734     EISSN: None     Source Type: Journal    
DOI: 10.1046/j.1525-1497.2000.06039.x     Document Type: Article

References (33)

1. Wigton RS, Blank LL, Nicolas JA, Tape TG. Procedural skills training in internal medicine residencies. Ann Intern Med. 1989;111:932-8.
2. Rodney WM. Flexible sigmoidoscopy and the despecialization of gastrointestinal endoscopy. Cancer (suppl). 1992;70:1266-71.
3. Rodney WM. Flexible sigmoidoscopy and the despecialization of gastrointestinal endoscopy. Cancer. 1992;70:1266-71.
4. Hocutt JE, Rodney WM, Zurad EG, Tucker RS, Norris T. Esophagogastroduodenoscopy for the family physician. Am Fam Phys. 1994;49:109-16.
5. Meyer GS, Jacoby I, Krakauer H, Powell DW, Aurand J, McCardle P. Gastroenterology workforce modeling. JAMA. 1996;276:689-94.
6. Wigton RS, Blank LL, Nicolas JA, Tape TG. Procedural skills training in internal medicine residencies. Ann Intern Med. 1989;111:1023-34.
7. Phillips WR. Diagnostic and screening procedures in family practice. Arch Fam Pract. 1993;2:1051-7.
8. Wanebo HJ, Fang WL, Mills S, Zfass AM. Colorectal cancer: a blueprint for disease control through screening by primary care physicians. Arch Surg. 1986;121:1347-52.
9. Cremins JE. Esophagogastrocuodenoscopy in a small army community hospital. Mil Med. 1993;158:90-1.
10. Woodliff DM. The role of upper gastrointestinal endoscopy in primary care. J Fam Pract. 1979;8:715-9.
11. Pope JB, Mayeaus EJ, Harper MB. Effectiveness and safety of esophagogastroduodenoscopy in family practice: experience at a university medical center. Fam Med. 1995;27:506-11.
12. Rodney WM, Weber JR, Swedbert JA, et al. Esophagogastruduodenoscopy by family physician, phase II: a national multi-site study of 2500 procedures. Fam Pract Res J. 1993;13:121-31.
13. Hocutt JE, Rodney WM, Zurad EG, Tucker RS, Norris T. Esophagogastroduodenoscopy for the family physician. Am Fam Phys. 1994;49:109-16.
14. Rodney WM, Dabov G, Cronin C. Evolving colonoscopy skills in a rural family practice: the first 293 cases. Fam Pract Res J. 1993;13:43-52.
15. Hopper W, Kyker KA, Rodney WM. Colonoscopy by a family physician: a 9-year experience of 1048 procedures. J Fam Pract. 1996;43:561-6.
16. Pierzhajlo RP, Ackerman RJ, Vogel RL. Colonoscopy performed by a family physician. J Fam Pract. 1997;44:473-80.
17. Harper MB, Pope JB, Mayeaus EJ, Davis TJ, Myers A, Lirette A. Colonoscopy experience at a family practice residency: a comparison to gastroenterology and general surgery services. Fam Med. 1997;29:575-9.
18. Rex DK. Colonoscopy by family practitioners. Gastrointest Endosc. 1994;40:383-4.
19. Zuber TJ, Pfenninger JL. Interspecialty wars over endoscopy. J Fam Pract. 1993;37:21-2.
20. Parente ST, Weiner JP, Garnick DW, et al. Developing a quality improvement database using health insurance data: a guided tour with application to Medicare's national claims history file. Am J Med Qual. 1995;10:162-76.
21. Physicians' Current Procedural Terminology (CPT). 4th ed. Chicago, III: American Medical Association; 1992.
22. International Classification of Diseases, 9th Revision, Clinical Modification. Salt Lake City, Utah: Medicode Publications; 1995.
23. Health Care Financing Administration Privacy Act of 1974; systems of records. Fed Reg. 1990:55:18179-81.
24. Elixhauser A. Clinical Classifications for Health Policy Research, Version 2: Software and User's Guide. Healthcare Cost and Utilization Project (HCUP-3) Research Note 2. Rockville, Md: Agency for Health Care Policy and Research; 1996. AHCPR publication 96-0046.
25. User documentation for the Area Resource File. Rockville, Md. Office of Research and Planning Bureau of Heath Professions, Health Resources and Services Administration; February 1993. Rockville, Md.
26. Stambler HV. The Area Resource File - a brief look. Public Health Rep. 1988;103:184-8.
27. Roback C, Randolph L, Seidman G. Physician Characteristics and Distribution in the United States. Chicago, III: American Medical Association; 1992.
28. Stata Reference Manual, Version 5.0. College Station, Tex: Stata Corp; 1996.
29. Rosenblatt RA, Hart G, Baldwin L, Chan L, Schneeweiss R. The generalist role of specialty physicians: is there a hidden system of primary care? JAMA. 1998;279:1364-70.
30. Aiken LH, Lewis CD, Craig J, Mendenhall RC, Blendon RJ, Rogers DE. The contribution of specialists to the delivery of primary care. N Engl J Med. 1979;300:1363-70.
31. Spiegel JS, Rubenstein LV, Scott B, Brook RH. Who is the primary physician? N Engl J Med. 1983;308:1208-12.
32. Rodney WM. Procedural skills in flexible sigmoidoscopy and colonoscopy for the family physician. Prim Care Clin. 1988;15:79-91.
33. Ackermann RJ. Performance of gastrointestinal tract endoscopy by primary care physicians. Arch Fam Med. 1997;6:52-8.