https://scholars.lib.ntu.edu.tw/handle/123456789/545829
標題: | Healthcare service utilization for practicing physicians: A population-based study | 作者: | Chiu Y.-L. Kao S. Lin H.-C. Tsai M.-C. Lee, Cha-Ze |
公開日期: | 2016 | 出版社: | Public Library of Science | 卷: | 11 | 期: | 1 | 來源出版物: | PLoS ONE | 摘要: | Background Physicians are considered to be the most informed consumers in the use of medical services since they have more information about diseases or medical technology. However, although plenty of researchers have suggested that different medical seeking behavior exists among physicians, very few empirical studies have been conducted to investigate differences in medical utilization between physicians and the general population. Objective We explored differences in the utilization of healthcare services between physicians and the general population using a population-based dataset. Design A cross-sectional study. Participants Data for this study were sourced from the Taiwan Longitudinal Health Insurance Database 2000. We included 1426 physicians and 1426 sex- And age-matched comparison subjects. Methods We used Wilcoxon-Mann-Whitney tests to explore differences in variables of healthcare resource utilization between physicians and comparison subjects. We further used Kruskal- Wallis tests to examine differences in variables of healthcare resource utilization between physician practice location and comparison subjects. Results We found that physicians had significantly fewer outpatient visits (13.2 vs. 15.7, p<0.001) and significantly lower outpatient costs (US$477 vs. US$680, p<0.001) than comparison subjects. Furthermore, physicians had lower total health service costs than comparison subjects (US$643 vs. US$1066, p<0.001). This indicates that the mean total health service costs in the year 2010 was 1.66-fold greater for comparison subjects than for physicians. We also found that there were significant differences in the mean number of outpatient services (p<0.001), outpatient costs (p = 0.001), inpatients costs (p = 0.018), and total costs (p = 0.001) among office-based physicians, hospital-based physicians, and comparison subjects. Specifically, Scheffe contrast tests showed that office-based physicians had significantly more outpatient visits (19.3 vs.10.7, p<0.001) and significantly higher outpatient costs (US$656 vs. US$402, p<0.001) than hospital-based physicians. Conclusions Physicians had less healthcare utilization than comparison subjects. Furthermore, hospitalbased physicians had higher inpatient costs and less outpatient services and costs than office-based physicians. Copyright: ? 2016 Chiu et al. This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. |
URI: | https://www.scopus.com/inward/record.uri?eid=2-s2.0-84954487164&doi=10.1371%2fjournal.pone.0130690&partnerID=40&md5=4946c2ff6b4e3f58b00c0694a347eda6 https://scholars.lib.ntu.edu.tw/handle/123456789/545829 |
ISSN: | 1932-6203 | DOI: | 10.1371/journal.pone.0130690 | SDG/關鍵字: | adult; aged; Article; consultation; controlled study; cross-sectional study; female; health care cost; health care utilization; help seeking behavior; hospital patient; human; male; outpatient; physician; ambulatory care; attitude to health; community care; economics; factual database; health insurance; hospitalization; middle aged; patient attitude; physician; psychology; statistics and numerical data; Taiwan; utilization; Adult; Aged; Ambulatory Care; Community Health Services; Cross-Sectional Studies; Databases, Factual; Female; Health Care Costs; Health Knowledge, Attitudes, Practice; Hospitalization; Humans; Insurance, Health; Male; Middle Aged; Patient Acceptance of Health Care; Physicians; Taiwan |
顯示於: | 醫學系 |
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