{"id":"https://openalex.org/W94065690","doi":null,"title":"The financial effect of physician practice style on hospital resource use.","display_name":"The financial effect of physician practice style on hospital resource use.","publication_year":1991,"publication_date":"1991-06-01","ids":{"openalex":"https://openalex.org/W94065690","mag":"94065690","pmid":"https://pubmed.ncbi.nlm.nih.gov/2061056","pmcid":"https://www.ncbi.nlm.nih.gov/pmc/articles/1069819"},"language":"en","primary_location":{"id":"pmid:2061056","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/2061056","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":"Health services research","raw_type":"Comparative Study"},"volume":null,"type":"article","is_traditional":true,"indexed_in":["pubmed"],"open_access":{"is_oa":true,"oa_status":"green","oa_url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC1069819/","any_repository_has_fulltext":true},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5012923743","display_name":"Joe M. Feinglass","orcid":"https://orcid.org/0000-0002-3665-8897","observed_orcids":["https://orcid.org/0000-0002-3665-8897"]},"institutions":[{"id":"https://openalex.org/I111979921","display_name":"Northwestern University","ror":"https://ror.org/000e0be47","country_code":"US","type":"education","lineage":["https://openalex.org/I111979921"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"J Feinglass","raw_affiliation_strings":["Northwestern University Medical School, Center for Health Services and Policy Research, Chicago, IL 60611"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Northwestern University Medical School, Center for Health Services and Policy Research, Chicago, IL 60611","institution_ids":["https://openalex.org/I111979921"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5111795087","display_name":"G J Martin","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I111979921","display_name":"Northwestern University","ror":"https://ror.org/000e0be47","country_code":"US","type":"education","lineage":["https://openalex.org/I111979921"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"G J Martin","raw_affiliation_strings":["Northwestern University****"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Northwestern University****","institution_ids":["https://openalex.org/I111979921"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5024494630","display_name":"Aditi P. Sen","orcid":"https://orcid.org/0000-0002-7203-2736","observed_orcids":["https://orcid.org/0000-0002-7203-2736"]},"institutions":[{"id":"https://openalex.org/I111979921","display_name":"Northwestern University","ror":"https://ror.org/000e0be47","country_code":"US","type":"education","lineage":["https://openalex.org/I111979921"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"A Sen","raw_affiliation_strings":["Northwestern University****"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Northwestern University****","institution_ids":["https://openalex.org/I111979921"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":1,"corresponding_author_ids":[],"corresponding_institution_ids":["https://openalex.org/I111979921"],"apc_list":null,"apc_paid":null,"fwci":15.4192,"has_fulltext":false,"cited_by_count":46,"citation_normalized_percentile":{"value":0.98833208,"is_in_top_1_percent":false,"is_in_top_10_percent":true},"cited_by_percentile_year":{"min":88,"max":96},"biblio":{"volume":"26","issue":"2","first_page":"183","last_page":"205"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10391","display_name":"Healthcare Policy and Management","score":0.888700008392334,"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"}},"topics":[{"id":"https://openalex.org/T10391","display_name":"Healthcare Policy and Management","score":0.888700008392334,"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"}},{"id":"https://openalex.org/T13555","display_name":"Healthcare cost, quality, practices","score":0.08449999988079071,"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/T12871","display_name":"Healthcare Quality and Management","score":0.008100000210106373,"subfield":{"id":"https://openalex.org/subfields/2739","display_name":"Public Health, Environmental and Occupational Health"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/physician-practice-style","display_name":"physician practice style","score":0.9020000100135803},{"id":"https://openalex.org/keywords/hospital-resource-utilization","display_name":"hospital resource utilization","score":0.8579999804496765},{"id":"https://openalex.org/keywords/inpatient-charges","display_name":"inpatient charges","score":0.8619999885559082},{"id":"https://openalex.org/keywords/length-of-hospital-stay","display_name":"length of hospital stay","score":0.9879999756813049},{"id":"https://openalex.org/keywords/teaching-hospitals","display_name":"teaching hospitals","score":0.5509999990463257},{"id":"https://openalex.org/keywords/hospital-cost-containment","display_name":"hospital cost containment","score":0.43299999833106995}],"concepts":[{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.7579247355461121},{"id":"https://openalex.org/C29122968","wikidata":"https://www.wikidata.org/wiki/Q1414816","display_name":"Incentive","level":2,"score":0.510826826095581},{"id":"https://openalex.org/C2779767262","wikidata":"https://www.wikidata.org/wiki/Q5592059","display_name":"Graduate medical education","level":3,"score":0.4706529676914215},{"id":"https://openalex.org/C2780877353","wikidata":"https://www.wikidata.org/wiki/Q2518253","display_name":"Health services research","level":3,"score":0.4262283146381378},{"id":"https://openalex.org/C512399662","wikidata":"https://www.wikidata.org/wiki/Q3505712","display_name":"Family medicine","level":1,"score":0.4215167164802551},{"id":"https://openalex.org/C194828623","wikidata":"https://www.wikidata.org/wiki/Q2861470","display_name":"Emergency medicine","level":1,"score":0.4153781533241272},{"id":"https://openalex.org/C138816342","wikidata":"https://www.wikidata.org/wiki/Q189603","display_name":"Public health","level":2,"score":0.2379549741744995},{"id":"https://openalex.org/C159110408","wikidata":"https://www.wikidata.org/wiki/Q121176","display_name":"Nursing","level":1,"score":0.14869308471679688},{"id":"https://openalex.org/C175444787","wikidata":"https://www.wikidata.org/wiki/Q39072","display_name":"Microeconomics","level":1,"score":0.0},{"id":"https://openalex.org/C162324750","wikidata":"https://www.wikidata.org/wiki/Q8134","display_name":"Economics","level":0,"score":0.0},{"id":"https://openalex.org/C509550671","wikidata":"https://www.wikidata.org/wiki/Q126945","display_name":"Medical education","level":1,"score":0.0},{"id":"https://openalex.org/C61521584","wikidata":"https://www.wikidata.org/wiki/Q705899","display_name":"Accreditation","level":2,"score":0.0}],"mesh":[{"descriptor_ui":"D000368","descriptor_name":"Aged","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D005249","descriptor_name":"Fees and Charges","qualifier_ui":"Q000706","qualifier_name":"statistics & numerical data","is_major_topic":true},{"descriptor_ui":"D005260","descriptor_name":"Female","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006746","descriptor_name":"Hospital Bed Capacity, 500 and over","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006784","descriptor_name":"Hospitals, Teaching","qualifier_ui":"Q000191","qualifier_name":"economics","is_major_topic":false},{"descriptor_ui":"D006784","descriptor_name":"Hospitals, Teaching","qualifier_ui":"Q000706","qualifier_name":"statistics & numerical data","is_major_topic":true},{"descriptor_ui":"D006786","descriptor_name":"Hospitals, Urban","qualifier_ui":"Q000191","qualifier_name":"economics","is_major_topic":false},{"descriptor_ui":"D006786","descriptor_name":"Hospitals, Urban","qualifier_ui":"Q000706","qualifier_name":"statistics & numerical data","is_major_topic":false},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D007388","descriptor_name":"Internal Medicine","qualifier_ui":"Q000191","qualifier_name":"economics","is_major_topic":true},{"descriptor_ui":"D007902","descriptor_name":"Length of Stay","qualifier_ui":"Q000706","qualifier_name":"statistics & numerical data","is_major_topic":true},{"descriptor_ui":"D008297","descriptor_name":"Male","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D008505","descriptor_name":"Medical Staff, Hospital","qualifier_ui":"Q000191","qualifier_name":"economics","is_major_topic":true},{"descriptor_ui":"D008875","descriptor_name":"Middle Aged","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D010818","descriptor_name":"Practice Patterns, Physicians'","qualifier_ui":"Q000191","qualifier_name":"economics","is_major_topic":true},{"descriptor_ui":"D012720","descriptor_name":"Severity of Illness Index","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D015233","descriptor_name":"Models, Statistical","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false}],"locations_count":3,"locations":[{"id":"pmid:2061056","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/2061056","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":"Health services research","raw_type":"Comparative Study"},{"id":"pmh:oai:pubmedcentral.nih.gov:1069819","doi":null,"is_oa":true,"landing_page_url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC1069819/","pdf_url":null,"source":{"id":"https://openalex.org/S2764455111","display_name":"PubMed Central","issn_l":null,"issn":null,"is_oa":true,"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":"Health Serv Res","raw_type":"Text"},{"id":"mag:94065690","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/2061056","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":null,"is_accepted":false,"is_published":false,"raw_source_name":"PubMed","raw_type":null}],"best_oa_location":{"id":"pmh:oai:pubmedcentral.nih.gov:1069819","doi":null,"is_oa":true,"landing_page_url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC1069819/","pdf_url":null,"source":{"id":"https://openalex.org/S2764455111","display_name":"PubMed Central","issn_l":null,"issn":null,"is_oa":true,"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":"Health Serv Res","raw_type":"Text"},"sustainable_development_goals":[{"id":"https://metadata.un.org/sdg/3","display_name":"Good health and well-being","score":0.6240000128746033}],"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":28,"referenced_works":["https://openalex.org/W43853822","https://openalex.org/W1579033982","https://openalex.org/W1867034345","https://openalex.org/W1971077285","https://openalex.org/W1982781708","https://openalex.org/W1984902067","https://openalex.org/W1989877615","https://openalex.org/W2000931478","https://openalex.org/W2006147592","https://openalex.org/W2016181042","https://openalex.org/W2018448938","https://openalex.org/W2019273574","https://openalex.org/W2024972437","https://openalex.org/W2024982536","https://openalex.org/W2040103633","https://openalex.org/W2057656875","https://openalex.org/W2060206942","https://openalex.org/W2066071391","https://openalex.org/W2075712500","https://openalex.org/W2084077416","https://openalex.org/W2087120421","https://openalex.org/W2089054326","https://openalex.org/W2089371778","https://openalex.org/W2297161205","https://openalex.org/W2415007178","https://openalex.org/W2427092523","https://openalex.org/W2438662505","https://openalex.org/W3122284123"],"related_works":["https://openalex.org/W2013942502","https://openalex.org/W2301509916","https://openalex.org/W2147568093","https://openalex.org/W43118012","https://openalex.org/W3013365650","https://openalex.org/W6996615635","https://openalex.org/W4290249914","https://openalex.org/W2894381697","https://openalex.org/W2423924661","https://openalex.org/W1985907219"],"abstract_inverted_index":{"Several":[0],"specifications":[1],"of":[2,23,38,62,83,96,99,108,110,121,146,153,167,200],"a":[3,26,36,163],"statistical":[4],"model":[5],"were":[6,92,130,136,184],"used":[7],"to":[8,218],"measure":[9],"the":[10,81,97,106,143,147,187],"effect":[11],"that":[12,89,159],"internal":[13],"medicine":[14],"attending":[15,90,201],"physicians":[16,91,160],"had":[17],"on":[18,35,150,182],"inpatient":[19],"charges":[20,59,101,124],"and":[21,57,60,78,105,116,190],"length":[22,61,109],"stay":[24,63,111],"at":[25],"large":[27],"urban":[28],"teaching":[29,224],"hospital.":[30],"The":[31,50,196],"study":[32,208],"was":[33,64],"based":[34],"sample":[37],"1,458":[39],"patients":[40],"discharged":[41],"during":[42],"1985-1987":[43],"with":[44],"12":[45],"common":[46],"principal":[47,148],"diagnosis":[48,149],"clusters.":[49],"relationship":[51],"between":[52,186],"31":[53],"physicians'":[54],"clinical":[55],"decisions":[56],"hospital":[58],"analyzed":[65],"controlling":[66],"for":[67,80,142,213,223,230],"patients'":[68],"health":[69],"status,":[70],"as":[71,118],"measured":[72],"by":[73,138],"demographic":[74],"characteristics,":[75],"diagnostic":[76],"group,":[77],"ratings":[79,135,141],"Severity":[82],"Illness":[84],"Index":[85],"(SOII).":[86],"Results":[87],"indicated":[88],"statistically":[93],"significant":[94,119,173],"predictors":[95,120],"log":[98,107],"total":[100,123],"(p":[102,112,125],"=":[103,126],".0030)":[104],"less":[113],"than":[114],".0001),":[115],"not":[117],"untransformed":[122],".1255).":[127],"Equivalent":[128],"results":[129],"obtained":[131],"when":[132],"overall":[133],"SOII":[134,139],"replaced":[137],"subscale":[140],"presenting":[144],"stage":[145],"admission.":[151],"Examination":[152],"individual":[154],"physician":[155,202],"regression":[156],"coefficients":[157],"revealed":[158],"varied":[161],"within":[162],"40":[164],"percent":[165],"range":[166,199],"generated":[168],"per":[169],"patient":[170],"charges.":[171],"No":[172],"differences":[174],"in":[175,206,228],"mortality,":[176],"early":[177],"readmissions":[178],"or":[179],"residual":[180],"impairment":[181],"discharge":[183],"found":[185],"ten":[188,191],"highest":[189],"lowest":[192],"resource":[193],"use":[194],"physicians.":[195],"conservatively":[197],"estimated":[198],"practice":[203],"variations":[204],"observed":[205],"this":[207],"has":[209],"serious":[210],"financial":[211],"implications":[212],"hospitals":[214,225],"operating":[215,220],"under":[216],"incentives":[217],"minimize":[219],"costs,":[221],"particularly":[222],"facing":[226],"reductions":[227],"subsidies":[229],"graduate":[231],"medical":[232],"education.":[233]},"counts_by_year":[{"year":2023,"cited_by_count":1},{"year":2022,"cited_by_count":1},{"year":2019,"cited_by_count":1},{"year":2017,"cited_by_count":1},{"year":2016,"cited_by_count":2},{"year":2015,"cited_by_count":1},{"year":2014,"cited_by_count":1}],"updated_date":"2026-11-10T11:39:43.021295","created_date":"2016-06-24T00:00:00"}
