Freshnock L J, Goodman L J
Med Care. 1980 Jan;18(1):17-29. doi: 10.1097/00005650-198001000-00002.
While the effects of physician organization have been examined extensively, little is known about factors related to physicians' choice of either the solo or group practice setting. This study develops a model of physician practice mode choice that includes variables measuring both the characteristics of individual physicians and the socioeconomic environment. The analysis is stratified by 9 specialty groupings to allow a comparison of inter-specialty differences in practice mode choice. Findings suggest that, in general, the group practice physician tends to be board-certified, a member of the American Medical Association (AMA), younger than 55 years old and a graduate of a U.S. medical school. In addition to this general profile, substantial differences exist by specialty. A number of environmental factors are also shown to be related to the practice mode decision. Finally, results are discussed in relation to trends in the health care field and possible effects on the future distribution of group versus solo practice physicians.
虽然对医师组织的影响已进行了广泛研究，但对于与医师选择单独执业还是团体执业环境相关的因素却知之甚少。本研究建立了一个医师执业模式选择模型，该模型包含衡量个体医师特征和社会经济环境的变量。分析按9个专业分组进行分层，以便比较不同专业在执业模式选择上的差异。研究结果表明，总体而言，团体执业医师往往拥有委员会认证、是美国医学协会（AMA）成员、年龄小于55岁且毕业于美国医学院。除了这一总体概况外，不同专业之间存在显著差异。一些环境因素也被证明与执业模式决策有关。最后，结合医疗保健领域的趋势以及对未来团体执业医师与单独执业医师分布可能产生的影响对研究结果进行了讨论。
