Tilyard M W, Dovey S M
Department of General Practice, University of Otago Medical School, Dunedin.
N Z Med J. 1990 Oct 24;103(900):498-500.
Concerns about the quality of primary care in New Zealand have increased over recent years as the scarcity of research in this field has become more apparent. A survey was undertaken among 132 general practitioners in Otago and Southland to gauge the degree of consensus of care for eight hypothetical cases. An 87.3% response rate was obtained. The year of graduation of the respondents was a significant factor in determining the response to the choice of management options for the paediatric sore throat and the benign hypertension cases. A variation in treatment of a 65 year old with epigastric pain was seen between rural and urban practitioners, with the cluster containing the most rural practitioners being least likely to undertake detailed diagnostic procedures.
近年来，随着该领域研究的匮乏愈发明显，新西兰对初级医疗保健质量的担忧与日俱增。在奥塔哥和南地对132名全科医生进行了一项调查，以评估对八个假设病例的护理共识程度。获得了87.3%的回复率。受访者的毕业年份是决定对小儿喉咙痛和良性高血压病例管理选项选择的反应的一个重要因素。农村和城市从业者对一名65岁上腹部疼痛患者的治疗存在差异，农村从业者最多的群体最不可能进行详细的诊断程序。
