Lyle C B, Applegate W B, Citron D S, Williams O D
Ann Intern Med. 1976 May;84(5):594-601. doi: 10.7326/0003-4819-84-5-594.
A method was devised to offer a group of internists a system by which to analyze their practices, allowing them to identify areas where a change in practice habits might be beneficial. More than 3000 encounters between patients and internists in an eight-man group were analyzed for a number of variables. Significant differences existed between physicians as to the percentage of encounters that were physician-initiated rather than patient-initiated. Disposition of the encounters also varied significantly. The effect that the recycling of patients has on productivity, cost, and use of hospital facilities is discussed. In addition to geographic and specialty maldistribution, the maldistribution of physician time is a significant barrier to meeting the demands for medical care.
设计了一种方法，为一组内科医生提供一个分析其诊疗行为的系统，使他们能够确定改变诊疗习惯可能有益的领域。对一个由八名医生组成的团队中患者与内科医生之间的3000多次诊疗进行了多种变量分析。不同医生之间，由医生发起而非患者发起的诊疗比例存在显著差异。诊疗的处理方式也有显著差异。讨论了患者复诊对生产力、成本和医院设施使用的影响。除了地理分布和专业分布不均外，医生时间分配不均也是满足医疗需求的一个重大障碍。
