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來源文獻資料
摘要
外文摘要
引文資料
題名:
耳鼻喉科開業醫師服務量相關因素之探討
書刊名:
中華公共衛生雜誌
作者:
黃源甫
/
李丞華
/
王淑園
/
吳肖琪
作者(外文):
Huang, Yuan-fu
/
Lee, Cheng-hua
/
Wang, Shu-yuan
/
Wu, Shiao-chi
出版日期:
2000
卷期:
19:5
頁次:
頁389-396
主題關鍵詞:
耳鼻喉科
;
耳鼻喉科
;
門診服務
;
開業醫師
;
高服務量
;
GENT
;
Ambulatory care
;
General practitioner
;
High volume practice
原始連結:
連回原系統網址
相關次數:
被引用次數:期刊(
1
) 博士論文(0) 專書(0) 專書論文(0)
排除自我引用:
1
共同引用:0
點閱:74
目標:本研究旨在探討耳鼻喉科開業醫師個人開業能力、診所特性、執業環境與其服務量之關係。方法:以中央健康保險局特約之耳鼻喉科診所629家負責人為對象,問卷資料採用二次郵寄,回收率為37.5 %,服務量資料來自中央健康保險局85年10月至86年9月之門診申報檔。結果:發現醫師基本特質、開業術、診所特性、及執業環境皆與醫師之服務量有關。在醫學中心接受住院醫師訓練、未當過科主任、解釋病情詳細、認知上不將擅用類固醇當做開業術的醫師其服務量愈高。在鄉鎮地區開業者、開業地點在7-ELEVEN超商或百貨公司附近者門診量較高。結論:研究結果可作為 醫師規劃投入開業市場之參考,亦可鼓勵醫師至鄉鎮開業。
以文找文
Objectives: This study evaluates ENT practitioners in terms of the relationship between practitioner's ability, characteristic and environment of clinics, and service volume. Methods: The subjects of this study were 629 owner of ENT clinics contracting with the National Health Insurance (NHI) bureau. Questionnaires were mailed twice to collect basic data, with a response rate of 37.5%. The service volume data was from the out-patient-claimed file provided by NHI. Results: The service volume was related to physicians' personal characteristics, practicing ability, as well as the characteristic and environment of clinics. The service volume provided by those trained as residents in medical centers were higher than those trained in regional hospitals. The service volume was also higher for those who had never been the chief of an ENT department in a hospital, explained the symptoms in detail and prescribed fewer steroids to patients. Clinics with more physicians and auxiliary personnel had higher service volume . The service volume in a rural town was higher than in an urban area. Also, clinics close to convenience stores and department stores (within 5 minutes walk) had higher service volume. Conclusions: This study can be a reference for the physicians who are planning to start their clinics, also encouraging them to practice in rural towns.
以文找文
期刊論文
1.
Cherkin, D. C.(1984)。The impact of residency training on the productivity of family physicians。Inquiry,21,152-160。
2.
Hurdle, S.、Pope, G. C.(1989)。Physician productivity: trends and determinants。Inquiry,26,100-105。
3.
Newhouse, J. P.、Williams, A. P.、Bennett, B. W.、Schwartz, W. B.(1982)。Where have all the doctors gone?。Journal of the American Medical Association,247,2392-2396。
4.
Brown, M. C.(1993)。Do physicians locate as spatial competition models predict? Evidence from Alberta。Canadian Medical Association Journal,148,1301-1307。
5.
郭幸萍(1995)。影響主治醫師生產力的相關因素研究。
延伸查詢
6.
Chan, B.、Anderson, G. M.、Theriault, M. E.(1998)。High-billing general practitioners ans family physicians in Ontario: How do they do it? An analysis of practice patterns of GP/FPs with annual billings over 0000。Canadian Medical Association Journal,158,741-746。
7.
Woodward, C. A.、Hurley, J.(1995)。Comparison of activity level and service intensity of male and female physicians in five fields of medicine in Ontario。Canadian Medical Association Journal,,153,1097-1106。
8.
Sanmartin, C. A.、Snidal, L.(199310)。Profile of Canadian physicians: results of the 1990 Physician Resource Questuonnaire。Canadian Medical Association Journal,149(7),977-984。
9.
Woodward, C. A.、Cohen, M. L.、Ferrier, B. M.(1990)。Career interruptions and hours practised: comparison between young men and women physicians。Canadian Medical Association Journal,81,16-20。
10.
Bensin, J. M.、Vanden, B. A.、deBakker, D. H.(1993)。Gender differences in practice style: a Dutch study of general practitioners。Med Care,31,219-229。
11.
Reinhardt, U.(197202)。The Production Function for Physician Services。The Review of Economics & Statistics,54(1),55-66。
12.
Kimbell, L. J.、Lorant, J. H.(1977)。Physician productivity and returns to scales。Health Services Research,12,367-369。
13.
Powers, T. L.、Swan, J. E.、Taylor, J. A.、Bendall, D.(1998)。Sources of referral information: A marketing analysis of physician behavior。Health Care Management Review,23,76-86。
學位論文
1.
林淑昭(1997)。醫學中心主治醫師研究生產力相關因素探討(碩士論文)。高雄醫學院。
延伸查詢
2.
蘇崇堯(1996)。當今中部外科專科醫師執業情形及其相關因素(碩士論文)。中山醫學院。
延伸查詢
3.
鄧秀珍(1995)。教學醫院與主治醫師之相對生產效率及其相關因素之研究(碩士論文)。高雄醫學院。
延伸查詢
4.
黃賽青(1998)。醫院生產力之分析研究(碩士論文)。國立臺灣大學。
延伸查詢
圖書
1.
謝啟瑞(1996)。健康經濟學。臺北市:五南書局。
延伸查詢
2.
曾松齡(1995)。怎樣經營商店。台北:經濟日報出版。
延伸查詢
3.
Phelps, C. E.(1992)。Health Economics。New York:Harper Collins。
4.
Kehrer, B.、Zaretsky, H.(1972)。A Preliminary Analysis of Allied Health Personnel in Primary Medical Practice, Working Paper, Center for Services Research and Development。American Medical Association。
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