Kotch J B, Coulter M L, Porter C Q, Miller C A
Department of Maternal and Child Health, University of North Carolina, Chapel Hill 27599-7400.
J Med Syst. 1988 Oct;12(5):285-94. doi: 10.1007/BF00996579.
Bureau Common Reporting Requirements (BCRR) data tapes for Fiscal Year 1980 were analyzed to determine whether the type of sponsoring agency influenced the productivity or indicators of care of Maternity and Infant Care and Children and Youth Projects. Sponsors were classified as either health department or non-health department, health department or major medical center, or public or private in three separate sets of analyses. Some of these analyses indicated that special projects that were either health department or public agency sponsored were more likely to have more non-medical patient encounters and more health education and social work staff for a given level of expenditures. Although publicly sponsored projects employed fewer physician equivalents than did the non-public projects, those physicians were more productive. Despite these differences in encounters, staffing, and utilization of physicians, there were no differences in available measures of the process of care between categories of projects in any of the analyses.
对1980财年的预算局通用报告要求(BCRR)数据磁带进行了分析,以确定资助机构的类型是否会影响母婴护理及儿童与青少年项目的生产力或护理指标。在三组独立分析中,资助者被分别归类为卫生部门或非卫生部门、卫生部门或大型医疗中心,或公共或私人机构。其中一些分析表明,由卫生部门或公共机构资助的特殊项目,在给定支出水平下,更有可能有更多非医疗患者接触,以及更多的健康教育和社会工作人员。尽管公共资助项目的医生当量比非公共项目少,但这些医生的工作效率更高。尽管在患者接触、人员配备和医生利用方面存在这些差异,但在任何分析中,不同类别的项目在护理过程的可用衡量指标上均无差异。