团体执业与个体全科医疗对患者护理的影响：安大略省的一项比较研究。
THE INFLUENCES OF GROUP AND INDEPENDENT GENERAL PRACTICE ON PATIENT CARE: A COMPARATIVE STUDY IN ONTARIO.
作者信息
SELLERS E M
出版信息
Can Med Assoc J. 1965 Jul 24;93(4):147-57.
When the practices of four general practitioners, members of multispecialist-general practitioner salaried groups (clinic doctors) were compared with those of four independent general practitioners (solo practitioners), it was noted that: group practice patients had more office laboratory investigation and greater in-hospital consultation and referral. On the other hand, independent practitioners' patients seemed to receive more personal attention from the doctor, a fuller explanation of diagnosis and treatment during office hours, more drug samples and more laboratory investigation in hospital.Group and independent practices are similar with respect to the rate of follow-up visits, the volume of preventive medicine, the number of radiographs and special procedures, the total number of drugs ordered, and the in-hospital formal written consultation rate and office consultation rate.The similarities between two types of practice may be a result of the interaction of group and independent practice in the same community.It is concluded that the team approach to medical care is not incompatible with independent practice.
当对四位全科医生（多专科全科医生受薪团队成员，即诊所医生）的诊疗行为与四位独立全科医生（个体执业医生）的诊疗行为进行比较时，发现：团队执业的患者进行的门诊实验室检查更多，住院会诊和转诊也更多。另一方面，个体执业医生的患者似乎从医生那里得到了更多的个人关注，在门诊时间对诊断和治疗有更充分的解释，得到了更多的药品样品，在医院进行的实验室检查也更多。团队执业和个体执业在随访就诊率、预防医学服务量、X光片数量和特殊检查、所开药物总数、住院正式书面会诊率和门诊会诊率方面相似。两种执业方式的相似性可能是同一社区中团队执业和个体执业相互作用的结果。得出的结论是，医疗护理的团队方式与个体执业并非不相容。
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