Time is money: opportunity cost and physicians' provision of charity care 1996-2005.
Time is money: opportunity cost and physicians' provision of charity care 1996-2005.
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时间就是金钱：1996-2005 年机会成本和医生提供的慈善医疗服务。
DOI：
10.1111/j.1475-6773.2010.01139.x
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发表时间：
2010
影响因子：
3.4
通讯作者：
Wright,DavidBradley
中科院分区：
文献类型：
--
作者：
Wright,DavidBradley
目的。测试医生提供的慈善护理是否取决于他们的时薪。数据来源。来自四轮社区跟踪研究（CTS）医生调查（1996-2005）的二级数据。数据是全国代表性的非联邦办公室和医院为基础的医生每周花费至少20小时的病人护理studyDesign.A两部分模型与网站级的固定效应，时间趋势变量，和网站年的相互作用是用来模拟医生的小时工资和他们的决定，以提供任何慈善护理和慈善护理提供的金额之间的关系。受薪和非受薪医生分别建模。数据收集/提取方法。来自每轮CTS的数据被合并到一个包含38，087个医生年观察结果的单一横截面文件中。主要发现。医生的小时工资和提供慈善护理的可能性之间的关联对于受薪医生是积极的，而对于非受薪医生是消极的。在提供任何慈善护理的医生中，每小时工资与提供的慈善护理量呈正相关，而无论其工资状况如何。实践特点也是显着的。Conclusions.The财务考虑的受薪医生显着不同的nonsalaried医生在决定提供慈善护理，但因素类似的慈善护理提供的金额。
Objective.To test whether physicians' provision of charity care depends on their hourly wage.Data Sources.Secondary data from four rounds of the Community Tracking Study (CTS) Physician Survey (1996–2005). Data are nationally representative of nonfederal office‐ and hospital‐based physicians spending at least 20 hours per week on patient care.Study Design.A two‐part model with site‐level fixed effects, time trend variables, and site–year interactions is used to model the relationship between physicians' hourly wage and both their decision to provide any charity care and the amount of charity care provided. Salaried and nonsalaried physicians are modeled separately.Data Collection/Extraction Methods.Data from each round of the CTS were merged into a single cross‐sectional file with 38,087 physician‐year observations.Principal Findings.The association between physician's hourly wage and the likelihood of providing charity care is positive for salaried physicians and negative for nonsalaried physicians. Among physicians providing any charity care, hourly wage is positively associated with the amount of charity care provided regardless of salaried status. Practice characteristics are also significant.Conclusions.The financial considerations of salaried physicians differ significantly from those of nonsalaried physicians in the decision to provide charity care, but factor similarly into the amount of charity care provided.