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Kimball A. Miller, MD, MSHA; Deborah A. Miller, MS; Gerald A. Doeksen, PhD

Am J Dis Child. 1989;143(8):919-923.

Abstract
• A major concern of urban and rural citizens of the United States is the availability of adequate pediatric health care in their community. Community leaders attempting to recruit health care providers and pediatricians considering locating their practice in a specific community need a method by which they can evaluate a community's potential for supporting a new primary care practice. A detailed survey was conducted in early 1988 of pediatric practices geographically dispersed throughout the state of Oklahoma. Data collected from the physicians and their administrative staff reflected the volume of office and hospital visits and practice costs over the prior 12 months. Using the capital costs and direct operating cost data with information obtained on the number of patient visits arid revenue generated collected in this survey, we designed a model to project the economic feasibility of establishing a pediatric practice in a specific community. This model can be used to project the number of annual pediatric primary care visits a community can generate, the direct and indirect costs to establish and maintain a clinic, and the gross revenue and net income of the practice.

(AJDC. 1989;143:919-923)

Author Affiliations
Patti Jacobs

From the Departments of Pediatrics and Internal Medicine, Section of Health Care Design, The University of Oklahoma Health Science Center-Tulsa (Dr Miller); the Department of Psychiatry, the University of Texas Southwestern Medical Center at Dallas (Ms Miller); the Department of Agricultural Economics, Oklahoma State University, Stillwater (Dr Doeksen); and The University of Oklahoma Health Sciences Center, Oklahoma City (Ms Jacobs).

Footnotes
Accepted for publication March 28, 1989.

Reprint requests to The University of Oklahoma Health Science Center-Tulsa, Section of Health Care Design, 2815 S Sheridan, Tulsa, OK 74129 (Dr Miller).

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