The relationship between physician hours of work, service volume and service intensity
The relationship between physician hours of work, service volume and service intensity
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DOI：
10.3138/1p17-2098-8553-7311
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发表时间：
2007-01-01
影响因子：
3.1
通讯作者：
Hurley, Jeremiah
中科院分区：
文献类型：
--
作者：
Jeon, Sung-Hee;Hurley, Jeremiah
在加拿大，当医生的工作时间发生重大变化时，出现了获得医生服务的问题。本研究利用随机抽样的安大略省全科/家庭医生的个人水平数据，调查医生直接治疗病人的时间与医生服务提供之间的关系。实证结果表明，医生总计费的差异主要是医生每小时计费的差异，而不是医生工作时间的差异。每小时平均收费与病人护理的平均小时数之间也存在负相关。这一模式在按医生性别、执业地点、执业类型和毕业年限定义的亚组分析中得到了体现。
Problems of access to physician services have arisen in Canada at a time when physician hours of work have been undergoing important changes. This study investigates the relationship between physicians' hours of direct patient care and physicians' service supply using individual-level data from a random sample of Ontario general/family physicians. The empirical findings reveal that the variation across physicians in total billing is dominated by the variation in physicians' billings per hour rather than by the variation in physicians' working hours. There is also negative correlation between average billing per hour and average number of hours of patient care. This pattern is shown in analyses of subgroups defined by the gender of the physician, by practice location, by practice type, and by years since graduation.