Establishing an internal medicine practice

A model to determine economic feasibility

Kimball A. Miller, Deborah Miller, Gerald Doeksen, Patti Shelton

Research output: Contribution to journalArticle

Abstract

To make informed career decisions, physicians must acquire a basic knowledge in medical management and health care economics as they evaluate the potential survival and growth of a primary care practice. Health care providers considering a specific community and local leaders and hospital administrators attempting to recruit internal medicine physicians need a method by which they can evaluate a community’s potential for supporting a first or additional primary care physician. To develop this method, we conducted a detailed survey of nonmetropolitan internal medicine generalists and primary care physicians. Data collected from internal medicine physicians and their administrative staff reflected the volume of ambulatory and hospital visits and the direct and indirect costs of the practice over the previous 24 months. Using the fixed and operating cost data, as well as number of patient visits and patient care revenue, we designed a model to project the economic feasibility of establishing an internal medicine practice in a specific community. This model can be used to project the number of adult primary care visits a community can generate for a prospective physician, as well as to estimate the direct and indirect costs, annualized capital costs, gross revenue, and, net income of the practice.

Original languageEnglish (US)
Pages (from-to)454-460
Number of pages7
JournalSouthern Medical Journal
Volume87
Issue number4
StatePublished - 1994

Fingerprint

Internal Medicine
Economics
Physicians
Costs and Cost Analysis
Primary Care Physicians
Primary Health Care
Hospital Administrators
Health Personnel
Patient Care
Delivery of Health Care
Survival
Growth

ASJC Scopus subject areas

  • Medicine(all)

Cite this

Miller, K. A., Miller, D., Doeksen, G., & Shelton, P. (1994). Establishing an internal medicine practice: A model to determine economic feasibility. Southern Medical Journal, 87(4), 454-460.

Establishing an internal medicine practice : A model to determine economic feasibility. / Miller, Kimball A.; Miller, Deborah; Doeksen, Gerald; Shelton, Patti.

In: Southern Medical Journal, Vol. 87, No. 4, 1994, p. 454-460.

Research output: Contribution to journalArticle

Miller, KA, Miller, D, Doeksen, G & Shelton, P 1994, 'Establishing an internal medicine practice: A model to determine economic feasibility', Southern Medical Journal, vol. 87, no. 4, pp. 454-460.
Miller, Kimball A. ; Miller, Deborah ; Doeksen, Gerald ; Shelton, Patti. / Establishing an internal medicine practice : A model to determine economic feasibility. In: Southern Medical Journal. 1994 ; Vol. 87, No. 4. pp. 454-460.
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