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題名:群體執業與單獨執業醫師之生產力比較
書刊名:中華公共衛生雜誌
作者:鄭守夏何玉雪
作者(外文):Cheng, Shou-hsiaHo, Yu-hsueh
出版日期:1997
卷期:16:5
頁次:頁428-434
主題關鍵詞:群體執業開業醫師生產力Group practiceClinic physicianProductivity
原始連結:連回原系統網址new window
相關次數:
  • 被引用次數被引用次數:期刊(5) 博士論文(0) 專書(0) 專書論文(0)
  • 排除自我引用排除自我引用:5
  • 共同引用共同引用:9
  • 點閱點閱:55
     開業醫師群體執業在國外較為普遍,而過去的研究也顯示群體執業比單獨執業較 有效率。 本研究即在探封國內開業醫師群體執業的狀況並檢視其營運效率。 資料係於民國 85 年以郵寄問卷方式,對全國所有 8666 名開業醫師做調查,回收率為 21,2B6,其中計有 1804 份有效問卷。 樣本中只有 159 位醫師 (佔 8.8%) 所在的診所為群體執業 (至少有兩 位醫師執業 )。本研究初步發現,由醫師群體執業的診所比單獨執業者聘用較多的工作人員 ,而受訪醫師的工作時間較少,且其每日的門珍人太較多。另以複迴歸模型控制醫師個人特 質、診所特性及診所投入變項後發現,採群體執業的開業醫師比單獨執業的醫師有較高的門 診生產力, 平均每天多看 16% 的病人; 但由於樣本中群體執業的醫師過少且為橫斷性資料 ,分析的結果宜保守推論。
     Physician group practice is more popular in industrialized countries than in Taiwan. A number of studies show that group practice tends to be more efficient than solo practice. This study examines current situation of phy- sician group practice and compares physician productivities in solo and group practice settings. Data were obtained from mailing questionnaires to clinic physicians nation-wide in 1996. A total of 1804 subjects with complet- ed information were included in the analysis. Only 159 physicians (8.8%) were in grouppractice settings. Results showed that group practice clinics hired more ancillary person- nel than solo practice; physicians in group prac- tice settings had fewer working-hours per week and had more out-patient visits. After controlling variables of physician characteristics, clinic features and practice inputs in the model, the multiple regression analysis revealed that physicians in group practice settings had higher productivity than the solo ones (with 16% more patients per day). However, due to the nature of cross-sectional data and the low rate of group practice, implications of the findings should be made conservatively. Results from the analysis suggest that group practice is more productive and might be more efficient than solo practice.
期刊論文
1.Kimbell, L. J.、Lorant, J. H.(1977)。Physician productivity and returns to scale。Health Serv Res,12,367-379。  new window
2.Lorant, J. H.、Kimbell, L. J.(1976)。Determinants of output in group and solo medical practice。Health Serv Res,11,6-20。  new window
3.石淦生、羅紀瓊、陳國樑(19961000)。公私立綜合醫院服務層面效率差異之探討。中華公共衛生雜誌,15(5),469-482。new window  延伸查詢new window
4.張慈桂、藍忠孚、吳肖琪(19930800)。醫院生產力研究的理論架構。醫院,26(4),243-250。  延伸查詢new window
5.楊漢湶(19910900)。開業診所「聯合執業」需要性之探討。臺灣醫界,34(9),27-33。  延伸查詢new window
6.許志怡(19910600)。推行聯合執業(Group Practice)以解決當今基層醫療問題。臺灣醫界,34(6),21-23。  延伸查詢new window
7.鄭守夏、江東亮(19960600)。影響開業牙醫師訂價策略之因素分析。中華公共衛生雜誌,15(3),220-227。new window  延伸查詢new window
8.Pauly, M. V.(1988)。Is medical care different? old question, new answers。J Health Polit Policy Law,13,227-237。  new window
9.Freshock, L. J.、Goodman, L. J.(1980)。The Organization of Physician Services in Solo and Group Medical Practice。Medical Care,18,17-29。  new window
10.Rossiter, L. F.(1984)。Prospects for medical group practice under competition。Med Care,22,84-92。  new window
11.Freshnock, L. J.、Jensen, L. E.(1981)。The changing structure of medical group practice in the United States, 1969-1980。JAMA,245,2173-2176。  new window
12.Evans, R. G.(1973)。Medical productivity, scale effect and demand generation。Can J Econ,6,376-379。  new window
13.Reinhardt, U.(1972)。A production function for physicians service。Rev Econ Stat,54,55-66。  new window
14.Scheffler, R. M.(1975)。Further consideration on the economics of group practice。J Human Resources,10,258-263。  new window
15.林芸芸(19950400)。臺灣醫師的生產力和健康保險特約相關研究。醫院,28(2),1-16。  延伸查詢new window
16.Arrow, Kenneth J.(1963)。Uncertainty and the Welfare Economics of Medical Care。The American Economic Review,53(5),941-973。  new window
研究報告
1.李玉春(1992)。開業醫師執業成本調查與醫師診療報酬之研究。  延伸查詢new window
學位論文
1.楊蕙旭(1995)。臺灣地區醫院生產力之決定因素(碩士論文)。國立臺灣大學。  延伸查詢new window
圖書
1.胡德偉(1996)。衛生經濟學講義。國立台灣大學公共衛生學院衛生政策研究中心。  延伸查詢new window
2.Feldstein, P. L.(1988)。Health Care Economics。New York:Delmar Publishers Inc.。  new window
3.Phelps, C. E.(1992)。Health Economics。New York:Harper Collins Publishers。  new window
4.Folland, S.、Goodman, A. C.、Stano, M.(1993)。The Economics of Health and Health Care。New York:Macmillan Publishing Co.。  new window
圖書論文
1.Pauly, M. V.(1978)。Is medical care different?。Competition in the Health Care Sector: Past, Present and Future。Germantown, MD:Aspan System Co.。  new window
 
 
 
 
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