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Do technically efficient surgeons continue to provide active clinical services in a university hospital?
It is difficult for university hospitals to recruit and retain technically efficient surgeons because their missions include teaching and research as well as clinical services. The authors hypothesized that technically efficient surgeons do not continue to provide active clinical services in a unive...
Autores principales: | , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Public Library of Science
2021
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8270153/ https://www.ncbi.nlm.nih.gov/pubmed/34242375 http://dx.doi.org/10.1371/journal.pone.0254515 |
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author | Nakata, Yoshinori Watanabe, Yuichi Otake, Hiroshi Ozaki, Akihiko |
author_facet | Nakata, Yoshinori Watanabe, Yuichi Otake, Hiroshi Ozaki, Akihiko |
author_sort | Nakata, Yoshinori |
collection | PubMed |
description | It is difficult for university hospitals to recruit and retain technically efficient surgeons because their missions include teaching and research as well as clinical services. The authors hypothesized that technically efficient surgeons do not continue to provide active clinical services in a university hospital. The authors collected data from all the surgical procedures performed at Teikyo University Hospital from April 1 through September 30 in 2013–2018. The dependent variable was defined as a length of each surgeon’s active clinical services measured by month. Data envelopment analysis was employed to calculate each surgeon’s technical efficiency score. Five control variables were selected; experience, medical school, surgical volume, gender, and academic ranks. Multiple regression analysis was performed. Efficiency scores had significantly negative association with length of active clinical services. Experience and surgical volume had significantly positive association with length of active clinical services. The other coefficients of control variables were insignificant. Technically efficient surgeons provide shorter active clinical services in a university hospital. |
format | Online Article Text |
id | pubmed-8270153 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | Public Library of Science |
record_format | MEDLINE/PubMed |
spelling | pubmed-82701532021-07-21 Do technically efficient surgeons continue to provide active clinical services in a university hospital? Nakata, Yoshinori Watanabe, Yuichi Otake, Hiroshi Ozaki, Akihiko PLoS One Research Article It is difficult for university hospitals to recruit and retain technically efficient surgeons because their missions include teaching and research as well as clinical services. The authors hypothesized that technically efficient surgeons do not continue to provide active clinical services in a university hospital. The authors collected data from all the surgical procedures performed at Teikyo University Hospital from April 1 through September 30 in 2013–2018. The dependent variable was defined as a length of each surgeon’s active clinical services measured by month. Data envelopment analysis was employed to calculate each surgeon’s technical efficiency score. Five control variables were selected; experience, medical school, surgical volume, gender, and academic ranks. Multiple regression analysis was performed. Efficiency scores had significantly negative association with length of active clinical services. Experience and surgical volume had significantly positive association with length of active clinical services. The other coefficients of control variables were insignificant. Technically efficient surgeons provide shorter active clinical services in a university hospital. Public Library of Science 2021-07-09 /pmc/articles/PMC8270153/ /pubmed/34242375 http://dx.doi.org/10.1371/journal.pone.0254515 Text en © 2021 Nakata et al https://creativecommons.org/licenses/by/4.0/This is an open access article distributed under the terms of the Creative Commons Attribution License (https://creativecommons.org/licenses/by/4.0/) , which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. |
spellingShingle | Research Article Nakata, Yoshinori Watanabe, Yuichi Otake, Hiroshi Ozaki, Akihiko Do technically efficient surgeons continue to provide active clinical services in a university hospital? |
title | Do technically efficient surgeons continue to provide active clinical services in a university hospital? |
title_full | Do technically efficient surgeons continue to provide active clinical services in a university hospital? |
title_fullStr | Do technically efficient surgeons continue to provide active clinical services in a university hospital? |
title_full_unstemmed | Do technically efficient surgeons continue to provide active clinical services in a university hospital? |
title_short | Do technically efficient surgeons continue to provide active clinical services in a university hospital? |
title_sort | do technically efficient surgeons continue to provide active clinical services in a university hospital? |
topic | Research Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8270153/ https://www.ncbi.nlm.nih.gov/pubmed/34242375 http://dx.doi.org/10.1371/journal.pone.0254515 |
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