| Summary: | 碩士 === 長庚大學 === 管理學研究所 === 88 === Physicians play as key providers of the entire health care system. Consequently, the most significant issues to health care managers are to improve physicians’ productivity and to ensure the use of medical resources in efficiency. As the tasks for physicians in teaching hospitals are more complicated and dynamic than that physicians in non-teaching hospitals, the development of an efficient evaluation of productivity for physicians in teaching hospitals is very important.
This thesis analyzed factors affecting the physicians’ productivity both cross-sectionally and longitudinally. The issues to be addressed by this thesis is how to construct an index for physicians’ productivity while considering all three dimensions of their performance such as service, teaching, and research. The index should reflect the efforts paid by physicians and should match the institutional goals. Based on the findings, this thesis also constructed a statistical model to predict physicians’ performance in all three dimensions. The study included 126 physicians’ data during Jan. 1996 to Dec. 1998 in a medical center in northern Taiwan.
The major findings of this study were shown as follows.
1. The productivity of physicians among departments was significantly different.
2. Physicians’ productivity was positively correlated with age and attending years.
3. Physicians’ productivity was significantly related to their graduate school.
4. The on-job training is helpful for future performance of physicians’ research.
5. Physicians with higher teaching positions, board certification, administrative responsibilities, and more research projects and grants, got higher productivity as indicated by the constructed index.
6. The statistical model of physicians’ productivity in this study had shown more suitable to surgeons than other specialties.
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