Horrocks J C, De Dombal F T
Br Med J. 1975 Aug 16;3(5980):421-3. doi: 10.1136/bmj.3.5980.421.
This paper presents a study of the diagnosis of "dyspepsia" in 154 patients based on data collected at their initial outpatient attendance via an interview with a non-medically qualified physician's assistant. The reactions of patients to this type of interview were favourable, and the data recorded were as reliable as those recorded by clinicians. We conclude (1) that the data recorded by the physician's assistant are valuable diagnostically; (2) where these cannot be collected by a qualified physician, this task may be delegated to a non-medically qualified person; but (3) this interview should augment and not replace the traditional clinical interview.
本文基于154例患者初次门诊就诊时由非医学资质的医师助理通过访谈收集的数据,对“消化不良”的诊断进行了研究。患者对这种访谈方式反应良好,所记录的数据与临床医生记录的数据一样可靠。我们得出以下结论:(1)医师助理记录的数据在诊断方面具有重要价值;(2)若合格医生无法收集这些数据,可将此任务委托给非医学资质人员;但(3)这种访谈应作为传统临床访谈的补充,而非替代。