Thue G, Sandberg S, Bratberg E, Risa A E, Olsen T E
Department of Public Health and Primary Health Care, University of Bergen, Norway.
Fam Pract. 1993 Jun;10(2):124-30. doi: 10.1093/fampra/10.2.124.
The objectives of this study were to describe the operating conditions of dry chemistry instruments in primary care, as well as to elucidate financial aspects in general practice fee-for-service settings. We used questionnaires mailed to all users of the two most used dry chemistry instruments in Norway, as well as to a 14% random sample of Norwegian GPs. The overall response rate was 79%. The mean number of dry chemistry analyses varied considerably between individual users, but in general a substantial number of analyses were carried out. Even though most analyses on the instruments' repertoire were available in all user groups, a total of 13 additional constituents were suggested to be included in the repertoire. In occupational health care most results were ready when the client was present; this was not the case in general practice. The instruments were more profitable when more constituents were analysed per sample, although profitability varied substantially in the period studied (1986-1989). A discrete time history event analysis revealed that net profit earned, lower instrument price, available information about the technology and being in solo practice significantly influenced the decision to buy an instrument in fee-for-service practices.
本研究的目的是描述基层医疗中干式化学分析仪的运行状况，以及阐明按服务收费的全科医疗环境中的财务状况。我们向挪威使用最广泛的两种干式化学分析仪的所有用户以及14%的挪威全科医生随机样本邮寄了调查问卷。总体回复率为79%。每位用户进行的干式化学分析数量差异很大，但总体而言进行了大量分析。尽管仪器检测项目中的大多数分析在所有用户组中都有，但共有13种额外成分被建议纳入检测项目。在职业健康护理中，大多数结果在客户在场时即可获得；全科医疗中情况并非如此。每个样本分析的成分越多，仪器的盈利性越高，尽管在所研究的时期（1986 - 1989年）盈利性差异很大。离散时间历史事件分析显示，赚取的净利润、较低的仪器价格、有关该技术的可用信息以及独自执业显著影响了按服务收费的医疗机构购买仪器的决策。
