Studies of cost of medical care often concentrate on such factors as capital and personel expenditures but ignore costs of such items as laboratory studies which are a major factor in direct cost to the patient. This study compares the use of laboratory studies and related costs in a comprehensive pediatric care program with those of an emergency clinic providing fragmented care to control groups. Laboratory studies are less often done and thus cost less in the comprehensive program. These differences can be attributed to greater knowledge of the patients in the comprehensive program and the different modes of teaching in the two environments. These and other data from this study point to the conclusion that alternatives to the current trend toward primary medical care being delivered in hospital emergency rooms should be sought.
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October 1970
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October 01 1970
SOME COMPARATIVE COSTS IN COMPREHENSIVE VERSUS FRAGMENTED PEDIATRIC CARE
Margaret C. Heagarty;
Margaret C. Heagarty
Medical Care Research Unit, Family Health Care Program, Harvard Medical School and Children's Hospital Medical Center, Boston
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Leon S. Robertson;
Leon S. Robertson
Medical Care Research Unit, Family Health Care Program, Harvard Medical School and Children's Hospital Medical Center, Boston
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John Kosa;
John Kosa
Medical Care Research Unit, Family Health Care Program, Harvard Medical School and Children's Hospital Medical Center, Boston
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Joel J. Alpert
Joel J. Alpert
Medical Care Research Unit, Family Health Care Program, Harvard Medical School and Children's Hospital Medical Center, Boston
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Pediatrics (1970) 46 (4): 596–603.
Article history
Received:
March 13 1970
Accepted:
April 17 1970
Citation
Margaret C. Heagarty, Leon S. Robertson, John Kosa, Joel J. Alpert; SOME COMPARATIVE COSTS IN COMPREHENSIVE VERSUS FRAGMENTED PEDIATRIC CARE. Pediatrics October 1970; 46 (4): 596–603. 10.1542/peds.46.4.596
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