Miller K A, Miller D A, Doeksen G A, Shelton P S
Department of Internal Medicine, University of Oklahoma Health Sciences Center-Tulsa 74129.
South Med J. 1991 Jul;84(7):871-5. doi: 10.1097/00007611-199107000-00012.
The availability of adequate health care is a major concern of urban and rural citizens. Community leaders and hospital administrators attempting to recruit family physicians and health care providers considering a specific community need a method by which they can evaluate a community's potential for supporting a first or additional primary care physician. To develop this method, a detailed survey of family practices geographically dispersed throughout Oklahoma was conducted in 1989. Data collected from family physicians and their administrative staff reflected the volume of ambulatory and hospital visits and the direct and indirect costs of the practice over the previous 12 months. Using the fixed and operating cost data, as well as number of patient visits and patient care revenue, we designed a model to project the economic feasibility of establishing a family practice in a specific community. This model can be used to project the number of visits a community can generate for a prospective family physician, as well as the direct and indirect costs, gross revenue, and net income of the practice.
获得充足的医疗保健是城乡居民主要关心的问题。社区领导人和医院管理人员试图招聘家庭医生，而考虑到特定社区需求的医疗保健提供者需要一种方法来评估社区支持首位或额外的初级保健医生的潜力。为了开发这种方法，1989年对俄克拉荷马州各地地理分布的家庭医疗实践进行了详细调查。从家庭医生及其行政人员收集的数据反映了前12个月的门诊和住院就诊量以及医疗实践的直接和间接成本。利用固定成本和运营成本数据，以及患者就诊次数和患者护理收入，我们设计了一个模型来预测在特定社区建立家庭医疗实践的经济可行性。该模型可用于预测一个社区可为未来的家庭医生带来的就诊次数，以及该医疗实践的直接和间接成本、总收入和净收入。
