Woodworth Kenneth E, Donshik Peter C, Ehlers William H, Pucel David J, Anderson Lynn D, Thompson Nathan A
Kentucky Eye Institute, Lexington, KY, USA.
Eye Contact Lens. 2008 Jan;34(1):28-34. doi: 10.1097/ICL.0b013e31805ce1c0.
To compare ophthalmic practice productivity and performance attributes, as rated by employing ophthalmologists, of noncertified and three levels of certified ophthalmic medical personnel.
Three hundred eighty-five American and Canadian ophthalmologists in a clinic-based, stratified, random sample were surveyed regarding productivity performance and attributes of the ophthalmic medical personnel they employ. Instrument scales assessed 14 desirable professional attributes and 10 practice productivity measures. The attributes were credibility, reliability, competence, quality assurance, quality of patient care, knowledge base to make adjustments, increased skills (expertise), ability to work independently, broader knowledge base, ability to detect errors, ability to be trained to perform multiple roles in the practice, professional image, good judgment, and initiative and drive. The productivity measures were patient satisfaction, doctor productivity, trouble-shooting rapport, triage screening, effective patient flow, reduced patient complaints, increased referrals, number of patients per hour, revenue per patient, and patient follow-up. Participants indicated whether certified personnel more often showed these attributes and contributed to practice productivity measures as compared to noncertified personnel or whether there was no difference. Results were analyzed with a chi-square goodness-of-fit test. Survey reliability and validity were evaluated.
Significantly more ophthalmologists responded that the three levels of certified personnel contributed more to 5 of the 10 practice productivity measures (i.e., doctor productivity, trouble-shooting rapport, triage screening, effective patient flow, and number of patients per hour). A statistically significant number of ophthalmologists also believed that certified personnel showed more of all 14 of the personal attributes considered desirable compared to noncertified ophthalmic medical personnel.
Compared to noncertified personnel, the employment of certified ophthalmic personnel enhances the quality and productivity of an ophthalmic practice. Overall practice productivity is increased with certified ophthalmic medical personnel.
比较非认证眼科医务人员与三个认证级别的眼科医务人员在眼科执业生产率和绩效属性方面的差异，这些差异由聘用他们的眼科医生进行评级。
对385名来自美国和加拿大的眼科医生进行基于诊所的分层随机抽样调查，询问他们所聘用的眼科医务人员的生产率表现和属性。量表评估了14项理想的专业属性和10项执业生产率指标。这些属性包括可信度、可靠性、能力、质量保证、患者护理质量、进行调整的知识基础、技能提升（专业知识）、独立工作能力、更广泛的知识基础、发现错误的能力、接受培训以在执业中承担多种角色的能力、专业形象、良好判断力以及主动性和驱动力。生产率指标包括患者满意度、医生生产率、解决问题的融洽关系、分诊筛查、有效的患者流程、减少患者投诉、增加转诊、每小时患者数量、每位患者收入以及患者随访。参与者指出与非认证人员相比，认证人员是否更常展现这些属性并对执业生产率指标有贡献，或者是否没有差异。结果采用卡方拟合优度检验进行分析。对调查的信度和效度进行了评估。
显著更多的眼科医生表示，三个认证级别的人员对10项执业生产率指标中的5项（即医生生产率、解决问题的融洽关系、分诊筛查、有效的患者流程和每小时患者数量）贡献更大。在统计学上，有显著数量的眼科医生还认为，与非认证眼科医务人员相比，认证人员在所有14项被认为理想的个人属性方面表现更突出。
与非认证人员相比，聘用认证眼科人员可提高眼科执业的质量和生产率。认证眼科医务人员可提高整体执业生产率。
