Beale N, Searle M, Woodman J
Health Centre, Calne, Wiltshire.
Br J Gen Pract. 1992 Feb;42(355):51-3.
A prospective, observational study of chronic disease surveillance consultations over a six-month period was performed in one semi-rural general practice in order to determine the content of the consultations, including incidental items not relevant to the chronic disease. At least one incidental item was recorded during 43% of consultations. There was substantial clinical content in these items: 23% of items required a prescription to be issued and 7% referral to a specialist. It is concluded that chronic disease surveillance consultations in general practice are frequently extended by patients who are anxious to discuss issues which may not be relevant to their chronic diseases. General practitioners must be sensitive to such patient expectations when they instigate chronic disease management clinics.
为了确定慢性病监测会诊的内容，包括与慢性病无关的附带项目，在一家半乡村全科诊所进行了一项为期六个月的前瞻性观察研究。在43%的会诊中记录了至少一项附带项目。这些项目中有大量临床内容：23%的项目需要开具处方，7%的项目需要转诊至专科医生。研究得出结论，全科诊所的慢性病监测会诊经常会因患者急于讨论可能与其慢性病无关的问题而延长。全科医生在开设慢性病管理诊所时必须对患者的此类期望保持敏感。
