Measurement and analysis of intraservice work.
Measurement and analysis of intraservice work.
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内部工作的测量和分析。
DOI：
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发表时间：
1988
期刊：
影响因子：
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通讯作者：
Christine S. Spencer
中科院分区：
文献类型：
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作者：
William C. Hsiao;D. Yntema;Peter Braun;Daniel L. Dunn;Christine S. Spencer
医生所做的工作代表了医疗服务和程序的主要资源投入。在本文中，我们描述了工作的概念及其维度，以及为衡量它们而开发的方法。我们还描述了对 18 个专业的医生进行的全国概率调查的设计和结果。我们展示了选定服务的结果——工作的估计价值及其维度。我们的研究结果表明，医生可以对工作给出可靠且有效的评级，并且我们可以将这项工作建模为四个维度的函数：时间、脑力劳动和判断力、技术技能和体力劳动以及压力。分析工作与这四个维度之间复杂的函数关系表明，所有四个维度在预测工作方面都很重要并且具有统计显着性。在预测医学专业的工作时，时间是比外科专业更重要的维度，估计的回归系数分别在 0.3 和 0.5 之间以及 0.2 和 0.3 之间。相比之下，在预测外科专业的工作方面，技术技能比医学专业的工作更重要，估计的回归系数分别在 0.3 和 0.5 之间以及 0.2 和 0.3 之间。最后，我们发现四个维度的指数方程精确地描述了总功。
The work that physicians perform represents a major resource input to medical services and procedures. In this article we describe the concepts of work and its dimensions, as well as the methods developed to measure them. We also describe the design and results of a national probability survey of physicians in 18 specialties. We present the results--estimated values of work and its dimensions--for selected services. Our findings indicate that physicians can give reliable and valid ratings of work and that we can model this work as a function of four dimensions: time, mental effort and judgment, technical skill and physical effort, and stress. Analyzing the complex functional relationship between work and these four dimensions shows that all four dimensions are important and statistically significant in predicting work. Time is a more important dimension in predicting work for medical specialties than for surgical specialties, with the estimated regression coefficients between .3 and .5 and .2 and .3, respectively. In contrast, technical skill is a more important dimension in predicting work in surgical specialties than for medical specialties, with the estimated regression coefficients between .3 and .5 and .2 and .3, respectively. Finally, we found that an exponential equation of the four dimensions precisely describes total work.