Gleason S C, Richards M J, Quinnell J E
Mercy Clinics, Inc., Des Moines, IA, USA.
Physician Exec. 1995 Dec;21(12):29-33.
Physicians practicing in large, multispecialty medical groups share an organizational culture that differs from that of physicians in small or independent practices. Since 1980, there has been a sharp increase in the size of multispecialty group practice organizations, in part because of increased efficiencies of large group practices. The greater number of physicians and support personnel in a large group practice also requires a relatively more sophisticated management structure. The efficiencies, conveniences, and management structure of a large group practice provide an optimal environment to practice medicine. However, a search of the literature found no data linking a large group practice environment to practice outcomes. The purpose of the study reported in this article was to determine if physicians in large practices have fewer quality and utilization problems than physicians in small or independent practices.
在大型多专科医疗集团执业的医生拥有一种与小型或独立执业医生不同的组织文化。自1980年以来，多专科集团执业组织的规模急剧增加，部分原因是大型集团执业效率提高。大型集团执业中更多的医生和支持人员也需要相对更复杂的管理结构。大型集团执业的效率、便利性和管理结构为行医提供了一个最佳环境。然而，对文献的检索未发现将大型集团执业环境与执业结果联系起来的数据。本文报道的这项研究的目的是确定大型执业中的医生是否比小型或独立执业中的医生存在更少的质量和利用问题。
