The Current Status of Plastic Surgery Practices in Taiwan and the Impact Factors of Volume and Procedure Mix
Date Issued
2008
Date
2008
Author(s)
Lin, Yung-Jung
Abstract
Abstractackground & Objectives: With the growing of economic standard and wide broadcast of medical information, nowadays more and more people are able to accept the concept of plastic surgery. Many hospitals were trying to invest on new services, which were out of patients'' own pockets, with the hope to improve the short handed revenues under National Health Insurance. In compare with rich and well-organized sources from foreign countries, the exact volume of plastic surgery services in Taiwan has never been surveyed or reported before. This study is the first research tries to explore the current status of plastic surgery practices and the impact factors of volume and procedure mix.ethods: This is a cross-sectional study. Data were collected from mailing structural questionnaires to 449 Plastic surgeons nation-wide in 2007. The variables covered various status measures of physician characteristics, practice feature, practice inputs, volume and relative mix of plastic reconstructive surgery（PRS）, surgical cosmetic/aesthetic surgery (SC) and nonsurgical cosmetic/medicine cosmetic (NC) procedures of Plastic surgeons. A total of 102 subjects were returned and the return rate was 22.7%esults: Significant findings of this study were summarized as follows. 1. the practice volume of Plastic surgeons: (1) PRS procedures per year were significantly associated with their professional accreditation in the school, administrative position, the hospital of resident training, medical institutions, ownership type of medical institutions, the density of plastic surgeons, the time for the outpatient service per week, the percentage of medical service, and the percentage of teaching service. (2)SC procedures per year were significantly associated with their administrative position, age, seniority, ownership type of medical institutions, the density of plastic surgeons, and the time for the outpatient service per week. (3)NC procedures per year were significantly associated with their administrative position, the hospital of resident training, medical institutions, ownership type of medical institutions, the time for the outpatient service per week, and the percentage of medical service. 2. The relative mix of Plastic surgeons services: (1) PRS procedures/total operations number were significantly associated with their administrative position, the hospital of resident training, age, seniority, medical institutions, ownership type of medical institutions, and the density of plastic surgeons. (2)SC procedures/total operations number were significantly associated with their administrative position, age, seniority, medical institutions, ownership type of medical institutions, and the density of plastic surgeons. (3)NC procedures/total operations number were significantly associated with their administrative position, the hospital of resident training, ownership type of medical institutions, and the density of plastic surgeons. onclusions: Physician characteristics, practice feature, and practice inputs of plastic surgeon are the most significant factors of the practice volume. Administrative position, seniority, medical institutions, ownership type of medical institutions, and the density of plastic surgeons are the most significant factors of the mix of services.
Subjects
Plastic surgery
Medical service volume
Cosmetic surgery
Aesthetic surgery
Medical cosmetic
Type
thesis
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