Bowman M A
Department of Family and Community Medicine, Bowman Gray School of Medicine, Wake Forest University, Winston-Salem, NC 27103.
J Am Board Fam Pract. 1990 Jan-Mar;3(1):43-9.
This is a review of published reports comparing family physicians with internists. The results show that family physicians are more likely to stay in their field of training; to locate more frequently in rural and underserved areas; to see fewer referred patients; to have similar case severity; and to engage in more obstetrics and gynecology, surgery, trauma, acute illness, and pediatrics. Family physicians spend less time per patient, ask fewer history questions, obtain fewer physical examination items, order fewer diagnostic studies, make referrals less often, and hospitalize patients less often. The reasons for the practice style differences between family physicians and internists are likely to be multiple, but they probably include such factors as: training, decision-making expertise, patient demands, types of visits, office staff, economics, and attitude. The implications of the proposed reasons for the differences are discussed.
这是一篇对已发表的比较家庭医生和内科医生的报告的综述。结果显示，家庭医生更有可能留在其培训领域；更频繁地在农村和服务不足地区执业；看诊的转诊患者较少；病例严重程度相似；并且从事更多的妇产科、外科、创伤、急性病和儿科工作。家庭医生为每位患者花费的时间较少，询问的病史问题较少，进行的体格检查项目较少，开出的诊断研究较少，转诊的频率较低，住院治疗患者的频率也较低。家庭医生和内科医生之间执业风格差异的原因可能是多方面的，但可能包括以下因素：培训、决策专业知识、患者需求、就诊类型、办公室工作人员、经济因素和态度。文中讨论了这些差异原因的潜在影响。
