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March 1986

Division of Physician-Provider Time Between Ambulatory and In-Bed Patients in the Various Medical Specialties

Arch Intern Med. 1986;146(3):602. doi:10.1001/archinte.1986.00360150256033

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To the Editor.  —Those who practice medicine and survey the medical scene have long known that physicians in many specialties vary in the total amount of time they spend with patients in their offices and clinics, as compared with the time spent with those patients whom they admit to hospitals. This is generally accepted as a fact of medical life.In the current medical scene, with its many problems relating to the economics of medical care, practical significance stems from this difference. For that reason, I have reexamined a tabulation that I have used on occasion for almost a decade. Originally, it was a ready planning device in my supervision of ambulatory medical care for the Beth Israel Medical Center. It was drawn from many years of multifaceted experience and observations in traditional private practice; hospital, clinical, and academic roles; military service; and municipal and schoolhealth responsibilities. It approximates the

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