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解释全科医疗中夜间就诊频率的差异。

Explaining variations in the frequency of night visits in general practice.

作者信息

Whynes D K, Baines D L

机构信息

Department of Economics, University of Nottingham, UK.

出版信息

Fam Pract. 1996 Apr;13(2):174-8. doi: 10.1093/fampra/13.2.174.

DOI:10.1093/fampra/13.2.174
PMID:8732331
Abstract

BACKGROUND AND OBJECTIVE

The study identifies factors which explain variations in the frequency of night visits made by general practitioners, and is based on a cross-section regression analysis of practices in Lincolnshire in 1993.

METHOD

The independent variables comprise 22 general practice characteristics, related to health and socio-demographic structure of practice lists, practice management and organization, location and social deprivation.

RESULTS AND CONCLUSIONS

A final model containing 6 of the 22 variables originally entered succeeds in explaining 72 per cent of the variation in the frequency of night visits per GP per quarter-year. These variables are average list size per GP, frequency of home visits, maternity claims, list inflation owing to the influx of temporary residents, the number of proximate practices and unemployment.

摘要

背景与目的

本研究旨在确定能解释全科医生夜间出诊频率差异的因素,研究基于对1993年林肯郡各诊所的横断面回归分析。

方法

自变量包括22个全科医疗特征,涉及诊所名单上的健康和社会人口结构、诊所管理与组织、地理位置以及社会剥夺情况。

结果与结论

最终模型包含最初输入的22个变量中的6个,成功解释了每位全科医生每季度夜间出诊频率变异的72%。这些变量是每位全科医生的平均名单规模、家访频率、产妇索赔、因临时居民涌入导致的名单膨胀、附近诊所数量以及失业率。

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