Cromley E K, Albertsen P C
Department of Geography, University of Connecticut, Storrs 06269-2148.
Health Serv Res. 1993 Oct;28(4):503-22.
This study explores the impact of multiple-site practices on the distribution of physician services within a medical service region.
A questionnaire was mailed to all urologists (100 percent response rate) practicing in north central Connecticut (the Hartford medical service area) and adjacent communities in September 1990. Data on community characteristics were obtained from the 1990 U.S. census and state government documents.
Descriptive statistics and maps were used to summarize the attributes of single- and multiple-site practices and the communities where they were located. Key practice and community variables were analyzed.
DATA COLLECTION/EXTRACTION METHODS: The questionnaires were coded and entered into a digital database with the tabulated community data. Responses of individual physicians were grouped by practice.
Multiple-site practices were common. Second-order sites accounted for 23 percent of total appointment capacity and were located in communities with higher than average elderly populations and incomes and lower than average minority populations.
Analysis of multiple-site practices is important for the accurate assessment of medical service availability. Further research is needed to document the functioning of multiple-site practices across other specialties and geographic areas.
本研究探讨多地点执业对医疗服务区域内医师服务分布的影响。
1990年9月，向在康涅狄格州中北部（哈特福德医疗服务区）及周边社区执业的所有泌尿科医师邮寄了一份调查问卷（回复率为100%）。社区特征数据来自1990年美国人口普查和州政府文件。
采用描述性统计和地图来总结单地点和多地点执业及其所在社区的属性。对关键的执业和社区变量进行了分析。
数据收集/提取方法：对调查问卷进行编码，并与列表形式的社区数据一起录入数字数据库。个体医师的回复按执业进行分组。
多地点执业很常见。二级地点占总预约量的23%，位于老年人口和收入高于平均水平、少数族裔人口低于平均水平的社区。
对多地点执业进行分析对于准确评估医疗服务可及性很重要。需要进一步研究以记录多地点执业在其他专科和地理区域的运作情况。
