Lurvey N L, Kwan P H, Katz D H, Van Kruiningen H J, Wachtel T J
University of California, San Diego Medical Center.
R I Med J (1976). 1990 May;73(5):215-8.
Laboratory test ordering practices among physicians at three walk-in or urgent-care medical facilities were compared to evaluate the relationship between practice type and test ordering patterns. The charts of 221 patients were reviewed for test ordering as an aid for the diagnosis of cough or upper respiratory infection (169 patients) or diarrhea (52 patients). For upper respiratory infections, the free-standing walk-in clinic ordered the greatest number of tests; and for both categories of disease, the urgent care unit of a health maintenance organization (HMO) ordered the fewest tests.
对三家即时诊疗或紧急护理医疗机构的医生的实验室检查开单行为进行了比较,以评估诊疗类型与检查开单模式之间的关系。查阅了221名患者的病历,这些病历用于辅助诊断咳嗽或上呼吸道感染(169名患者)或腹泻(52名患者)。对于上呼吸道感染,独立的即时诊疗诊所开出的检查项目最多;而对于这两类疾病,健康维护组织(HMO)的紧急护理单元开出的检查项目最少。