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   The impact of prior authorization requirements on primary care physicians' offices: Report of two parallel network studies  
   
نویسنده morley c.p. ,badolato d.j. ,hickner j. ,epling j.w.
منبع journal of the american board of family medicine - 2013 - دوره : 26 - شماره : 1 - صفحه:93 -95
چکیده    Introduction: us primary care physicians and their office staff have experienced large increases in time-consuming requirements for prior authorization (pa) of tests,medications,and other clinical services in recent years. this report presents results of 2 similar studies in which physicians and office staff self observed and reported the amount of time spent on pa activities. methods: physicians and office staff from 12 primary care offices in northeastern united states recorded request type,reporter role,and time spent for each pa event at the time of the pa activity. costs were estimated using salary data from the us bureau of labor statistics (study 1) and from salary.com (study 2). time and costs were estimated for the practices in each study. results: the mean annual projected cost per full-time equivalent physician for pa activities ranged from $2,161 (study 1) to $3,430 (study 2). using self-reporting at the time of the event,we found that preauthorization is a measurable burden on physician and staff time. conclusions: further studies that include cost-benefit analyses,estimates of opportunity costs and costs of delayed testing and treatment,as well as the hassle factor for patients and physicians,are warranted.
کلیدواژه Electronic health records; Health insurance; Practice management; Practice-based research; Prior authorization
آدرس department of family medicine,department of public health and preventive medicine,suny upstate medical university,syracuse,ny,united states,department of psychiatry and behavioral sciences,suny upstate medical university,syracuse,ny, United States, family practice associates of upper dublin and life laboratory,upper dublin,pa, United States, department of family medicine,cleveland clinic and lerner college of medicine,case western reserve university school of medicine,cleveland,oh, United States, department of family medicine,department of public health and preventive medicine,suny upstate medical university,syracuse,ny, United States
 
     
   
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