Evidence map›Paper›PMID 26071004›Full record

ArticleJournal of general internal medicine2015

Development and Impact of a Novel Academic Primary Care Compensation Model.

Elizabeth Trowbridge, Christie M Bartels, Steven Koslov, Sandra Kamnetz, Nancy Pandhi

Abstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Journal of general internal medicine, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

11 citing papers in PubMed.

  1. Trial
  2. Does a Change in Physician Compensation Lead to Changes in Care Delivery in Family Medicine Clinics?WMJ : official publication of the State Medical Society of Wisconsin · 2022
    Review
  3. Article
  4. Article
  5. Review
  6. Article
  7. Using Organizational Philosophy to Create a Self-Sustaining Compensation Plan Without Harming Academic Missions.Academic medicine : journal of the Association of American Medical Colleges · 2017
    Article
  8. Article
  9. Observational
  10. Article
  11. Observational
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

5 authors.

Elizabeth TrowbridgeDivision of General Internal Medicine, Department of Medicine, University of Wisconsin School of Medicine and Public Health, 2828 Marshall Court, Suite 100, Madison, WI, 53705, USA. brt@medicine.wisc.edu.
Christie M BartelsDivision of Rheumatology, Department of Medicine, University of Wisconsin School of Medicine and Public Health, Madison, WI, USA.
Steven KoslovDivision of General Pediatrics and Adolescent Medicine, Department of Pediatrics, University of Wisconsin School of Medicine and Public Health, Madison, WI, USA.
Sandra KamnetzDepartment of Family Medicine, University of Wisconsin School of Medicine and Public Health, Madison, WI, USA.
Nancy PandhiDepartment of Family Medicine, University of Wisconsin School of Medicine and Public Health, Madison, WI, USA.

Funding

Institutional Clinical and Translational Science AwardUL1TR000427 · NCATS · UNIVERSITY OF WISCONSIN-MADISON · PI DREZNER, MARC KENNETH · 2012 to 2016
$32.2M
Continuity of Care and the Health of Older AdultsK08AG029527 · NIA · UNIVERSITY OF WISCONSIN-MADISON · PI PANDHI, NANCY · 2009 to 2013
$669k
Impact of Rheumatologist Communication Upon Managing Cardiovascular Risk in RAK23AR062381 · NIAMS · UNIVERSITY OF WISCONSIN-MADISON · PI BARTELS, CHRISTIE MICHELS · 2012 to 2015
$423k
NCATS NIH HHS UL1 TR000427NCATS NIH HHS UL1TR000427NIAMS NIH HHS K23 AR062381NIAMS NIH HHS K23AR062381NIA NIH HHS K08 AG029527
6 · The paper itself

Abstract

backgroundTraditional productivity-based compensation models do not align well with newer population-based approaches to primary care. There are few published examples of academic general internal medicine compensation models that explicitly reward population health management, including care for patients between visits.

objectiveTo describe the development and implementation of an academic general internal medicine compensation plan based upon actual work performed, compare satisfaction across primary care specialties, and evaluate work-related outcomes.

designObservational study.

participantsForty-seven general internists who practice in affiliated academic and community clinics. MAIN MEASURES: Clinician satisfaction with compensation plan, workforce stability, panel data, and productivity. KEY

resultsThe compensation plan change was associated with higher provider satisfaction. Sixty-five percent (31/47) of participants within general internal medicine reported being satisfied or very satisfied, as compared to 24 % (22/90 participants) for family medicine and 22 % (5/23 participants) for general pediatrics (p < 0.05). In the first 4 years of the compensation plan change, no general internists left to join other local groups. General internal medicine increased its number of physicians by 19 %. The number of established general internists accepting new patients increased from 17 to 48 %, while the relative value units per full-time equivalent declined by 3 %.

conclusionsAn equitable compensation model that aligns with population management goals and work performed outside the clinical visit can lead to improved satisfaction and retention of faculty in an academic general internal medicine division, along with improved access for the patient population.

Indexed as

Models, EconometricAcademic Medical CentersAttitude of Health PersonnelEfficiencyHealth Services ResearchHumansInternal MedicineInternship and ResidencyJob SatisfactionPersonnel TurnoverPhysician Incentive PlansPhysicians, Primary CarePrimary Health CareSalaries and Fringe BenefitsWisconsinPhysician satisfactionPrimary careWorkforce

Identifiers

PMID26071004
PMCPMC4636567

What OpenQuestion holds

Textmetadata
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.