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Primary Care and Diagnostic Testing Outside the Hospital

Published online by Cambridge University Press:  10 March 2009

John D. Stoeckle
John D. Stoeckle
Affiliation:
Harvard Medical School and Massachusetts General Hospital
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Extract

This article enumerates and describes the wide range of sites at which primary care is now offered; analyzes the impact of diagnostic testing procedures used in locations outside the doctor's office, such as imaging centers, hospices, and nursing homes; and looks at the effect of this decentralization on patients and medicine.

Type
Special Section: Technology in Primary Care and Ambulatory Settings
Information
International Journal of Technology Assessment in Health Care , Volume 5 , Issue 1 , January 1989 , pp. 21 - 30
Copyright
Copyright © Cambridge University Press 1989

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References

REFERENCES

1.Abstracts of Office of Health Technology Assessment Reports, 1986. Washington, DC: National Center for Health Services Research and Health Care Technology, 1986.Google Scholar
2.Alternate site provider report: An update. Washington: Health Industries Manufacturer's Association, 1988.Google Scholar
3.Baisden, C. R.The office laboratory. Rockville, MD: Aspen Systems Corp., 1985.Google Scholar
4.Barsky, A. J. The paradox of health. New England Journal of Medicine, 1988, 318, 414–8.CrossRefGoogle Scholar
5.Belsey, R. E., Baer, D. M., Stattand, B. E. et al. , The physician's office laboratory. Oradell, NJ: Medical Economics, 1986.Google Scholar
6.Belsey, R., Baer, D. M., & Sewell, D. Laboratory tests near the patient. JAMA, 1986, 255, 775–86.Google Scholar
7.Cabul, R. D., & Poses, R. M. The comparative cost-effectiveness in statistical decision rules and experienced physicians in pharangitis management. JAMA, 1986, 256, 3353–57.Google Scholar
8. Carotid Artery Screening Scan. Reduce your risk for stroke with a preventive ultrasound carotid scan; no preparation necessary, scanning done in 3–6 minutes, results mailed within two weeks. Consultant Medical Service, Scotsdale, Arizona.Google Scholar
9.Characteristics of alcoholism services in the United States. Washington, DC: National Institute on Alcohol Abuse and Alcoholism, 1986.Google Scholar
10.Clinical laboratories. Opportunities and threats, 1982–1990. Deerfield, IL: J. Lloyd Johnson Associates, 1984.Google Scholar
11.Doherty, R. B. Physician lab comes under scrutiny. The Internist, 04 1988, 20.Google Scholar
12.Eisenberg, J. M. et al. , How will changes in physician payment by Medicare influence laboratory testing. JAMA 1987, 258, 803–8.CrossRefGoogle Scholar
13.Eisenberg, J. M. & Williams, S. V. Cost containment and changing physicians' practice behaviors. JAMA, 1981, 246, 2195–2201.Google Scholar
14. Emergency Decisions: Optimizing critical decisions under conditions of uncertainty and emergency. 04 1984, 4, No. 4.Google Scholar
15.Fischer, P. M., Addison, L. A., Koneman, E. W., & Crowley, M. S. Education and the physician's office laboratory. JAMA, 1986, 255, 1464–67.Google Scholar
16.Freestanding outpatient surgery center directory and report. Chicago: SMG Marketing Group, Inc., 1987.Google Scholar
17.Kent, D. L., & Larson, E. B. Diagnostic technology assessments: Problems and prospects. Annals of Internal Medicine, 1988, 108, 759–61.Google Scholar
18.Kramer, S. Cutting costs vs. “little ticket” technologies. ACP Observer, 01 1988, 14–15Google Scholar
19.Kramon, G. Good medicine, better business. New York Times, 05 15, 1988.Google Scholar
20. Lab-in-the-box opens in mall, food stores. Medical World News, 04 13, 1987, 23.Google Scholar
21.Longsdorf, R. Do-it-yourself medicine. Private Practice, 01 1986, 52–54.Google Scholar
22.Murphy, E. G. Patient demand for diagnostic tests in the primary care medical setting. Honors thesis. Harvard Medical School, 04 1985.Google Scholar
23.National hospice centers. Arlington, VA: National Hospice Organization, 1987.Google Scholar
24. Office visits to internists, the National Ambulatory Medical Care Survey, U.S. 1975. Washington, DC: DHEW Pub. No. (PHS) 79–1797, 1978.Google Scholar
25.Mechanic, D., Kleinman, A., &Osterweiss, M. (eds.). Pain and disability. Washington, DC: National Academy Press, 1987.Google Scholar
26.Pappas, N. Technology assessment: Cost, qualities face off again. Medical World News, 01 8, 1987, 64–6, 71–4, 81.Google Scholar
27.Paxton, A. Physician office testing. What's behind the market fever? Washington Insider Focus, 09 26, 1986.Google Scholar
28. Physician office labs provide one-fourth of tests. The internist's intercom, 01 31, 1988, 12, 4.Google Scholar
29. Physician office laboratories. Medical Laboratory Observer,09 1986.Google Scholar
30.Primary health care in industrialized countries. EURU reports and Studies 95. Report on a WHO meeting, Bordeaux, 11 14–18, 1983. Copenhagen: World Health Organization, 1985.Google Scholar
31.Riffer, J. Freestanding cancer centers: A competitive edge. Hospitals, 04 1986.Google Scholar
32.Schorr, B. Washington gets tough with in-office labs. Physician's Management, 05 1988, 99–100, 105–106.Google Scholar
33.Schroeder, S. A., & Showstak, J. A. Financial incentives to perform medical procedures and laboratory tests. Medical Care, 1978, 16, 284–89.Google Scholar
34.Stoeckle, J. D.Medical advice books: The search for the healthy body. Social Science and Medicine, 18, 707–12.CrossRefGoogle Scholar
35.Daazen, E., Mann, N., Borum, R., Lake, M., & Bensen, A.Survey of computer-assisted electrocardiography in the U.S. Boston: Arthur D. Little, 1988.Google Scholar
36.Survey of members of American Academic of Family Physicians. Kansas City: ACFP, 1986.Google Scholar
37.The Internist, 04 1983, 35.Google Scholar
38.Weinstein, M. The dilemma of medical privacy in the workplace. Observer, 1988, 8, 1, 16.Google Scholar
39.Wilderman, R. F., & Schneider, K. A. Regulators and legal influences on physicians' office laboratories. JAMA, 1986, 256, 252.CrossRefGoogle Scholar