Campbell D M
Soc Sci Med. 1984;18(5):365-74. doi: 10.1016/0277-9536(84)90054-6.
In view of the substantial variation in admission rates to neonatal care units observed in the East Anglian Health Region of England, this study attempts to assess which factors might account for these variations in admission patterns. A variety of factors including personal characteristics, professional attitudes, organisational and clinical need were hypothesised to influence styles of admission behaviour. Correlational analysis indicated that organisational factors like size of hospital, teaching status and availability of cots were particularly strongly related to admission rates, but that the physician's characteristics and attitudes also played some influence on the physician's behaviour. Indicators of clinical need were not strongly correlated with admission rates.
鉴于在英格兰东安格利亚卫生区域观察到新生儿护理病房的收治率存在显著差异，本研究试图评估哪些因素可能导致这些收治模式的差异。研究假设包括个人特征、专业态度、组织和临床需求等多种因素会影响收治行为方式。相关性分析表明，诸如医院规模、教学地位和床位可用性等组织因素与收治率特别密切相关，但医生的特征和态度也对医生的行为产生了一定影响。临床需求指标与收治率没有很强的相关性。
