Burns L R, Wholey D R, Huonker J
Health Serv Manage Res. 1989 Nov;2(3):191-203. doi: 10.1177/095148488900200303.
This paper examines the determinants of hospital utilisation in one county. In contrast to previous studies, the paper examines the physician rather than the patient as the key decision-maker. Specifically, the paper assesses the impact of several physician, patient, and hospital characteristics on the probability of admitting to a hospital, the volume of the physician's admissions at the hospital, and the concentration of the physician's admissions at the hospital. Distance from the physician's office to the hospital exerts the strongest and most consistent effects. The results are interpreted in light of several theoretical and research perspectives on physician behaviour.
本文考察了一个县医院利用情况的决定因素。与以往研究不同的是,本文将医生而非患者视为关键决策者进行考察。具体而言,本文评估了若干医生、患者及医院特征对住院概率、医生在该医院的住院患者数量以及医生在该医院住院患者集中度的影响。从医生办公室到医院的距离产生的影响最为显著且最为一致。本文根据关于医生行为的若干理论和研究视角对研究结果进行了解读。