Factors Associated With Service Volume and Growth Trend in Plastic Surgery
Date Issued
2011
Date
2011
Author(s)
Lin, Ying-Chun
Abstract
Background and Objectives：There are more and more domestic researchers interested in issues in the market of medical cosmetic.Ones who interested in consumers discuss about consumer experiences and consumer behavior. Meanwhile, ones who interested in medical cosmetic mainly discuss about management issues or bring up with whole new, creative business models. For researches affecting service volume, doctors’ business operational behavior is considered as the main topic. However, factors affecting service volume are not only service providers because most of the plastic surgery are user-pays. This shows that the domestic researches in current stages are still lack of considerations from external market aspects to explore the related reasons of increasing service volume. Although foreign researches have the statistics on plastic surgery service volume, there are rooms to discuss and find out about the factors affecting the incremental service volume.Therefore, this research is going to discuss about medical cosmetic issues from both of the internal and external aspects.
Methods：This is a cross-sectional study. Data were collected from mailing structural questionnaires to 471 Plastic surgeons nation-wide in 2008. The variables covered various status measures of physician characteristics, practice feature, practice inputs, volume ,Market competitiveness and relative mix of plastic reconstructive surgery（PRS） , surgical cosmetic/aesthetic surgery（SC） and nonsurgical cosmetic/medicine cosmetic（NC） procedures of Plastic surgeons,and compare with the result in 2007 tofind out the factors associated with service volume and growth trend in plastic surgery.A total of 95 subjects were returned and the return rate was 20.2%
Results：Significant findings of this study were summarized as follows. 1. the practice
volume of Plastic surgeons: (1) The physician characteristics, practice feature, practice inputs, volume,market competitiveness of plastic surgeons will affect the volume of services (2) PRS procedures per year were significantly associated with their administrative position, medical institutions, ownership type of medical institutions, the time for the outpatient service per week, the percentage of medical service, and the percentage of teaching service. (3)SC procedures per year were significantly associated with their graduate school, the overall market competition,the plastic surgeons competitive situation in SC and NC nearby me and the dermatologis competitive situation in SC nearby me.(4)NC procedures per year were significantly associated with their medical institutions,ownership type of medical institutions, the time for the outpatient service per week, the percentage of medical service, and the percentage of teaching service, the overall market competition and the dermatologis competitive situation in SC nearby me.(5)The total number of plastic surgery per year were significantly associated with medical institutions, the density of plastic surgeons, the time for the outpatient service per week, he overall market competition,the plastic surgeons competitive situation in SC and NC nearby me and the dermatologis competitive situation in SC and NC nearby me.2.Variation of plastic surgeons service:
(1)The physician characteristics, practice feature, practice inputs and volume will affect the variation of the services volume (2) Variation of PRS procedures per year were significantly associated with their professional accreditation in the school, physician education, the hospital of resident training, medical institutions, the density of plastic surgeons, the time for the outpatient service per week and the percentage of medical service. (3) Variation of SC procedures per year were significantly associated with their professional accreditation in the school, administrative position, the density of plastic surgeons and the time for the outpatient service per week.(4) Variation of NC procedures per year were significantly associated with administrative position, the hospital of resident training, medical institutions, the time for the outpatient service per week, the percentage of medical service, the percentage of teaching service and the percentage of study service.(5) Variation of total number in plastic surgery per year were significantly associated with administrative position, the density of plastic surgeons and the time for the outpatient service per week.
Conclusions: Physician characteristics, practice feature, and practice inputs of plastic surgeon are the most significant factors of the practice volume. The Variation of plastic surgeons Service were significantly associated with their professional accreditation in the school, physician education, administrative position, the hospital of resident training, medical institutions, the density of plastic surgeons, the time for the outpatient service per week, the percentage of medical service, the percentage of teaching service, and the percentage of study service.
Subjects
Medical cosmetic
Plastic surgery
Medical service volume
Service Volume and Growth Trend
SDGs
Type
thesis
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