文章基本信息

标题：Efficiency of Ontario primary care physicians across payment models: a stochastic frontier analysis
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作者：Maude Laberge ; Walter P. Wodchis ; Jan Barnsley 等
期刊名称：Health Economics Review
印刷版ISSN：2191-1991
出版年度：2016
卷号：6
期号：1
页码：22
DOI：10.1186/s13561-016-0101-y
语种：English
出版社：BioMed Central
摘要：The study examines the relationship between the primary care model that a physician belongs to and the efficiency of the primary care physician in Ontario, Canada. Survey data were collected from 183 self-selected physicians and linked to administrative databases to capture the provision of services to the patients served for the 12 month period ending June 30, 2013, and the characteristics of the patients at the beginning of the study period. Two stochastic frontier regression models were used to estimate efficiency scores and parameters for two separate outputs: the number of distinct patients seen and the number of visits. Because of missing data, only 165 physicians were included in the analyses. The average efficiency was 0.72 for both outputs with scores varying from 4 % to 93 % for the visits and 5 % to 94 % for the number of patients seen. We observed that there were both very low and very high efficiency scores within each model. These variations were larger than variations in average scores across models.
关键词：Efficiency ; Physician remuneration ; Frontier analysis ; Primary care ; Productivity