Louro González Arturo, Fernández Obanza Emiliano, Fernández López Elsa, Vázquez Millán Patricia, Villegas González Leonor, Casariego Vales Emilio
Servicio de Atención Primaria de Cambre, A Coruña, España.
Aten Primaria. 2009 Nov;41(11):592-7. doi: 10.1016/j.aprim.2009.05.005. Epub 2009 Jul 31.
To determine the doubts, their number and type that doctors have during routine clinics in primary care, as well as establishing methods that may be used to resolve them.
Prevalence study.
Health centres in the provinces of A Coruña and Lugo.
A total of 81 primary care doctors, selected by simple random sampling. The sample size was calculated to obtain a total of 500 doubts. Only 2 doctors refused to take part.
Number and types of doubts. Systems used to resolve them and when they were carried out.
A mean of 1.7 doubts were detected (95% confidence interval; 1.59-1.82) for every 10 patients, of which 92% were seen as clinical problems. The 12 most frequent doubts made up 75% of all those that arose, with the interpretation of a clinical sign and treatment indications being the most common. In 51.6% of cases an attempt was made to resolve the doubt either during the consultation or during that day. A total of 35.7% of the doubts led to new appointments, either in the clinic itself or as a referral (23%). A total of 81.5% of those surveyed never used the Internet during the consultation and only 6.2% did this daily or often.
The number of doubts that primary care doctor has is relatively small (1.7 for every 10 patients). The most common way to try to resolve them is by referral to a specialist.
确定基层医疗常规门诊中医生存在的疑问、疑问数量及类型，并确立可用于解决这些疑问的方法。
患病率研究。
拉科鲁尼亚省和卢戈省的健康中心。
通过简单随机抽样选取的81名基层医疗医生。样本量经计算可获得总计500个疑问。仅有2名医生拒绝参与。
疑问的数量和类型。用于解决疑问的系统及实施时间。
每10名患者平均发现1.7个疑问（95%置信区间：1.59 - 1.82），其中92%被视为临床问题。最常见的12个疑问占所有出现疑问的75%，对临床体征的解读和治疗指征最为常见。51.6%的疑问在会诊期间或当天尝试解决。总计35.7%的疑问导致了新的预约，要么在诊所内，要么作为转诊（23%）。总计81.5%的受访者在会诊期间从未使用过互联网，只有6.2%的人每天或经常使用。
基层医疗医生存在的疑问数量相对较少（每10名患者1.7个）。解决疑问最常见的方式是转诊至专科医生。
