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医生对于常见门诊护理病情复诊安排的意见差异。

Variation in physician opinion about scheduling of return visits for common ambulatory care conditions.

作者信息

Tobacman J K, Zeitler R R, Cilursu A M, Mori M

机构信息

Division of General Medicine, Clinical Epidemiology and Health Services Research College of Medicine, University of Iowa, Iowa City 52242.

出版信息

J Gen Intern Med. 1992 May-Jun;7(3):312-6. doi: 10.1007/BF02598090.

DOI:10.1007/BF02598090
PMID:1613613
Abstract

OBJECTIVE

To determine whether there is consensus about intervals between visits for adult general medicine patients with common ambulatory care conditions.

DESIGN

Survey of practicing physicians and residents.

SETTING

Ambulatory care at a hospital clinic, a group practice, and a physician office.

PARTICIPANTS

153 physicians, including residents, fellows, and staff from The University of Iowa Hospitals and Clinics, internists and family practitioners from three Iowa towns, and internists from Atlantic City, New Jersey.

INTERVENTIONS

None.

MEASUREMENTS AND MAIN RESULTS

There was wide variation in responses, with greater consensus for more acute conditions than for chronic conditions or preventive care.

CONCLUSIONS

  1. Wide variation exists in proposed intervals between visits for care of patients with common ambulatory conditions. 2) Variation occurs within the same geographic area and is unassociated with year of graduation from medical school, year in training, or academic appointment 3) Further study is needed to assess the significance of this variation.
摘要

目的

确定对于患有常见门诊疾病的成年普通内科患者，复诊间隔时间是否存在共识。

设计

对执业医师和住院医师进行调查。

地点

医院诊所、联合诊所和医师办公室的门诊护理。

参与者

153名医师，包括爱荷华大学医院及诊所的住院医师、研究员和工作人员，爱荷华州三个城镇的内科医生和家庭医生，以及新泽西州大西洋城的内科医生。

干预措施

无。

测量指标及主要结果

回答差异很大，对于急性疾病的共识高于慢性疾病或预防性护理。

结论

1）对于患有常见门诊疾病患者的复诊间隔时间，提议存在很大差异。2）差异存在于同一地理区域内，且与医学院毕业年份、培训年份或学术职位无关。3）需要进一步研究以评估这种差异的意义。

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本文引用的文献

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The content of ambulatory medical care in the United States. An interspecialty comparison.美国门诊医疗的内容。一项跨专业比较。
N Engl J Med. 1983 Oct 13;309(15):892-7. doi: 10.1056/NEJM198310133091505.
A general method for identifying excess revisit rates: the case of hypertension.
一种识别过高复诊率的通用方法：以高血压为例。
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Survivors of motor vehicle trauma: an analysis of seat belt use and health care utilization.
J Gen Intern Med. 1993 Apr;8(4):199-203. doi: 10.1007/BF02599267.
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Return-visit intervals.回访间隔
J Gen Intern Med. 1993 Feb;8(2):110. doi: 10.1007/BF02599997.
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A computerized intervention to improve timing of outpatient follow-up: a multicenter randomized trial in patients treated with warfarin. National Consortium of Anticoagulation Clinics.一项改善门诊随访时间的计算机化干预措施：对华法林治疗患者的多中心随机试验。抗凝诊所全国联盟。
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