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重新审视医生影响分析:预测的与观察到的医院资源使用情况。

Revisiting physician impact analyses: predicted versus observed hospital resource use.

作者信息

Kuntz D, Roberts J, Browne G, Charles C

机构信息

Oakville Trafalgar Memorial Hospital, Ontario.

出版信息

Healthc Manage Forum. 1993 Fall;6(3):27-33. doi: 10.1016/S0840-4704(10)61103-9.

DOI:10.1016/S0840-4704(10)61103-9
PMID:10129771
Abstract

In order to determine the accuracy of predictions made using Physician Impact Analysis (PIA), a comparison was undertaken of predicted versus actual resource use for 10 new physician specialists at a southern Ontario community hospital. The predictions were done from 1987 to 1989 using methodology recommended by the Ontario Hospital Association (OHA) and available at that time. This included (1) Hospital Medical Records Institute data and (2) a hospital service department survey. A comparison was made between PIA predictions and actual physician resource utilization data gathered in 1991. There was little agreement between the two. The usefulness of PIA rests largely on its ability to generate accurate predictions about a new physician recruit's number of cases and hospital resource use. However, because this research was undertaken in only one community hospital, further evaluation of the PIA process is recommended.

摘要

为了确定使用医师影响分析(PIA)所做预测的准确性,对安大略省南部一家社区医院10位新入职医师专家的预测资源使用情况与实际资源使用情况进行了比较。这些预测是在1987年至1989年期间,使用安大略省医院协会(OHA)当时推荐且可用的方法进行的。这包括(1)医院医疗记录研究所的数据和(2)医院服务部门的调查。将PIA预测结果与1991年收集的医师实际资源利用数据进行了比较。两者之间几乎没有一致性。PIA的实用性在很大程度上取决于其对新招聘医师的病例数量和医院资源使用情况做出准确预测的能力。然而,由于这项研究仅在一家社区医院进行,建议对PIA过程进行进一步评估。

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