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...

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Autores principales:	Yoshinori Nakata, Yuichi Watanabe, Hiroshi Otake, Akihiko Ozaki
Formato:	article
Lenguaje:	EN
Publicado:	Public Library of Science (PLoS) 2021
Materias:	Medicine R Science Q
Acceso en línea:	https://doaj.org/article/cb0e3979715c4a77a9a6598c56551708
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spelling	oai:doaj.org-article:cb0e3979715c4a77a9a6598c565517082021-12-02T20:15:30ZDo technically efficient surgeons continue to provide active clinical services in a university hospital?1932-620310.1371/journal.pone.0254515https://doaj.org/article/cb0e3979715c4a77a9a6598c565517082021-01-01T00:00:00Zhttps://doi.org/10.1371/journal.pone.0254515https://doaj.org/toc/1932-6203It 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.Yoshinori NakataYuichi WatanabeHiroshi OtakeAkihiko OzakiPublic Library of Science (PLoS)articleMedicineRScienceQENPLoS ONE, Vol 16, Iss 7, p e0254515 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medicine R Science Q
spellingShingle	Medicine R Science Q Yoshinori Nakata Yuichi Watanabe Hiroshi Otake Akihiko Ozaki Do technically efficient surgeons continue to provide active clinical services in a university hospital?
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	article
author	Yoshinori Nakata Yuichi Watanabe Hiroshi Otake Akihiko Ozaki
author_facet	Yoshinori Nakata Yuichi Watanabe Hiroshi Otake Akihiko Ozaki
author_sort	Yoshinori Nakata
title	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_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_sort	do technically efficient surgeons continue to provide active clinical services in a university hospital?
publisher	Public Library of Science (PLoS)
publishDate	2021
url	https://doaj.org/article/cb0e3979715c4a77a9a6598c56551708
work_keys_str_mv	AT yoshinorinakata dotechnicallyefficientsurgeonscontinuetoprovideactiveclinicalservicesinauniversityhospital AT yuichiwatanabe dotechnicallyefficientsurgeonscontinuetoprovideactiveclinicalservicesinauniversityhospital AT hiroshiotake dotechnicallyefficientsurgeonscontinuetoprovideactiveclinicalservicesinauniversityhospital AT akihikoozaki dotechnicallyefficientsurgeonscontinuetoprovideactiveclinicalservicesinauniversityhospital
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Do technically efficient surgeons continue to provide active clinical services in a university hospital?

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