Keenan J M, Bland C J, Webster L, Myers S
University of Minnesota Medical School, Department of Family Practice and Community Health, Minneapolis.
J Am Geriatr Soc. 1991 Nov;39(11):1100-4. doi: 10.1111/j.1532-5415.1991.tb02876.x.
Assess home care practice and attitudes of Minnesota family physicians (FPs).
Mailed survey.
State of Minnesota.
Members of the Minnesota Academy of Family Physicians, 80% of the FPs practicing in the state.
A 55-item mailed, self-complete questionnaire regarding general practice and personal physician characteristics (18 questions), specific questions regarding geriatric and home care practice and related attitudes (37 questions); up to four reminder or follow-up surveys were sent.
Descriptive summary of FP home care practice and attitudes.
Eighty percent of surveys were completed, 76% of responding physicians made at least one home visit in the previous year, and 92% of home visits were to geriatric patients. Discriminant function analysis identified six significant (P less than 0.001) variables that explained 52% of the variance (r2 = 0.52, Wilks Lambda = 0.48) in home visiting behavior between frequent home visiting FPs (greater than 24 visits/year) and non-visiting FPs. FPs most likely to do home visiting were older and tended to have small group or solo practices in rural settings.
The survey documented continued decline (from previously published surveys) of physician home visiting behavior and widespread dissatisfaction with reimbursement. However, attitudes regarding home care provided by other professionals were highly positive.
评估明尼苏达州家庭医生的家庭护理实践及态度。
邮寄调查。
明尼苏达州。
明尼苏达家庭医生学会成员，占该州执业家庭医生的80%。
一份包含55个问题的邮寄式自填问卷，内容涉及一般诊疗及个人医生特征（18个问题）、关于老年护理和家庭护理实践及相关态度的具体问题（37个问题）；最多发送四次提醒或后续调查问卷。
家庭医生家庭护理实践及态度的描述性总结。
80%的调查问卷被完成，76%的回复医生在上一年至少进行了一次家访，92%的家访对象是老年患者。判别函数分析确定了六个显著（P<0.001）变量，这些变量解释了频繁家访家庭医生（每年家访超过24次）和非家访家庭医生在家访行为方面52%的差异（r2 = 0.52，威尔克斯λ = 0.48）。最有可能进行家访的家庭医生年龄较大，且倾向于在农村地区开展小组或单人执业。
该调查记录了医生家访行为持续下降（与之前发表的调查相比）以及对报销普遍不满的情况。然而，对其他专业人员提供的家庭护理的态度非常积极。
