Hampton J R, Morris G K, Mason C
Br Med J. 1975 Oct 18;4(5989):146-8. doi: 10.1136/bmj.4.5989.146.
Out of 305 general practitioners sent a questionnaire asking how they would treat three hypothetical patients with heart attacks 231 (76%) replied. Of these, only 179 were prepared to make an unqualified choice of home or hospital treatment for a middle-aged man with an uncomplicated attack, 70 (39%) saying that they would keep the patient at home. Practitioners qualifying before 1960 were more likely to do this than those qualifying in 1960 or later. If a patient declined hospital treatment 161 (70%) of the practitioners would keep him in bed for a week or less, but the date of the practitioners' qualification significantly affected the time they would advise him to remain off work. Faced with a patient acutely ill after a heart attack, 162 (70%) of the practitioners would arrange his immediate admission to hospital and 51 (22%) would send him to hospital after initial treatment at home. The numbers of partners in the practice, the nature of the premises, and the location of the practice in urban or rural areas affected the practitioners' attitude to the management of severely ill patients but not to the management of patients with uncomplicated attacks.
在向305名全科医生发送了一份问卷，询问他们会如何治疗三名假设的心脏病发作患者后，有231人（76%）进行了回复。其中，只有179人准备对一名病情不复杂的中年心脏病发作患者无条件地选择在家治疗还是住院治疗，70人（39%）表示他们会让患者在家中治疗。1960年以前取得资格的从业者比1960年或之后取得资格的从业者更倾向于这样做。如果患者拒绝住院治疗，161名（70%）从业者会让他卧床一周或更短时间，但从业者的资格日期对他们建议患者休假的时间有显著影响。面对一名心脏病发作后病情危急的患者，162名（70%）从业者会安排他立即住院，51名（22%）会在患者在家接受初步治疗后将其送往医院。诊所的合伙人数量、场所性质以及诊所位于城市还是农村地区，影响从业者对重症患者的管理态度，但不影响对病情不复杂发作患者的管理态度。
