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城市内部医生分布。新的实证证据。

Intraurban physician location. New empirical evidence.

作者信息

Knaap G J, Blohowiak D

机构信息

Department of Urban and Regional Planning, University of Illinois, Urbana 61801.

出版信息

Med Care. 1989 Dec;27(12):1109-16. doi: 10.1097/00005650-198912000-00003.

DOI:10.1097/00005650-198912000-00003
PMID:2593728
Abstract

This article addresses an issue of continuing interest to social scientists: the spatial distribution of physician services. Although there have been many studies of physician distribution across urban areas and states, there have been few studies, none recent, of physician distribution within urban areas. The paper begins with a review of studies that examine the determinants of intraurban physician location. Following the review the paper offers new estimates of the determinants of intraurban physician location using a maximum-likelihood procedure based on the Poisson distribution. Contrary to previous studies, the results imply that market forces do play a significant role in the spatial distribution of physicians.

摘要

本文探讨了社会科学家一直感兴趣的一个问题

医师服务的空间分布。尽管已经有许多关于医师在城市地区和各州分布情况的研究,但针对城市内部医师分布的研究却很少,且近期没有此类研究。本文首先回顾了那些研究城市内部医师分布决定因素的文献。在回顾之后,本文使用基于泊松分布的最大似然法,对城市内部医师分布的决定因素给出了新的估计。与之前的研究相反,研究结果表明市场力量在医师的空间分布中确实起着重要作用。

相似文献

1
Intraurban physician location. New empirical evidence.城市内部医生分布。新的实证证据。
Med Care. 1989 Dec;27(12):1109-16. doi: 10.1097/00005650-198912000-00003.
2
Too many physicians in the wrong places and specialties? Populations and physicians from a market perspective.是否存在过多医生分布在错误的地区和专业领域?从市场角度看人口与医生的情况。
J Health Care Mark. 1989 Dec;9(4):18-26.
3
Evaluating the effect of Japan's 2004 postgraduate training programme on the spatial distribution of physicians.评估日本2004年研究生培训计划对医生空间分布的影响。
Hum Resour Health. 2015 Jan 24;13(1):5. doi: 10.1186/1478-4491-13-5.
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Geographic access to physician services.获得医生服务的地理便利性。
Annu Rev Public Health. 1990;11:207-30. doi: 10.1146/annurev.pu.11.050190.001231.
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Policies to influence the spatial distribution of physicians: a conceptual review of selected programs and empirical evidence.
Med Care. 1976 Jun;14(6):455-68. doi: 10.1097/00005650-197606000-00001.
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Intraurban physician location: a case study of Phoenix.城市内部医生分布:以凤凰城为例的案例研究
Soc Sci Med Med Geogr. 1980 Dec;14(4):407-17. doi: 10.1016/0160-8002(80)90009-x.
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Trends in physician availability in 10 urban areas from 1963 to 1980.1963年至1980年10个城市地区医生可及性的趋势。
Inquiry. 1987 Summer;24(2):136-46.
8
More on the geographical distribution of physicians.
J Health Econ. 1987 Dec;6(4):365-74. doi: 10.1016/0167-6296(87)90021-x.
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Physician perceptions of practice environment and professional satisfaction in California: from urban to rural.加利福尼亚州医生对执业环境和职业满意度的看法:从城市到农村
J Rural Health. 2007 Summer;23(3):222-8. doi: 10.1111/j.1748-0361.2007.00094.x.
10
Strategic issues for managing the future physician workforce.管理未来医生劳动力的战略问题。
Baxter Health Policy Rev. 1996;2:149-82.

引用本文的文献

1
Multiple-site physician practices and their effect on service distribution.多地点医生执业及其对服务分配的影响。
Health Serv Res. 1993 Oct;28(4):503-22.