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地理区域和选定大都市地区的口腔外科医生。

Oral surgeons in geographic regions and selected metropolitan areas.

作者信息

Graham J W

出版信息

J Oral Surg. 1979 Apr;37 Spec No A:A50-64.

PMID:285252
Abstract

Region of practice location and size of the metropolitan area where a practice is located have been considered important manpower variables. This report of The Manpower Survey of Oral Surgery in 1974 described the relationship of these two variables to various other characteristics of the practice of oral surgery. Geographic region of the respondents and population of the practice location appeared to influence each other to some extent. There was a small but significant relationship between geographic region and age for 2,251 oral surgeons as well as for the 1,584 in full-time private practice. A similar relationship was observed between population of trade area and age. In each situation, the relationship was not consistent enough to describe a definite trend in the relationship. Both geographic region and population of trade area were associated to a small extent with variations in the professional income of oral surgeons. In New England oral surgeons seemed to earn less than expected whereas in the East North Central states they earned more than expected. There was a significant relationship between geographic region, population of trade area, and type of practice. In the eastern part of the United States, there was a tendency for fewer oral surgeons than statistically expected to establish a solo practice. There was some relationship between geographic region and hours devoted to practice for all oral surgeons as well as for those in full-time private practice. Three regions, West North Central, West South Central, and South Atlantic, had significantly more oral surgeons than statistically expected working more than 50 hours/week, whereas three other regions, East North Central, Mountain, and Pacific, had significantly fewer than statistically expected working more than 50 hours/week. In most areas except New England and the West North Central states, geographic region had no association with the average amount of inpatient or outpatient services the respondents provided. Geographic region appeared to influence the average number of surgical procedures performed. It also had some relationship to the incorporation of dental practice and the distribution of dental staff at the principle hospital used by the respondents. According to the 1974 estimated population for calculating the expected frequencies, there were more active members than expected in the American Society of Oral Surgeons in the New England, Middle Atlantic, and Pacific states and fewer than expected in the West North Central, East South Central, and Mountain states. More respondents than expected on the west coast took two weeks or less of vacation whereas more respondents than statistically expected on the east coast took more than three weeks of vacation.

摘要

执业地点所在区域以及执业所在大都市区的规模,被视为重要的人力变量。这份1974年口腔外科人力调查报告描述了这两个变量与口腔外科执业的其他各种特征之间的关系。受访者的地理区域和执业地点的人口在一定程度上似乎相互影响。对于2251名口腔外科医生以及1584名全职私人执业医生而言,地理区域和年龄之间存在微弱但显著的关系。在商业区人口和年龄之间也观察到了类似的关系。在每种情况下,这种关系都不够一致,无法描述出一种明确的趋势。地理区域和商业区人口在一定程度上都与口腔外科医生的专业收入差异有关。在新英格兰地区,口腔外科医生的收入似乎低于预期,而在东中北部各州,他们的收入高于预期。地理区域、商业区人口和执业类型之间存在显著关系。在美国东部地区,独立执业的口腔外科医生数量比统计预期的要少。对于所有口腔外科医生以及全职私人执业医生而言,地理区域和用于执业的时间之间存在一定关系。西中北部、西中南部和南大西洋这三个地区,工作时长超过每周50小时的口腔外科医生数量比统计预期的显著更多,而其他三个地区,东中北部、山区和太平洋地区,工作时长超过每周50小时的口腔外科医生数量比统计预期的显著更少。除了新英格兰和西中北部各州之外,在大多数地区,地理区域与受访者提供的住院或门诊服务的平均数量没有关联。地理区域似乎会影响所实施外科手术的平均数量。它还与牙科执业的合并以及受访者所使用的主要医院的牙科工作人员分布存在一定关系。根据1974年用于计算预期频数的估计人口数,在美国口腔外科医生协会中,新英格兰、中大西洋和太平洋各州的活跃会员数量多于预期,而在西中北部、东中南部和山区各州则少于预期。西海岸休假两周或更短时间的受访者比预期更多,而东海岸休假超过三周的受访者比统计预期更多。

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