Hing Esther, Burt Catharine W
Division of Health Care Statistics, Centers for Disease Control and Prevention, National Center for Health Statistics, Hyattsville, Maryland 20782, USA.
Vital Health Stat 13. 2007 Jan(164):1-34.
This report presents demographic and practice characteristics of nonfederal physicians who were primarily engaged in office-based patient care in the United States during 2003-04.
The data in this report were collected during the physician induction interview for the 2003 and 2004 National Ambulatory Medical Care Surveys (NAMCS). NAMCS includes a national probability sample of nonfederal office-based physicians who saw patients in an office setting. It excludes physicians in the specialties of anesthesiology, radiology, and pathology, as well as physicians practicing in hospitals, institutions, and occupational settings. Sample data were weighted to produce national estimates of the number of physicians and characteristics of their practices.
During 2003-04, an average annual of 311,200 office-based physicians provided patient care in the United States, an overall rate of 108.4 physicians per 100,000 persons. Approximately three-fourths of office-based physicians owned or were part owner of their practice, two-thirds of physicians worked in group practices with two or more physicians, and one-half of office-based physicians were primary care specialists. Physicians with 10 or more managed care contracts spent less time per patient visit, but had more weekly visits compared with physicians with fewer than three managed care contracts. The average total weekly number of encounters (consults or visits) and the average number of office visits per physician were greater among primary care specialists compared with other specialty types. About one-fourth of physicians (25.5 percent), reported that they did not accept new Medicaid patients and 13.9 percent did not accept new Medicare patients-similar to previous years.
本报告呈现了2003 - 2004年期间主要在美国从事门诊患者护理工作的非联邦医生的人口统计学和执业特征。
本报告中的数据是在2003年和2004年全国门诊医疗护理调查（NAMCS）的医生入职访谈期间收集的。NAMCS包括一个全国概率样本，样本为在门诊环境中接待患者的非联邦门诊医生。它不包括麻醉学、放射学和病理学专业的医生，以及在医院、机构和职业场所执业的医生。样本数据经过加权处理，以得出全国医生数量及其执业特征的估计值。
在2003 - 2004年期间，美国平均每年有311,200名门诊医生提供患者护理服务，总体比例为每10万人中有108.4名医生。大约四分之三的门诊医生拥有自己的诊所或为部分所有者，三分之二的医生在有两名或更多医生的团体诊所工作，一半的门诊医生是初级保健专科医生。与管理式医疗合同少于三份的医生相比，拥有10份或更多管理式医疗合同的医生每次患者就诊花费的时间较少，但每周就诊次数更多。与其他专科类型相比，初级保健专科医生的平均每周总诊疗次数（会诊或就诊）和每位医生的平均门诊就诊次数更多。约四分之一的医生（25.5%）报告称他们不接受新的医疗补助患者，13.9%的医生不接受新的医疗保险患者，这与前几年类似。
