Office-based medical practices: methods and estimates from the national ambulatory medical care survey.
Office-based medical practices: methods and estimates from the national ambulatory medical care survey.
复制标题
基于办公室的医疗实践：全国门诊医疗调查的方法和估计。
DOI：
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发表时间：
2007
期刊：
影响因子：
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通讯作者：
C. Burt
中科院分区：
文献类型：
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作者：
E. Hing;C. Burt
目标
该报告使用来自办公室医生样本的多重估计器来估计美国医疗实践的数量和特征。实践估计是根据实践的特征（单独或团体、单一或多专业团体、实践规模、所有权、地点、管理式医疗合同的数量、电子病历的使用以及计算机化医嘱输入系统的使用）来呈现的。
方法
本报告中提供的数据是在 2003 年 4 月全国流动医疗调查 (NAMCS) 的医生入职访谈中收集的。 NAMCS 是针对在美国办公室环境中看诊患者的非联邦医生进行的全国概率抽样调查。放射科医生、麻醉师和病理学家以及仅在医院、机构或职业环境中治疗患者的医生被排除在外。医生数据的样本权重使用样本医生执业中的医生人数信息来生成全国医疗实践的年度估计值。
结果
2003-04 年期间，美国平均有 311,200 名办公室医生在大约 161,200 个医疗机构中执业。医疗实践特征不同于医生特征。尽管 35.8% 的办公室医生单独执业，但 69.2% 的医疗实践由单独执业者组成。五分之一的医疗机构拥有三名或以上医生（19.5%），约占所有门诊医生的一半（52.4%）。大约 8.4% 的医疗实践涉及多个专业。 15% 的医疗实践（包括 19.0% 的医生）使用电子病历。同样，6.5% 的医疗机构（包括 9.2% 的医生）使用计算机处方医嘱输入系统。
OBJECTIVES
The report uses a multiplicity estimator from a sample of office-based physicians to estimate the number and characteristics of medical practices in the United States. Practice estimates are presented by characteristics of the practice (solo or group, single, or multi-specialty group, size of practice, ownership, location, number of managed care contracts, use of electronic medical records, and use of computerized physician order entry systems).
METHODS
Data presented in this report were collected during physician induction interviews for the 2003-04 National Ambulatory Medical Care Survey (NAMCS). The NAMCS is a national probability sample survey of nonfederal physicians who see patients in an office setting in the United States. Radiologists, anesthesiologists, and pathologists-as well as physicians who treat patients solely in hospital, institutional, or occupational settings-are excluded. Sample weights for physician data use information on the number of physicians in the sampled physician's practice to produce annual national estimates of medical practices.
RESULTS
During 2003-04, an average of 311,200 office-based physicians practiced in an estimated 161,200 medical practices in the United States. Medical practice characteristics differed from physician characteristics. Although 35.8 percent of office-based physicians were in solo practice, 69.2 percent of medical practices consisted of solo practitioners. The one-fifth of medical practices with three or more physicians (19.5 percent) contains about one-half of all office-based physicians (52.4 percent). About 8.4 percent of medical practices involved multiple specialties. Fifteen percent of medical practices, consisting of 19.0 percent of physicians, used electronic medical records. Similarly, 6.5 percent of medical practices, consisting of 9.2 percent of physicians, used computerized prescription order entry systems.