{"id":"https://openalex.org/W2019636153","doi":"https://doi.org/10.1007/bf01349384","title":"Effects of adding a Medex on practice costs and productivity","display_name":"Effects of adding a Medex on practice costs and productivity","publication_year":1978,"publication_date":"1978-03-01","ids":{"openalex":"https://openalex.org/W2019636153","doi":"https://doi.org/10.1007/bf01349384","mag":"2019636153","pmid":"https://pubmed.ncbi.nlm.nih.gov/31371"},"language":"en","primary_location":{"id":"doi:10.1007/bf01349384","doi":"https://doi.org/10.1007/bf01349384","is_oa":false,"landing_page_url":"https://doi.org/10.1007/bf01349384","pdf_url":null,"source":{"id":"https://openalex.org/S173554290","display_name":"Journal of Community Health","issn_l":"0094-5145","issn":["0094-5145","1573-3610"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core","dongbi-c","doyens","jufo-1","ki-jl-1","medline","norway-1","poland-70","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310319900","host_organization_name":"Springer Science+Business Media","host_organization_lineage":["https://openalex.org/P4310319900","https://openalex.org/P4310319965"],"host_organization_lineage_names":["Springer Science+Business Media","Springer Nature"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Journal of Community Health","raw_type":"journal-article"},"volume":null,"type":"article","indexed_in":["crossref","pubmed"],"open_access":{"is_oa":false,"oa_status":"closed","oa_url":null,"any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5111661626","display_name":"Robert L Kane","orcid":"https://orcid.org/0009-0000-6844-0596","observed_orcids":["https://orcid.org/0009-0000-6844-0596"]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Robert L. Kane","raw_affiliation_strings":["Health Policy and Management"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Health Policy and Management","institution_ids":[]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5088398110","display_name":"Donna M. Olsen","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Donna M. Olsen","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]},{"author_position":"last","author":{"id":null,"display_name":"C. Hilmon Castel","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"C. Hilmon Castel","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]}],"institutions":[],"countries_distinct_count":0,"institutions_distinct_count":0,"corresponding_author_ids":[],"corresponding_institution_ids":[],"apc_list":{"value":4990,"currency":"USD","value_usd":4990},"apc_paid":null,"fwci":7.8583,"has_fulltext":false,"cited_by_count":13,"citation_normalized_percentile":{"value":0.96533963,"is_in_top_1_percent":false,"is_in_top_10_percent":true},"cited_by_percentile_year":{"min":89,"max":94},"biblio":{"volume":"3","issue":"3","first_page":"216","last_page":"226"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T11816","display_name":"Nursing Roles and Practices","score":0.9829000234603882,"subfield":{"id":"https://openalex.org/subfields/3600","display_name":"General Health Professions"},"field":{"id":"https://openalex.org/fields/36","display_name":"Health Professions"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T11816","display_name":"Nursing Roles and Practices","score":0.9829000234603882,"subfield":{"id":"https://openalex.org/subfields/3600","display_name":"General Health Professions"},"field":{"id":"https://openalex.org/fields/36","display_name":"Health Professions"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T11990","display_name":"Global Health Workforce Issues","score":0.008100000210106373,"subfield":{"id":"https://openalex.org/subfields/3604","display_name":"Emergency Medical Services"},"field":{"id":"https://openalex.org/fields/36","display_name":"Health Professions"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10391","display_name":"Healthcare Policy and Management","score":0.006300000008195639,"subfield":{"id":"https://openalex.org/subfields/2002","display_name":"Economics and Econometrics"},"field":{"id":"https://openalex.org/fields/20","display_name":"Economics, Econometrics and Finance"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/medex","display_name":"MEDEX","score":0.8489999771118164},{"id":"https://openalex.org/keywords/physician-assistants","display_name":"physician assistants","score":0.4449999928474426},{"id":"https://openalex.org/keywords/rural-medicine","display_name":"rural medicine","score":0.7580000162124634},{"id":"https://openalex.org/keywords/practice-expenses","display_name":"practice expenses","score":0.8820000290870667},{"id":"https://openalex.org/keywords/practice-productivity","display_name":"practice productivity","score":0.8790000081062317},{"id":"https://openalex.org/keywords/patient-volume","display_name":"patient volume","score":0.6679999828338623},{"id":"https://openalex.org/keywords/practice-finances","display_name":"practice finances","score":0.7419999837875366}],"concepts":[{"id":"https://openalex.org/C100716732","wikidata":"https://www.wikidata.org/wiki/Q570938","display_name":"Net profit","level":3,"score":0.6734123229980469},{"id":"https://openalex.org/C195487862","wikidata":"https://www.wikidata.org/wiki/Q850210","display_name":"Revenue","level":2,"score":0.6234630346298218},{"id":"https://openalex.org/C181622380","wikidata":"https://www.wikidata.org/wiki/Q26911","display_name":"Profit (economics)","level":2,"score":0.5589103698730469},{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.5431787371635437},{"id":"https://openalex.org/C204983608","wikidata":"https://www.wikidata.org/wiki/Q2111958","display_name":"Productivity","level":2,"score":0.5108170509338379},{"id":"https://openalex.org/C512399662","wikidata":"https://www.wikidata.org/wiki/Q3505712","display_name":"Family medicine","level":1,"score":0.345175564289093},{"id":"https://openalex.org/C144133560","wikidata":"https://www.wikidata.org/wiki/Q4830453","display_name":"Business","level":0,"score":0.2528313398361206},{"id":"https://openalex.org/C162324750","wikidata":"https://www.wikidata.org/wiki/Q8134","display_name":"Economics","level":0,"score":0.14324292540550232},{"id":"https://openalex.org/C10138342","wikidata":"https://www.wikidata.org/wiki/Q43015","display_name":"Finance","level":1,"score":0.1147950291633606},{"id":"https://openalex.org/C50522688","wikidata":"https://www.wikidata.org/wiki/Q189833","display_name":"Economic growth","level":1,"score":0.07566112279891968},{"id":"https://openalex.org/C175444787","wikidata":"https://www.wikidata.org/wiki/Q39072","display_name":"Microeconomics","level":1,"score":0.0}],"mesh":[{"descriptor_ui":"D003365","descriptor_name":"Costs and Cost Analysis","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D004526","descriptor_name":"Efficiency","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D010823","descriptor_name":"Physician Assistants","qualifier_ui":"Q000706","qualifier_name":"statistics & numerical data","is_major_topic":true},{"descriptor_ui":"D011216","descriptor_name":"Practice Management, Medical","qualifier_ui":"Q000191","qualifier_name":"economics","is_major_topic":true},{"descriptor_ui":"D014481","descriptor_name":"United States","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false}],"locations_count":2,"locations":[{"id":"doi:10.1007/bf01349384","doi":"https://doi.org/10.1007/bf01349384","is_oa":false,"landing_page_url":"https://doi.org/10.1007/bf01349384","pdf_url":null,"source":{"id":"https://openalex.org/S173554290","display_name":"Journal of Community Health","issn_l":"0094-5145","issn":["0094-5145","1573-3610"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core","dongbi-c","doyens","jufo-1","ki-jl-1","medline","norway-1","poland-70","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310319900","host_organization_name":"Springer Science+Business Media","host_organization_lineage":["https://openalex.org/P4310319900","https://openalex.org/P4310319965"],"host_organization_lineage_names":["Springer Science+Business Media","Springer Nature"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Journal of Community Health","raw_type":"journal-article"},{"id":"pmid:31371","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/31371","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Journal of community health","raw_type":"Journal Article"}],"best_oa_location":null,"sustainable_development_goals":[{"id":"https://metadata.un.org/sdg/3","display_name":"Good health and well-being","score":0.4043000042438507}],"study_designs":[{"id":"https://openalex.org/study-designs/observational-study","display_name":"Observational Study"}],"awards":[],"funders":[],"has_content":{"pdf":false,"grobid_xml":false},"content_urls":null,"referenced_works_count":9,"referenced_works":["https://openalex.org/W1965098661","https://openalex.org/W1978760380","https://openalex.org/W1988229584","https://openalex.org/W2008561974","https://openalex.org/W2016005821","https://openalex.org/W2091043463","https://openalex.org/W2415979060","https://openalex.org/W4230075689","https://openalex.org/W4231367635"],"related_works":["https://openalex.org/W2008561974","https://openalex.org/W1988229584","https://openalex.org/W2091043463","https://openalex.org/W2529269370","https://openalex.org/W1580688778","https://openalex.org/W2640320641","https://openalex.org/W2607951425","https://openalex.org/W4301488986","https://openalex.org/W3187407401","https://openalex.org/W2408856195"],"abstract_inverted_index":null,"counts_by_year":[{"year":2017,"cited_by_count":1},{"year":2013,"cited_by_count":1}],"updated_date":"2026-11-04T10:54:05.112534","created_date":"2016-06-24T00:00:00"}