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医疗实践中的人力替代与生产力:研究综述

Manpower substitution and productivity in medical practice: review of research.

作者信息

Reinhardt U E

出版信息

Health Serv Res. 1973 Fall;8(3):200-27.

PMID:4586735
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC1071758/
Abstract

Probably in response to the often alleged physician shortage in this country, concerted research efforts are under way to identify technically feasible opportunities for manpower substitution in the production of ambulatory health care. The approaches range from descriptive studies of the effect of task delegation on output of medical services to rigorous mathematical modeling of health care production by means of linear or continuous production functions. In this article the distinct methodological approaches underlying mathematical models are presented in synopsis, and their inherent strengths and weaknesses are contrasted. The discussion includes suggestions for future research directions.

摘要

可能是为了应对该国经常被提及的医生短缺问题,目前正在开展协同研究工作,以确定在门诊医疗服务生产中进行人力替代的技术上可行的机会。这些方法涵盖从对任务委托对医疗服务产出的影响的描述性研究,到借助线性或连续生产函数对医疗保健生产进行严格的数学建模。本文简要介绍了数学模型所基于的不同方法论方法,并对比了它们固有的优缺点。讨论内容还包括对未来研究方向的建议。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e53e/1071758/2b070385bcaa/hsresearch00564-0047-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e53e/1071758/2b070385bcaa/hsresearch00564-0047-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e53e/1071758/2b070385bcaa/hsresearch00564-0047-a.jpg

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本文引用的文献

1
Time-motion study of practicing pediatricians.执业儿科医生的时间动作研究。
Pediatrics. 1966 Aug;38(2):254-63.
2
Task performance and task delegation in pediatric office practice.儿科门诊实践中的任务执行与任务委托
Am J Public Health Nations Health. 1969 Jul;59(7):1104-17. doi: 10.2105/ajph.59.7.1104.
3
Physician productivity in the delivery of ambulatory care: some findings from a survey of pediatricians.
Med Care. 1970 Jan-Feb;8(1):35-46. doi: 10.1097/00005650-197001000-00005.
4
Organizational determinants of efficiency and effectiveness in mental health partial care programs.心理健康部分护理项目中效率和效果的组织决定因素。
Health Serv Res. 1990 Jun;25(2):387-420.
5
Impact of expanded-duty assistants on cost and productivity in dental care delivery.扩展职责助手对牙科护理服务成本和生产率的影响。
Health Serv Res. 1975 Spring;10(1):14-35.
6
The productivity potential of physicians' assistants: an integrated approach to analysis.
J Med Syst. 1978;2(2):123-38. doi: 10.1007/BF02222313.
4
Medicine and the computer. The promise and problems of change.
N Engl J Med. 1970 Dec 3;283(23):1257-64. doi: 10.1056/NEJM197012032832305.
5
Use of allied health professionals in internists' offices. Current practices and physicians' attitudes.
Arch Intern Med. 1971 May;127(5):924-31.