Use of Diagnostic Services by Physicians in Community Practice
Use of Diagnostic Services by Physicians in Community Practice
复制标题
医生在社区实践中使用诊断服务
DOI：
10.1097/00005650-198103000-00005
复制
发表时间：
1981
期刊：
影响因子：
3
通讯作者：
D. Nicklin
中科院分区：
文献类型：
--
作者：
J. Eisenberg;D. Nicklin
本研究分析了社区医生诊断研究的使用情况。研究人员对宾夕法尼亚州东北部三个县医疗补助受益人在 38 个月内的门诊账单索赔数据进行了研究，其中包括 336 名医生的 55,420 次就诊。门诊实验室检查和X线检查的使用与处方医生的个人特征相关。当病例组合受到控制时，按专业进行的分析表明，内科医生订购的手术数量与家庭医生大致相同，而且两组患者订购的手术数量都比全科医生更多。医学院毕业后的年数与实验室和放射学的使用呈统计显着的负相关。公立学校毕业生比私立学校毕业生订购了更多的实验室检查，外国医学毕业生比国内毕业生订购了更多的X线检查。其他变量，包括练习的规模和地点，以及整骨疗法或医学培训，与使用模式没有显着相关。
This study analyzes the use of diagnostic studies by community physicians. Data from billing claims for outpatient visits by Medicaid recipients in three northeastern Pennsylvania counties during a 38-month period were studied, including 55,420 visits to 336 physicians. The use of outpatient laboratory tests and roentgenograms was correlated with the personal characteristics of the prescribing physicians. When case mix was controlled, analysis by specialty showed that internists ordered approximately the same number of procedures as family physicians, and both groups ordered more procedures than general practitioners. The number of years since medical school graduation showed a statistically significant inverse relationship with laboratory and radiology use. Public school graduates ordered more laboratory tests than private school graduates, and foreign medical graduates ordered more roentgenograms than domestic graduates. Other variables, including size and location of practice, and osteopathic or medical training, were not significantly related to patterns of use.