Krein S L, Christianson J B, Chen M M
J Rural Health. 1997 Fall;13(4):306-19. doi: 10.1111/j.1748-0361.1997.tb00973.x.
The local supply of physicians has a strong influence on the availability and the quality of services provided by rural hospitals. Nevertheless, there are no published studies that describe the composition of rural hospital medical staffs and, in particular, the availability of specialists on these staffs. This study uses 1991 and 1994 survey data from rural hospitals located in eight states to describe the specialty composition and factors that influence the presence of specialists on rural hospital medical staffs. The results show a strong, positive association between the level of medical staff specialization in rural hospitals and the level of medical specialization of their closet rural neighbors, which suggests there is competition among rural hospitals based on the composition of the hospital medical staff. Analysis by specialty type, however, indicates that the degree of competition may differ for different types of specialists.
当地医生的供应情况对农村医院所提供服务的可得性和质量有着重大影响。然而，目前尚无已发表的研究描述农村医院医务人员的构成，尤其是这些人员中专科医生的可得性。本研究使用来自八个州农村医院的1991年和1994年调查数据，来描述专科构成以及影响农村医院医务人员中专科医生存在的因素。结果显示，农村医院医务人员的专业化水平与其距离最近的农村邻居的医疗专业化水平之间存在强烈的正相关关系，这表明农村医院之间基于医院医务人员构成存在竞争。然而，按专科类型进行的分析表明，不同类型专科医生的竞争程度可能有所不同。
