Bartman B A, Clancy C M, Moy E, Langenberg P
Department of Medicine, University of Maryland School of Medicine, Baltimore, USA.
Health Aff (Millwood). 1996 Winter;15(4):177-82. doi: 10.1377/hlthaff.15.4.177.
A secondary analysis of data from the 1987 National Medical Expenditure Survey revealed that women with distinct demographic and socio-economic characteristics identify different physician specialty groups as their usual source of care. The use of certain physician groups for primary care resulted in higher rates of use and expenditures, particularly for younger women. Identifying an internist, rather than a family/general practitioner or an obstetrician/gynecologist, as a usual source of care placed one at higher odds of making more visits and incurring higher total outpatient costs.
对1987年全国医疗支出调查数据的二次分析显示,具有不同人口统计学和社会经济特征的女性将不同的医生专业群体视为其常规医疗服务来源。将某些医生群体用于初级保健导致更高的使用率和支出率,尤其是对于年轻女性而言。将内科医生而非家庭/全科医生或妇产科医生视为常规医疗服务来源,会使就诊次数更多且门诊总费用更高的几率增加。