MacCorquodale D W
Public Health Rep. 1975 Nov-Dec;90(6):490-7.
A study of 190 Philippine family planning clinics revealed that certain clinic and physician characteristics were significantly and positively associated with clinic effectiveness, defined in terms of the mean number of monthly acceptors of family planning and the efficacy of the methods selected. Clinics with a high degree of effectiveness were more likely to be staffed by physicians who wanted three or fewer children, who relied more extensively on the IUD (intrauterine device) than physicians in less effective clinics, and who derived more satisfaction from working in family planning than physicians in less effective clinics. Autonomous clinics were more effective than integrated clinics, and clinics staffed by physicians trained by institutions with more experience in family planning were more effective than those staffed by physicians trained by institutions with less experience in this field. The findings regarding the following hypotheses were in the predicted direction: Clinic effectiveness will be greater in clinics staffed by female rather than by male physicians, in urban rather than in rural clinics, in clinics staffed by physicians with a low rather than a high degree of religiosity, and in clinics staffed by physicians with a high rather than a low degree of concern about population growth. The differences in clinic effectiveness, however, in these instances, were not significant.
一项对190家菲律宾计划生育诊所的研究表明，某些诊所和医生的特征与诊所的有效性显著正相关，诊所的有效性是根据每月计划生育接受者的平均数量以及所选方法的效果来定义的。高效诊所的工作人员更有可能是那些想要三个或更少孩子的医生，与低效诊所的医生相比，他们更广泛地依赖宫内节育器（IUD），并且比低效诊所的医生从计划生育工作中获得更多满足感。独立诊所比综合诊所更有效，由在计划生育方面经验更丰富的机构培训的医生所配备的诊所比由在该领域经验较少的机构培训的医生所配备的诊所更有效。关于以下假设的研究结果符合预测方向：由女医生而非男医生配备的诊所、城市诊所而非农村诊所、由宗教信仰程度低而非高的医生配备的诊所、以及由对人口增长关注度高而非低的医生配备的诊所，其诊所有效性会更高。然而，在这些情况下，诊所有效性的差异并不显著。
