• 主题
高级搜索  >
历史搜索 清空历史
首页> 外文学位 >A model of physician behavior, payment method, and practice setting: An analysis of physicians in the former East Germany.
【24h】

A model of physician behavior, payment method, and practice setting: An analysis of physicians in the former East Germany.

机译：医师行为，支付方式和执业环境的模型：对前东德医师的分析。

获取原文
获取原文并翻译 | 示例
页面导航
  • 摘要
  • 著录项
  • 相似文献
  • 相关主题

摘要

Statement of the problem. This project determined the impact that a physician's practice setting and payment method has on his or her practice behavior. It also examined the possible existence of supplier-induced demand.;Methods. Using the framework of the Utility Maximization Theory, the hypotheses were tested in this cross-sectional study by comparing physicians in Germany in three organizational arrangements differing in practice setting and payment method. A series of multivariate-regressions were conducted controlling for physician, patient and practice characteristics. The primary data source was an original questionnaire that sampled physicians practicing in the state of Brandenburg, Germany.;Results. Physicians paid on a fee-for-service basis were found to differ on measures of utilization and time allocation from physicians paid a salary. No variables were found to differ significantly between group and solo physicians. Group physicians paid on a fee-for-service basis behaved more similarly to solo practitioners than their group colleagues paid a salary on the factors measured.;Support for the supplier-induced theory was found in the regressions for the number of visits. Fee-for-service, solo providers saw 82 more patients per week than salaried, group physicians. Fee-for-service providers are also more inclined to make house calls and see the same patients more often.;Additionally, a fee-for-service payment system was shown to significantly increase the hours that a physician spent practicing medicine, 54 hours per week versus salaried, group physicians who averaged 41 hours per week. This result was repeated when time allocation decisions were analyzed, including the number of hours spent in direct contact with patients, hours spent in administrative duties as well as hours spent on other medically related activities.;Conclusions. This research found support for the supplier-induced demand theory. A fee-for-service payment method, when compared to a salary payment method, was found to encourage doctors to work longer hours and increase the number of patient visits, including follow-up visits, while a group practice setting demonstrated little impact over a solo practice within the German context.
机译：问题陈述。该项目确定了医生的执业设置和付款方式对其执业行为的影响。它还检查了供应商诱导的需求的可能存在。使用效用最大化理论的框架，通过比较德国医生在三种组织安排（实践设置和付款方式有所不同）中对假设进行了检验，以进行这项横断面研究。进行了一系列多元回归，以控制医师，患者和实践的特征。主要数据来源是原始调查表，该调查表对在德国勃兰登堡州执业的医生进行了抽样。发现按服务付费的医师在使用率和时间分配方面与医师支付的薪酬有所不同。没有发现组医生和独行医生之间存在显着差异。与按团队付费的团队医生相比，按服务付费的团队医生的行为与单独医师的行为更为相似。在访问次数的回归中，发现了对供应商诱导理论的支持。有偿服务的单身提供者每周比受薪的集体医生多接待82名患者。收费服务提供者也更倾向于打上门诊并且更频繁地拜访同一位患者。；此外，收费服务支付系统还显着增加了医生执业时间，每次54小时周与领薪的小组医生平均每周41小时的工作时间。在分析时间分配决定时重复了此结果，包括与患者直接接触所花费的小时数，行政职责所花费的时间以及其他医学相关活动所花费的时间。这项研究为供应商诱导的需求理论提供了支持。与按工资支付的支付方式相比，发现按服务付费的支付方式可以鼓励医生工作更长的时间，并增加患者就诊的次数，包括随访，而团体实践环境对医生的影响不大。在德国范围内进行独奏练习。

著录项

  • 作者

    Kinder, Karen S.;

  • 作者单位

    The Johns Hopkins University.;

  • 授予单位 The Johns Hopkins University.;
  • 学科 Economics General.;Political Science Public Administration.;Health Sciences Health Care Management.
  • 学位 Ph.D.
  • 年度 2000
  • 页码 245 p.
  • 总页数 245
  • 原文格式 PDF
  • 正文语种 eng
  • 中图分类
  • 关键词

相似文献

  • 外文文献
  • 中文文献
  • 专利
获取原文

客服邮箱：kefu@zhangqiaokeyan.com

京公网安备：11010802029741号 ICP备案号：京ICP备15016152号-6 六维联合信息科技 (北京) 有限公司©版权所有

  • 客服微信

  • 服务号