Comparing Generalists vs. Specialists Shows No Difference in Practice Style

Research to Compare Practice Styles of Generalists and Specialists

Published: Jul 22, 2002

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  • Grant Results Report

A research team at Dartmouth Medical School conducted a study to compare the practice styles of generalist and specialist physicians.

Specifically, they assessed whether generalists and specialists differed in the resources deployed to treat illnesses and their responses to financial incentives.

The project was part of the Robert Wood Johnson Foundation (RWJF) national program, Generalist Provider Research Initiative.

Key Findings
The key findings reported in an article in Health Services Research included:

  • Practice setting, rather than specialty, was a key determinant of resource use, and HMO care generally tended to incur lower expenditures.
  • There was no evidence that financial incentives influenced either type of physician to treat patients differently.
  • The specialty of the physician of first contact was the principal determinant of the level of expenditures incurred in treating a given patient.

Funding
The Robert Wood Johnson Foundation (RWJF) provided $271,658 in funding from July 1995 to October 1997 to support the project.

Report prepared by: Robert Crum
Reviewed by: Janet Spencer King
Reviewed by: Molly McKaughan
Program Officer: Beth A Stevens
Program Officer: Susan B Hassmiller

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Listed below is one grant that supported this project.

Grant Awarded to Amount
Research to compare practice styles of generalists and specialists Dartmouth Medical School (Hanover, NH)
ID#: 022305
Ann Barry Flood, Ph.D.
603-650-1874
ann.flood@darthmouth.edu
http://dms.dartmouth.edu/
Actual award: $271,658
July 1995 to October 1997

RWJF may have supported this project with other grants that are not listed.

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