A conceptual model for physician clinical performance
Subtitle: the case of family physicians in Ontario.
Published: 2005
Language: eng
Number of pages: 239
Description: Method. Peer assessment data from 532 randomly selected family practitioners were analysed using principal components analysis to evaluate the dimensional structure of performance. Content validity of the identified dimensions was confirmed through physician consultation sessions. Multiple regression was used to determine the extent to which the performance dimensions are effected by physician level, organizational level and system level factors.Purpose. This thesis (1) develops and applies a multi-dimensional model of physician clinical performance for family and general practice and, (2) analyses the extent to which different dimensions of performance are influenced by physician level, organizational level and health care system level factors. The thesis argues that performance dimensions can best be conceptualized and measured in terms of different types of physician-patient encounters. In addition, the model developed and applied in this thesis locates physician performance within a broader contextual framework. In order to appropriately conceptualize physician performance, the concurrent, and often interactive effect of the physician's individual characteristics, organizational characteristics and system characteristics must be recognized and examined.
Notes: Thesis (Ph.D.)--University of Toronto, 2005.

Electronic version licensed for access by U. of T. users.

Source: Dissertation Abstracts International, Volume: 66-06, Section: B, page: 3038.