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TABLE 11-5 A Physician and President of a Tampa Health Maintenance Organization

question 75

Multiple Choice

TABLE 11-5
A physician and president of a Tampa Health Maintenance Organization (HMO) are attempting to show the benefits of managed health care to an insurance company. The physician believes that certain types of doctors are more cost-effective than others. One theory is that Primary Specialty is an important factor in measuring the cost-effectiveness of physicians. To investigate this, the president obtained independent random samples of 20 HMO physicians from each of 4 primary specialties - General Practice (GP) , Internal Medicine (IM) , Pediatrics (PED) , and Family Physicians (FP) - and recorded the total charges per member per month for each. A second factor which the president believes influences total charges per member per month is whether the doctor is a foreign or USA medical school graduate. The president theorizes that foreign graduates will have higher mean charges than USA graduates. To investigate this, the president also collected data on 20 foreign medical school graduates in each of the 4 primary specialty types described above. So information on charges for 40 doctors (20 foreign and 20 USA medical school graduates) was obtained for each of the 4 specialties. The results for the ANOVA are summarized in the following table:

-Referring to Table 11-5, what was the total number of doctors included in the study?

Definitions:

Gametophytes

The sexual phase in the life cycle of plants and algae that produce gametes, or sex cells.

Haploid Megaspores

Single-celled female spores produced by plants, which can develop into a gametophyte generation, part of the plant's reproductive process.

Angiosperms

Flowering plants that produce seeds enclosed within a fruit; they represent the most diverse group of land plants.

Mitosis

A process of cell division in eukaryotic cells where a single cell divides to produce two genetically identical daughter cells.