Student Research Committee, Shiraz University of Medical Sciences, Shiraz, Iran.
Health Human Resources Research Center, School of Management & Information Sciences, Shiraz University of Medical Sciences, Shiraz, Iran.
BMC Res Notes. 2020 Jun 1;13(1):266. doi: 10.1186/s13104-020-05104-3.
Physicians as an economic firm make use of available resources such as time, human forces and space to provide healthcare services. The current study aimed at estimating the technical efficiency of Iranian self-employed general practitioners (GPs) and its effective factors using data envelopment analysis and regression analysis.
About 2% of the GPs were fully efficient and the remaining (98%) were inefficient. Almost, 2.09% of the physicians had constant returns to scale, and 31.41% and 66.49% of them had increasing and decreasing returns to scale, respectively. According to the regression estimates, gender (female) (β = 3.776, P = 0.072), age (β = 0.475, P = 0.013), practice experience (β = - 0.477, P = 0.015), contract with the insurer (β = - 6.475, P = 0.005) and economic expectations (β = 1.939, P = 0.014) showed significant effect on GPs inefficiency. Most of the GPs surveyed did not optimally allocate their time and physical and human resources to provide their services. Female GPs, older ones, those with fewer practice experience, those with higher economic expectations, and the GPs with no insurance contract were more inefficient. Increasing the insurance coverage of self-employed GPs and providing them with training in office economic management can reduce their inefficiency.
医生作为一个经济实体，利用时间、人力和空间等可用资源提供医疗服务。本研究旨在使用数据包络分析和回归分析估计伊朗个体开业全科医生（GP）的技术效率及其影响因素。
约有 2%的 GP 是完全有效的，其余（98%）是无效的。几乎有 2.09%的医生具有规模报酬不变，31.41%和 66.49%的医生具有规模报酬递增和递减。根据回归估计，性别（女性）（β=3.776，P=0.072）、年龄（β=0.475，P=0.013）、从业经验（β=-0.477，P=0.015）、与保险公司的合同（β=-6.475，P=0.005）和经济预期（β=1.939，P=0.014）对 GP 的无效性有显著影响。调查中的大多数 GP 没有将时间、物力和人力资源最优地分配来提供服务。女性 GP、年龄较大的 GP、从业经验较少的 GP、经济预期较高的 GP 和没有保险合同的 GP 效率较低。增加个体开业 GP 的保险覆盖范围并为其提供办公经济管理培训，可以降低他们的无效性。
