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首页> 外文期刊>Health services management research: an official journal of the Association of University Programs in Health Administration >Predictors of surgeons' efficiency in the operating rooms
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Predictors of surgeons' efficiency in the operating rooms

机译：预测外科医生的效率手术室

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摘要

The sustainability of the Japanese healthcare system is questionable because of a huge fiscal debt. One of the solutions is to improve the efficiency of healthcare. The purpose of this study is to determine what factors are predictive of surgeons' efficiency scores. The authors collected data from all the surgical procedures performed at Teikyo University Hospital from April I through September 30 in 2013—2015. Output-oriented Charnes-Cooper-Rhodes model of data envelopment analysis was employed to calculate each surgeon's efficiency score. Seven independent variables that may predict their efficiency scores were selected: experience, medical school, surgical volume, gender, academic rank, surgical specialty, and the surgical fee schedule. Multiple regression analysis using random-effects Tobit model was used for our panel data. The data from total 8722 surgical cases were obtained in 18-month study period. The authors analyzed 134 surgeons. The only statistically significant coefficients were surgical specialty and surgical fee schedule (p = 0.000 and p = 0.016, respectively). Experience had some positive association with efficiency scores but did not reach statistical significance (p = 0.062). The other coefficients were not statistically significant. These results demonstrated that the surgical reimbursement system, not surgeons' personal characteristics, is a significant predictor of surgeons' efficiency.
机译：日本医疗保健的可持续性因为一个巨大的财政系统是有问题的债务。医疗保健的效率。研究是确定哪些因素是预测外科医生的效率得分。收集的数据从所有的外科手术执行军事大学医院4月我通过2013 - 2015年9月30日。Output-oriented Charnes-Cooper-Rhodes模型数据包络分析是用来计算每个外科医生的效率得分。可能预测他们的独立变量效率分数选择:经验,医学院外科体积,性别、学术外科专业排名,手术费用时间表。随机托比特书模型是用于我们的面板数据。在18个月的研究期间获得的。作者分析了134个外科医生。统计上显著的系数外科专业和手术费用表(p =分别为0.000,p = 0.016)。有一些积极的协会效率呢成绩,但没有达到统计学意义(p = 0.062)。统计学意义。证明了手术报销系统,而不是外科医生的个人特点,是一个重要的预测外科医生的效率。

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