Academic practices have become more dependent on patient care for revenues, according to a survey released last week by the Englewood, Colo.-based Medical Group Management Association.
Clinical revenues increased in 1994 to 56.1% of total revenues for faculty practice plans, which are the physician services component of university medical centers. That's up from 52.8% in 1992.
Also, the salary gap between primary-care physicians and specialists in academic settings narrowed for the first time in 1994. Median compensation for family practice physicians rose 7.8% to $104,025, after a modest 1.5% increase in 1993.
Specialists saw small increases or declines. Orthopedic surgeons took the worst hit, seeing their median income drop 13.4% to $215,278, after enjoying a 19.5% raise in 1993.
The same turnabout was detected in private practices two years ago.
Academic practices are hiring more primary-care physicians for curriculum purposes and to move into managed care. Still, prepaid managed-care revenues were just 3.86% of total revenues in 1994, up marginally from 3.81% a year earlier.
Some 330 medical groups took part in the survey.