ArticleBMJ (Clinical research ed.)2007
Diagnostic scope of and exposure to primary care physicians in Australia, New Zealand, and the United States: cross sectional analysis of results from three national surveys.
Article in BMJ (Clinical research ed.), 2007. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 28 papers.
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Who cites it
28 citing papers in PubMed.
- Personalized Type 2 Diabetes Management Using a Mobile Application Integrated with Electronic Medical Records: An Ongoing Randomized Controlled Trial.International journal of environmental research and public health · 2021Trial
- Diagnostic scope: the AI can't see what the mind doesn't know.Diagnosis (Berlin, Germany) · 2025Review
- Comprehensiveness in Primary Care: A Scoping Review.The Milbank quarterly · 2025Article
- Impact of Comprehensive Primary Care in Patients With Complex Chronic Diseases: Nationwide Cohort Database Analysis in Korea.Journal of Korean medical science · 2024Article
- The Registrar Clinical Encounters in Training (ReCEnT) cohort study: updated protocol.BMC primary care · 2022Article
- Outcomes of General Internal Medicine Consultations for Diagnosis from Specialists in a Tertiary Hospital: A Retrospective Observational Study.International journal of general medicine · 2022Article
- International comparison of health spending and utilization among people with complex multimorbidity.Health services research · 2021Article
- Health status of the homeless in Dublin: does the mobile health clinic improve access to primary healthcare for its users?Irish journal of medical science · 2019Article
- New approaches to measuring the comprehensiveness of primary care physicians.Health services research · 2019Article
- How well are Swiss French physicians prepared for future practice in primary care?BMC medical education · 2018Article
- A new marker of primary care utilization - annual accumulated duration of time of visits.Israel journal of health policy research · 2017Article
- Article
- Setting the research agenda for improving health care in musculoskeletal disorders.Nature reviews. Rheumatology · 2015Review
- Measuring Comprehensiveness of Primary Care: Challenges and Opportunities.Journal of general internal medicine · 2015Review
- What do patients bring up in consultations? An observational study in general practice.Scandinavian journal of primary health care · 2015Observational
- Sustained health-economic effects after reorganisation of a Swiss hospital emergency centre: a cost comparison study.Emergency medicine journal : EMJ · 2014Article
- The content of general practice consultations: cross-sectional study based on video recordings.The British journal of general practice : the journal of the Royal College of General Practitioners · 2013Article
- Coordinating Mental Health Care Across Primary Care and Schools: ADHD as a Case Example.Advances in school mental health promotion · 2013Article
- Describing the content of primary care: limitations of Canadian billing data.BMC family practice · 2012Article
- Diagnostic scope in out-of-hours primary care services in eight European countries: an observational study.BMC family practice · 2011Article
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Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectivesTo compare mix of patients, scope of practice, and duration of visit in primary care physicians in Australia, New Zealand, and the United States.
designComparison of three comparable cross sectional surveys performed in 2001-2. Physicians completed a questionnaire on patients' demographics, diagnoses, and duration of visit.
settingPrimary care practice.
participants79,790 office visits in Australia, 10,064 in New Zealand, and 25,838 in the US.
main outcome measuresDiagnostic codes were mapped to the Johns Hopkins expanded diagnostic clusters. Scope of practice was defined as the number of expanded diagnostic clusters accounting for 75% of all managed problems related to morbidity. Exposure to primary care was calculated from duration of visits recorded by the physician, and reports on rates of visits to primary care for each country.
resultsIn each country, primary care physicians managed an average of 1.4 morbidity related problems per visit. In the US, 46 expanded diagnostic clusters accounted for 75% of problems managed compared with 52 in Australia, and 57 in New Zealand. Correlations in the frequencies of managed health problems between countries were high (0.87-0.97 for pairwise comparisons). Though primary care visits were longer in the US than in New Zealand and Australia, the per capita annual exposure to primary care physicians in the US (29.7 minutes) was about half of that in New Zealand (55.5 minutes) and about a third of that in Australia (83.4 minutes) because of higher rates of visits to primary care in these countries.
conclusionsDespite differences in the supply and financing of primary care across countries, many aspects of the clinical practice of primary care physicians are remarkably similar in Australia, New Zealand, and the US.
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