医院会诊医生的性别与活动率差异
Gender and variation in activity rates of hospital consultants.
作者信息
Bloor Karen, Freemantle Nick, Maynard Alan
机构信息
Department of Health Sciences, University of York, UK.
出版信息
J R Soc Med. 2008 Jan;101(1):27-33. doi: 10.1258/jrsm.2007.070424.
OBJECTIVE
To explore whether or not gender predicts consultant activity rates.
DESIGN
Using data from the Hospital Episode Statistics for England 2004/2005, we explored inpatient activity rates of male and female hospital consultants, with and without adjustment for case-mix differences. As a sensitivity analysis we also explored outpatient attendances for male and female hospital consultants.
SETTING
Data from the Hospital Episode Statistics for England.
MAIN OUTCOME MEASURES
Finished consultant episodes per year, with and without adjustment for case-mix differences, age and gender of consultant, contract held, hospital trust, specialty of practice, and clinical excellence awards, discretionary points and distinction awards.
RESULTS
Including only consultants on full-time or maximum part-time contracts, men have significantly higher activity rates than women, after accounting for age, specialty and hospital trust.
CONCLUSIONS
The reasons for the different activity rates of male and female consultants are unclear, but the implications of these results for the planning of the medical workforce are important.
目的
探讨性别是否能预测顾问医生的工作效率。
设计
利用2004/2005年英格兰医院事件统计数据，我们研究了男性和女性医院顾问医生的住院患者工作效率，同时对病例组合差异进行了调整和未调整的情况。作为敏感性分析，我们还研究了男性和女性医院顾问医生的门诊就诊情况。
背景
来自英格兰医院事件统计的数据。
主要观察指标
每年完成的顾问医生诊疗次数，同时对病例组合差异、顾问医生的年龄和性别、所持合同、医院信托、执业专业以及临床卓越奖、酌情积分和杰出奖进行调整和未调整。
结果
仅纳入全职或最大兼职合同的顾问医生，在考虑年龄、专业和医院信托因素后，男性的工作效率显著高于女性。
结论
男女顾问医生工作效率不同的原因尚不清楚，但这些结果对医疗劳动力规划的影响很重要。
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