Sells C J, Herdener R S
Pediatrics. 1975 Aug;56(2):255-61.
Six Medex working with family practitioners were followed by an observer for a total of 18 days to gain an objective profile of how Medex spent their workday. Medex on the average spent 30% of their time with office patients and saw 38% of all office patients. Medex saw between 25% and 100% of all pediatric office patients and spent on the average 37% of their office patient time with pediatric patients. On the average, Medex saw 8 pediatric and 11 adult office patients per day. Well-child examinations, the largest pediatric diagnostic category, accounted for 30% of Medex pediatric office patient time. Minor surgery accounted for the second largest portion of pediatric office patient time (21%) while respiratory illness ranked third (11%). In view of the increasing role family practitioners and their assistants will undoubtedly play in the provision of child health care, pediatricians are urged to work closely with family physicians in developing and implementing health care services for children.
一名观察员对六名与家庭医生共事的医学博士助理（Medex）进行了为期18天的跟踪，以客观了解他们的工作日是如何度过的。医学博士助理平均将30%的时间用于诊治门诊患者，诊治了所有门诊患者的38%。医学博士助理诊治了所有儿科门诊患者的25%至100%，平均将37%的门诊患者诊治时间用于诊治儿科患者。医学博士助理平均每天诊治8名儿科门诊患者和11名成人门诊患者。健康儿童检查是最大的儿科诊断类别，占医学博士助理儿科门诊患者诊治时间的30%。小手术占儿科门诊患者诊治时间的第二大部分（21%），而呼吸道疾病位列第三（11%）。鉴于家庭医生及其助手在提供儿童保健服务方面无疑将发挥越来越大的作用，敦促儿科医生与家庭医生密切合作，制定和实施儿童保健服务。
