Hurdle S, Pope G C
Health Economics Research, Inc., Needham, MA 02194.
Inquiry. 1989 Spring;26(1):100-15.
Projections of a physician surplus for the 1990s have assumed that physician productivity will be constant at 1970s levels. Using the HCFA-NORC physician surveys of 1975, 1979, and 1984-85, this study examines trends in physician productivity over the past decade and estimates the impacts of physician and practice characteristics on current productivity. Visit productivity declined significantly between 1975 and 1984, suggesting that the projected surplus may be overstated. Cross-sectional results show that participation in alternative health plans is not associated with greater productivity, except for the higher work effort of independent practice association participants. The effects of physician time, nonphysician aides, and physician gender on productivity vary with alternative visit and revenues measures of productivity.
对20世纪90年代医生过剩情况的预测假定医生的工作效率将维持在20世纪70年代的水平。本研究利用1975年、1979年以及1984 - 1985年医疗保健财务管理局（HCFA）与全国民意研究中心（NORC）联合开展的医生调查，考察了过去十年间医生工作效率的变化趋势，并估算了医生及执业特征对当前工作效率的影响。1975年至1984年间，门诊工作效率显著下降，这表明预计的过剩情况可能被高估了。横断面研究结果显示，参与替代健康计划与更高的工作效率并无关联，但独立执业协会的参与者工作更努力除外。医生工作时间、非医生助手以及医生性别对工作效率的影响，会因不同的门诊及工作效率收入衡量指标而有所不同。
