參與聯合執業基層醫師之特性及其較認同的聯合執業模式

Physician Characteristics in Group Practice and the Appropriate Model of Group Practice

陳楚杰(Chu-Chieh Chen) ； 楊銘欽(Ming-Chin Yang) ； 林恆慶(Herng-Ching Lin) ； 黃昱瞳(Yu-Tung Huang)

《醫護科技學刊》 4卷4期 (2002/10) Pp. 337-348

https://doi.org/10.6563/TJHS.2002.4(4).6

摘要

目標：本研究旨在比較聯合執業醫師與單獨執業醫師特性的差異，及探討聯合執業醫師較認同的聯合執業模式。方法：本研究以2001年11月登記執業的9,336家診所為研究對象，共郵寄出9,336份問卷，回收1,821份，回收率為19.5%，為使樣本能反應基層醫師的真實現況及具有代表性，首先排除年齡小於30歲及大於70歲的受訪者後，再扣除有遺漏值的問卷，最後共有1,401份有效樣本。使用SPSS10.0進行問卷回收資料之建檔及統計分析。結果：(一)比較聯合執業醫師與單獨執業醫師特性的差異，有顯著不同的自變項有：年齡、男性、目前執業地點、目前執業場所權屬別及曾在醫院工作年資。(二)已參與聯合執業的醫師其較認同的聯合執業模式為：1.在經營型態方面：有81%的醫師認為應該由醫師獨資或與人合夥經營；2.在期待的醫師數目方面：有52%的醫師期待與1-2位醫師聯合執業；3.在期待的科別方面：有54%的醫師認為應同科別或性質相似之科別醫師；4.在管理方式方面：有63.7%的醫師認為應由合夥人或擁有人自行管理；5.在收入分配方式方面：有53.3%的醫師認為應採固定薪資加績效；6.與醫院的互動模式方面：有41.0%的醫師認為應維持現有互相轉診的模式；7.應有的醫療輔助設施主要包括藥局、檢驗設備、超音波、心電圖及X光機。結論：結果可提供給衛生主管機關制定衛生政策及開業醫師籌劃聯合執業之參考。

關鍵字

聯合執業 ； 執業模式

並列摘要

Purposes: The purpose of this study is to compare the differences between the solo physicians and physicians in group practice and to explore an appropriate model for the group practice.
Methods: The sample includes 9,336 primary care physicians registered in the Department of Health in November 2001. A total of 9,336 questionnaires were mailed, of which 1,821 were returned, a response rate of 19.5%. Respondents aged below 30 or over 70 were excluded. Respondents from whom data were missing were also excluded, and the number of the sampling remaining was 1,401. The Statistical Package for the Social Sciences (SPSS) was used to analyze the data.
Results: The differences between the characteristics of solo physicians and physicians in group practice included age, gender, location of clinic, current ownership of clinic, and number of years of working in hospitals. The physicians in group practices thought that the appropriate group practice model was as follows; (1) 81 % preferred to work with a partner or as a sole proprietor; (2) 52% favored one to two physicians' working in a group practice; (3) 54% preferred the single-specialty practice model; (4) most respondents (63.7%) thought that the owner or co-owners should manage a group practice; (5) most also (53.3%) preferred a fixed salary plus production-based compensation; (6) most respondents (41 %) preferred to maintain Current mutual referral relationships; and (7) the top five preferred supplemental medical requirements in a group practice, as selected by primary care physicians、were a pharmacy, laboratory, ultrasound unit, ECG, and X-ray.
Conclusions: The findings of this study could help policy makers and primary care physicians to determine their most appropriate model of group practice.

並列關鍵字

group practice ； practice model

參考文獻

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