Characteristics of office-based physicians and their medical practices: United States, 2005-2006.

Esther Hing, Catharine W Burt
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Abstract

Objectives: This report describes average annual estimates of nonfederal, office-based physicians who saw patients in the United States during 2005-2006. The report also uses a multiplicity estimator from the physician sample to estimate the number and characteristics of medical practices with which physicians are associated. Selected physician estimates of characteristics obtained only in 2006 are also presented, as well as selected trends in physician practice characteristics between 2001-2002 and 2005-2006.

Methods: Data presented in this report were collected during the induction interview of physicians during the 2005 and 2006 National Ambulatory Medical Care Surveys (NAMCS). NAMCS is a national probability sample survey of nonfederal physicians who see patients in an office setting in the United States. Radiologists, anesthesiologists, and pathologists--as well as physicians who treat patients solely in hospital, institutional, and occupational settings--are excluded. Sample weights for physician data use information on the number of physicians in the sampled physician's practice to produce national estimates of medical practices.

Results: During 2005-2006, an average of 308,900 office-based physicians practiced in an estimated 163,800 medical practices in the United States. In 2005-2006, nearly 1 in 10 medical practices were multispecialty groups (8.9 percent) and accounted for 20.3 percent of all physicians. In 2006, 11.5 percent of medical practices employed at least one mid-level provider and about one-third of medical practices performed electrocardiogram (EKG/ECG) tests (33.5 percent) and lab tests (30.2 percent) onsite. Between 2001-2002 and 2005-2006, the percentage of physicians not accepting new Medicaid patients increased by 16 percent and the percentage not accepting new charity cases increased by 23 percent.

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办公室医生的特点及其医疗实践:美国,2005-2006年。
目的:本报告描述了2005-2006年期间美国非联邦办公室医生接诊病人的平均年度估计。该报告还使用了来自医生样本的多重估计器来估计与医生相关的医疗实践的数量和特征。本文还介绍了仅在2006年获得的选定医生的特征估计,以及2001-2002年和2005-2006年之间选定的医生实践特征趋势。方法:本报告所提供的数据收集于2005年和2006年全国门诊医疗调查(NAMCS)的医生入职访谈中。NAMCS是一项全国性的概率抽样调查,调查对象是非联邦医生,他们在美国的办公室里为病人看病。排除放射科医生、麻醉科医生和病理学家,以及仅在医院、机构和职业环境中治疗患者的医生。医生数据的样本权重使用抽样医生实践中医生数量的信息来产生医疗实践的全国估计。结果:在2005-2006年期间,美国平均有308,900名办公室医生在估计的163,800个医疗实践中执业。2005-2006年,近十分之一的医疗实践是多专业团体(8.9%),占所有医生的20.3%。2006年,11.5%的医疗机构雇用至少一名中级医务人员,约三分之一的医疗机构在现场进行心电图(33.5%)和实验室检查(30.2%)。在2001-2002年和2005-2006年期间,不接受新的医疗补助病人的医生比例增加了16%,不接受新的慈善病例的医生比例增加了23%。
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Ambulatory medical care utilization estimates for 2007. National hospital discharge survey: 2006 annual summary. The National Nursing Home Survey: 2004 overview. Characteristics of office-based physicians and their medical practices: United States, 2005-2006. National Hospital Discharge Survey: 2005 annual summary with detailed diagnosis and procedure data.
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