Estimating determinants of dentist productivity: new evidence.
Estimating determinants of dentist productivity: new evidence.
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估计牙医生产力的决定因素：新证据。
DOI：
10.1111/j.1752-7325.2010.00180.x
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发表时间：
2010
影响因子：
2.3
通讯作者：
Huebner,ColleenE
中科院分区：
文献类型：
--
作者：
Conrad,DouglasA;Lee,RosannaShuk-Yin;Milgrom,Peter;Huebner,ColleenE
目标：生产率（单位投入的产出）是牙科服务能力的主要驱动力。本研究使用2006 - 2007年的数据，以更新现有的知识牙医production.Methods：在2006 - 2007年，作者调查了1,604俄勒冈州一般牙医的工作时间，实践规模，支付和病人的组合，价格，牙医的访问，牙医的特点。运用多元回归和通径分析方法估计了实践投入和其他自变量对生产率的影响。牙医对生产力相关问题的回答与整体抽样框架和全国范围内的牙医相似。每周的访问量与牙医的工作时间、助理人数、医生人数和手术室数量呈显著正相关。牙医的所有权状态，多年的经验，医疗补助患者的百分比显着正相关的实践输出。牙医椅旁时间和助理的贡献，以额外的输出较小的业主，但更多的牙科医生的访问次数，使更多的牙科医生是更大的owner.Conclusion：在早期的研究牙科生产力，牙医输出的关键决定因素是牙医自己的椅旁时间。在过去的三十年里，牙医时间、辅助设备和手术室对牙医就诊量的增量贡献并没有发生实质性变化。未来的研究应侧重于最终措施的产出-口腔健康-并应制定更精确的措施的做法的实际利用的助剂和他们的技能和使用的技术。
Objective:Productivity (output per unit of input) is a major driver of dental service capacity. This study uses 2006‐2007 data to update available knowledge on dentist productivity.Methods:In 2006‐2007, the authors surveyed 1,604 Oregon general dentists regarding hours worked, practice size, payment and patient mix, prices, dentist visits, and dentist characteristics. Effects of practice inputs and other independent variables on productivity were estimated by multiple regression and path analysis.Results:The survey response rate was 55.2 percent. Dentists responding to the productivity‐related questions were similar to dentists in the overall sampling frame and nationwide. Visits per week are significantly positively related to dentist hours worked, number of assistants, hygienists, and number of operatories. Dentist ownership status, years of experience, and percentage of Medicaid patients are significantly positively related to practice output. The contributions of dentist chairside time and assistants to additional output are smaller for owners, but the number of additional dentist visits enabled by more hygienists is larger for owners.Conclusion:As in earlier studies of dental productivity, the key determinant of dentist output is the dentist's own chairside time. The incremental contributions of dentist time, auxiliaries, and operatories to production of dentist visits have not changed substantially over the past three decades. Future studies should focus on ultimate measures of output – oral health – and should develop more precise measures of the practice's actual utilization of auxiliaries and their skill and use of technology.