Physicians' reports of focused expertise in clinical practice
Physicians' reports of focused expertise in clinical practice
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DOI：
10.1046/j.1525-1497.2000.08003.x
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发表时间：
2000-06-01
影响因子：
5.7
通讯作者：
Ayanian, JZ
中科院分区：
文献类型：
--
作者：
Keating, NL;Zaslavsky, AM;Ayanian, JZ
人们对医生中集中的专业知识（临床领域内的特殊领域的专业知识）的普遍程度知之甚少，但这种专业知识可能会影响如何提供护理。我们调查了普通内科医生、儿科医生、心脏病专家、传染病专家和骨科医生，以描述重点专业知识的流行程度，并确定相关的医生和实践特征。大约四分之一的多面手和四分之三的专家报告了他们主要专业的专业知识。以医院为基础的医生更多地报告这种专业知识，而按人头报销的医生较少报告专业知识。了解专注的专业知识如何影响护理过程和结果，将有助于决定医生培训和医疗团体的人员配备。
Little is known about the prevalence of focused expertise (special areas of expertise within a clinical field) among physicians, yet such expertise may influence how care is delivered. We surveyed general internists, pediatricians, cardiologists, infectious disease specialists, and orthopedic surgeons to describe the prevalence of focused expertise and identify associated physician and practice characteristics. About one quarter of generalists and three quarters of specialists reported a focused expertise within their primary specialty. Hospital-based physicians more often reported such expertise, and physicians reimbursed by capitation less often reported expertise. Learning how focused expertise affects processes and outcomes of care will contribute to decisions about physician training and staffing of medical groups.