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Differences Between Generalists and Specialists in Characteristics of Patients Receiving Gastrointestinal Procedures by Gregg S. Meyer; Eme Y. Cheng; Jeffrey Elting is a Medicine article available to read on EtoBox.

What is Differences Between Generalists and Specialists in Characteristics of Patients Receiving Gastrointestinal Procedures about?

## BACKGROUND: As a result of market forces and maturing technology, generalists are currently providing services, such as colonoscopy, that in the past were deemed the realm of specialists. ## OBJECTIVE: To determine whether there were differences in patient characteristics, procedure complexity, and clinical indications when gastrointestinal endoscopic procedures were provided by generalists versus specialists. ## DESIGN: Retrospective cohort study. PATIENTS: A random 5% sample of aged Medicare beneficiaries who underwent rigid and flexible sigmoidoscopy, colonoscopy, and esophagogastroduodenoscopy (EGD) performed by specialists (gastroenterologists, general surgeons, and colorectal surgeons) or generalists (general practitioners, family practitioners, and general internists). ## MEASUREMENTS: Characteristics of patients, indications for the procedure, procedural complexity, and place of service were compared between generalists and specialists using descriptive statistics and logistic regression. ## MAIN RESULTS: Our sample population had 167,347 gastrointestinal endoscopies. Generalists performed 7.7% of the 57,221 colonoscopies, 8.7% of the 62,469 EGDs, 42.7% of the 38,261 fle

Who reads Differences Between Generalists and Specialists in Characteristics of Patients Receiving Gastrointestinal Procedures?

Author

Gregg S. Meyer; Eme Y. Cheng; Jeffrey Elting

Publisher

John Wiley and Sons; Springer-Verlag; Springer Verlag; Springer Science and Business Media LLC (ISSN 0884-8734)

Published

2000

Language

EN

Field

Medicine (Health Sciences)