Kane R L, Olsen D M, Newman J, Manson J
Surgery. 1978 Apr;83(4):375-81.
Using the Blue Cross/Blue Shield and Medicare records for 1 year in Utah, we examined the pattern of surgical performance for 15 selected procedures. Only 60% of those identifying themselves as general surgeons had their specialty boards. General practitioners performed 24% of the procedures. Urban general practitioners performed proportionately more surgery than did their rural counterparts. There was no clear pattern of difference in fees or length of stay by specialty or board certification status. For most procedures studied, at least a third of the rural patients had their operations in urban hospitals. In only 3% of the cases did an urban physician operate in a rural hospital. The pattern of surgery for rural and urban residents was strikingly similar.
利用犹他州蓝十字/蓝盾医保和联邦医疗保险一年的记录，我们研究了15种选定手术的实施模式。自称为普通外科医生的人中，只有60%拥有专业委员会认证。全科医生实施了24%的手术。城市全科医生实施的手术比例高于农村同行。按专科或委员会认证状态划分，费用或住院时间没有明显差异模式。对于大多数研究的手术，至少三分之一的农村患者在城市医院接受手术。只有3%的情况是城市医生在农村医院实施手术。农村和城市居民的手术模式惊人地相似。
