美国瘤医生周转率 基于医疗保险索赔数据
Sarah L Cornelius1, Andrew Schaefer2, Anna N A Tosteson2,3
1Department of Biomedical Data Science, Geisel School of Medicine at Dartmouth, Lebanon, NH.
Medical care
|December 6, 2024
概括
医生的流动量正在增加. 拥有强大的患者共享网络的瘤科医生不太可能迁移,而低效的网络可能会失去瘤科医生,影响癌症护理. 保留策略应考虑网络结构.
科学领域:
- 在瘤学瘤学.
- 医疗保健服务研究 医疗服务研究
- 网络科学 网络科学
背景情况:
- 医生流动在美国是一个越来越令人担忧的问题.
- 癌症工作人员依赖于团队合作,容易受到轮流的影响.
- 了解瘤学家的运动是保持关键的.
研究的目的:
- 为了描述移动的瘤学家.
- 确定影响瘤学家流动量的因素.
- 在瘤学中为招聘和保留战略提供信息.
主要方法:
- 对医疗,放射和外科瘤学家的医疗保险数据 (2016-2019) 进行分析.
- 使用多变量逻辑和多项式回归.
- 检查的医生人口统计,实践和患者共享网络特征.
主要成果:
- 25,012名瘤学家中有5.8%的医生转移.
- 女性和外科医生移动的几率更高.
- 较强的患者共享关系与更低的营业额相关.
- 不有效的网络显示出更高的劳动力损失.
结论:
- 患者共享网络结构显著影响着内科医生周转率.
- 网络效率和专家的脆弱性是关键因素.
- 调查结果为有针对性的招聘和保留工作提供了洞察力.
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