群體執業與單獨執業醫師之生產力比較

Comparison of Physician Productivity in Solo and Group Practice

鄭守夏(Shou-Hsia Cheng) ； 何玉雪(Yu-Hsueh Ho)

《中華公共衛生雜誌》 16卷5期 (1997/10) Pp. 428-434

https://doi.org/10.6288/CJPH1997-16-05-05

摘要

開業醫師群體執業在國外較為普遍，而過去的研究也顯示群體執業比單獨執業較有效率。本研究即在探討國內開業醫師群體執業的狀況並檢視其營運效率。資料係於民國85年以郵寄問卷方式，對全國所有8666名開業醫師做調查，回收率為21.2%，其中計有1804份有效問卷。樣本中只有159位醫師（佔8.8%）所在的診所為群體執業（至少有兩位醫師執業）。本研究初步要現，由醫師群體執業的診所比單獨執業者聘用較多的工作人員，而受訪醫師的工作時間較少，且其每日的門診人次較多。另以複迴歸模型控制醫師個人特質、診所特性及診所投入變項後發現，採群體執業的開業醫師比單獨執業的醫師有較高的門診生產力，平約每天多看16%的病人；但由於樣本中群體執業的醫師過少且為橫斷性資料，分析的結果宜保守推論。

關鍵字

群體執業 ； 開業醫師 ； 生產力

並列摘要

Physician group practice is more popular in industrialized countries than in Taiwan. A number of studies show that group practice tends to be more efficient than solo practice. This study examines current situation of physician group practice and compares physician productivities in solo and group practice settings. Data were obtained from mailing questionnaires to clinic physicians nation-wide in 1996. A total of 1804 subjects with completed information were included in the analysis. Only 159 physicians (8.8%) were in group- practice settings. Results showed that group-practice clinics hired more ancillary personnel than solo practice; physicians in group practice settings had fewer working-hours per week and had more out-patient visits. After controlling variables of physician characteristics, clinic features and practice inputs in the model, the multiple regression analysis revealed that physicians in group practice settings had higher productivity than the solo ones (with 16% more patients per day). However, due to the nature of cross-sectional data and the low rate of group practice, implications of the findings should be made conservatively. Results from the analysis suggest that group practice is more productive and might be more efficient than solo practice.

並列關鍵字

group practice ； clinic physician ； productivity