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扩展职责助手对牙科护理服务成本和生产率的影响。

Impact of expanded-duty assistants on cost and productivity in dental care delivery.

作者信息

Lipscomb J, Scheffler R M

出版信息

Health Serv Res. 1975 Spring;10(1):14-35.

PMID:812848
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC1071829/
Abstract

Data from an experimental dental program are used to develop a linear programming model of dental care delivery that the authors use to examine the economic implications of introducing expanded-duty dental assistants (EDDA's) in three types of dental practices. The authors examine the changes in productivity and profitability that result from hiring one or more EDDAs and conclude that a dentist in solo practice can more than double his net revenue by hiring one EDDA but will not increase his productivity further by hiring additional EDDAs. Two- and three-dentist groups also can increase revenue by hiring EDDAs, but, beyond a certain point, an inverse relationship exists between the number of auxiliaries hired and net revenue generated.

摘要

来自一个牙科实验项目的数据被用于建立一个牙科护理服务的线性规划模型,作者用该模型来研究在三种牙科诊疗机构引入扩责牙科助理(EDDA)的经济影响。作者考察了雇佣一名或多名EDDA所带来的生产率和盈利能力的变化,并得出结论:个体执业牙医雇佣一名EDDA可使净收入增加一倍以上,但雇佣更多EDDA并不会进一步提高其生产率。两名和三名牙医的团队雇佣EDDA也能增加收入,但超过某一点后,雇佣的辅助人员数量与所产生的净收入之间存在反比关系。

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本文引用的文献

1
COMPARISON OF INTERESTS, NEEDS AND SELECTED PERSONALITY FACTORS OF DENTAL AND MEDICAL STUDENTS.牙科和医科学生的兴趣、需求及选定人格因素比较
J Am Dent Assoc. 1963 Oct;67:601-5. doi: 10.14219/jada.archive.1963.0329.
2
Experimental program in expanded functions for dental assistants: phase 3 experiment with dental teams.牙科助理扩展职能实验项目:与牙科团队的第三阶段实验
J Am Dent Assoc. 1971 May;82(5):1067-81. doi: 10.14219/jada.archive.1971.0196.
3
Prince Edward Island dental manpower study. Island hygienists boost productivity.
J Can Dent Assoc (Tor). 1971 Feb;37(2):50-3.
4
A screening procedure for stroke.一种中风筛查程序。
Am J Public Health. 1972 Feb;62(2):177-80. doi: 10.2105/ajph.62.2.177.
5
Expanded-function auxiliaries in general dentistry: a computer simulation.普通牙科中扩展功能辅助人员:计算机模拟
Health Serv Res. 1972 Winter;7(4):288-300.
6
Manpower substitution and productivity in medical practice: review of research.医疗实践中的人力替代与生产力:研究综述
Health Serv Res. 1973 Fall;8(3):200-27.
7
Laboratory model of private practice: method for studying new systems of health care delivery in dental schools.私人执业的实验室模型:牙科学校中研究新型医疗保健提供系统的方法。
J Dent Educ. 1973 Dec;37(12):8-14.
8
Economic implications of adding two expanded-duty dental assistants to a practice.在一家诊所增加两名扩展职责牙科助理的经济影响。
J Am Dent Assoc. 1973 Sep;87(3):604-9. doi: 10.14219/jada.archive.1973.0432.
9
The Charlotte Model Cities demonstration medical-dental insurance program.夏洛特示范城市医疗保险示范项目。
Inquiry. 1973 Jun;10(2):39-51.