Abstract Health examinations have become an essential service for a health maintenance organization to provide to ambulatory patients for determining their health status and care needs. Three methods were studied for providing health examinations to 6,285 examinees. Compared with the traditional physical examinations customarily provided by physicians, it was determined that either of two alternative systemized modes proved more economical with regard to both physician time and total resource costs for similar patient groups standardized by age, sex, and health status. The most efficient method of providing health examinations to large numbers of people used multiphasic health testing, followed by physical examinations provided by nurse practitioners supervised by physicians; this required 68% less physician time and resulted in a decrease in total examination costs of 30% as compared with traditional examinations. (Arch Intern Med 137:73-79, 1977) References 1. Garfield SR: Multiphasic health testing and medical care as a right . N Engl J Med 283:1087-1089, 1970.Crossref 2. Somers AR (ed): The Kaiser-Permanente Medical Care Program: A Symposium . New York, Commonwealth Fund, 1971. 3. Collen MF: Periodic health examinations using an automated multitest laboratory . JAMA 195:830-833, 1966.Crossref 4. Collen MF: The multitest laboratory in health care of the future . Hospitals 41:119-122, 1967. 5. Collen MF: Automated multiphasic screening , in Sharp C, Keen H (eds): Presymptomatic Detection and Early Diagnosis . London, Pitman Medical Publishing Co, Ltd, 1968, pp 25-66. 6. Collen MF, Kidd PH, Feldman R, et al: Cost analysis of a multiphasic screening program . N Engl J Med 280:1043-1045, 1969.Crossref 7. Collen MF: Multiphasic testing as a triage to medical care , in Ingelfinger FJ, Ebert RV, Finland M: Controversy in Internal Medicine II . Philadelphia, WB Saunders Co, 1974, pp 85-91. 8. Garfield SR: The delivery of medical care . Sci Am 222:15-23, 1970.Crossref 9. Garfield SR, Collen MF, Richart RH, et al: Evaluation of a new ambulatory medical care delivery system . N Engl J Med 294:426-431, 1976.Crossref 10. Taller SL, Feldman R: The training and utilization of nurse practitioners in adult health appraisal . Med Care 12:40-48, 1974.Crossref 11. Richart RH, Duncan JH, Collen MF, et al: An evaluation model for health care system changes . J Med Systems to be published. 12. Collen MF, Garfield SR: New Medical Care Delivery System . Final report, Springfield, Va, Department of Commerce, National Technical Information Service, PB 246 630, 1975. 13. Collen FB, Madero B, Soghikian K, et al: Kaiser-Permanente experiment in ambulatory care . Am J Nurs 71:1371-1374, 1971. 14. Hill AB: Principles of Medical Statistics , ed 9. Oxford, England, Oxford University Press, 1971, pp 201-210.
Archives of Internal Medicine – American Medical Association
Published: Jan 1, 1977