Fleming D M
J R Coll Gen Pract. 1989 Feb;39(319):68-72.
Methods of estimating the annual consulting rate per patient are reviewed. Methodological problems include the definition of consultations as opposed to problems encountered, the definition of population at risk, the reliability of data about home visits and the limitations of extrapolating data collected over a short period. Estimates of consultation rate are usually obtained from surveys which have other primary objectives. The annual consultation rate in 1981, excluding telephone contacts, was estimated at 3.5 consultations per patient. In spite of its limited sample size, the general household survey provides a reliable estimate of the national consulting rate. There is, however, a need to validate it against a survey covering a longer period in which consultation rates are measured and not just estimated from memory. The total workload of the 'average' doctor changed little between 1970 and 1981 in spite of reducing list size. Home visits accounted for approximately 15% of all consultations in 1981 and this value has been consistent over the period 1980-83.
本文回顾了估算每位患者年度就诊率的方法。方法学问题包括会诊与所遇到问题的定义、风险人群的定义、家访数据的可靠性以及短期内收集数据外推的局限性。就诊率估计通常来自有其他主要目标的调查。1981年的年度就诊率（不包括电话联系）估计为每位患者3.5次就诊。尽管样本量有限，但一般家庭调查提供了全国就诊率的可靠估计。然而，需要对照一项涵盖更长时间段的调查进行验证，该调查测量就诊率而非仅根据记忆进行估计。尽管患者名单规模缩小，但1970年至1981年间，“普通”医生的总工作量变化不大。1981年，家访约占所有会诊的15%，这一数值在1980 - 1983年期间保持一致。
