Anderson J E
Can Med Assoc J. 1975 Jul 26;113(2):123-6.
Over a 7-month period the trial version of the International Classification of Health Problems in Primary Care (ICHPPC) was studied. Ten community physicians reported 28 399 encounters wtith 11 437 patients. The overall distribution of health problems was comparable to that found in other North American studies. Some differences between the morbidity distributions in urban and rural practices varies from those of previous Canadian studies. Other differences between practices appeared to be related to the interests and training of the individual physicians. The workload of the physicians varied considerably. Many of the encounters involved problems for which there may be minimal benefit from medical intervention, and there was a large discrepancy in the frequency of follow-up visits for specified stable chronic health problems. The implications of these interpractice variations in the altering field of health care are discussed.
在7个月的时间里，对初级保健中的国际健康问题分类（ICHPPC）试用版进行了研究。10位社区医生报告了与11437名患者的28399次诊疗接触。健康问题的总体分布与其他北美研究的结果相当。城市和农村诊所发病率分布之间的一些差异与之前加拿大的研究不同。诊所之间的其他差异似乎与个别医生的兴趣和培训有关。医生的工作量差异很大。许多诊疗接触涉及的问题可能从医疗干预中获益甚微，并且在特定稳定慢性健康问题的随访就诊频率上存在很大差异。讨论了这些诊所间差异在不断变化的医疗保健领域中的影响。
