A study on the productivity of physicians operating clinic in Kyeongsangnamdo

경상남도(慶尙南道) 개원의(開院醫)의 진료생산성(診療生産性)에 관한 조사연구(調査硏究)

  • Kim, J.H. (Department of Preventive Medicine, College of Medicine, Inje University) ;
  • Jeong, K.W. (Department of Preventive Medicine, College of Medicine, Inje University) ;
  • Chun, J.H. (Department of Preventive Medicine, College of Medicine, Inje University) ;
  • Lee, C.U. (Department of Preventive Medicine, College of Medicine, Inje University) ;
  • Pae, K.T. (Department of Preventive Medicine, College of Medicine, Inje University) ;
  • Kim, K.H. (Graduate School of Public Health Inje University) ;
  • Shin, H.R. (Graduate School of Public Health Inje University) ;
  • Park, H.J. (Graduate School of Public Health Inje University)
  • 김정호 (인제대학교 의과대학 예방의학교실) ;
  • 정귀원 (인제대학교 의과대학 예방의학교실) ;
  • 전진호 (인제대학교 의과대학 예방의학교실) ;
  • 이채언 (인제대학교 의과대학 예방의학교실) ;
  • 배기택 (인제대학교 의과대학 예방의학교실) ;
  • 김공현 (인제대학교 보건대학원) ;
  • 신해림 (인제대학교 보건대학원) ;
  • 박형종 (인제대학교 보건대학원)
  • Published : 1991.06.01

Abstract

Productivity analysis of physician is one of essential factors for the optimal health manpower planning. Among 690 physicians operating clinic and registered on the Kyeongsangnamdo Medical Association, 623 physicians were studied with a structural questionaire from April 1 to May 31, 1990. This study covers the general characteristics and productivity of physicians and attempts to find relevant determinants of their productivity through stepwise multiple regression analysis based on collected data. The mar results were as follows. First, physicians were more prevalent $35{\sim}44$ group (30.2%) in age, male (95.8%) in sex, specialist (76.5%) in specialization,'city (78.0%) in geographical location. Age group of 35-54 and specialist were mere prevalent in cities than in counties, while age group of 25-44 and 55 over and general practitioner in counties (p<0.001). Second, daily outpatients load of all physician were 77.1 persons on average. Age group of $35{\sim}44$ had the most outpatient load (90.3 persons) among all age group, $6{\sim}10$ years group (94.2 persons) in years of duration of practice, 11 hours per day group (83.4 persons) in working hours per day. Specialists had more outpatient load (82.6 persons) than general practitioners (61.1 persons) and physicians in cities had more (80.2 persons) than physicians in counties (66.3 persons). Daily average outpatient load of physicians were significantly different by their age, speciality, number of assistants and years of practice (p<0.001) and working location (p<0.05), but not significantly different by working hours per day of physician (p>0.1). Third, the productivity of physicians operating clinic were significantly affected by the three factors-number of assistants of physician, age of physician and duration of practice at the current clinic. Age of physician had negative regression coefficient.

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