Knight A L, Adelman A M, Sobal J
Department of Family Medicine, University of Virginia, Roanoke.
J Fam Pract. 1989 Dec;29(6):638-42.
Once a major part of medical practice, physician house calls have declined in frequency over the years. Recently, it has been suggested that house calls are increasing. This study examined the current self-reported house call practices among recent graduates of family practice residency programs in the United States. A questionnaire was mailed to a cross-sectional, random national sample of 301 family physicians who are members of the American Academy of Family Physicians and who completed a residency between 1981 and 1986. There was a 66% response rate to three mailings, with 197 questionnaires analyzed. Sixty-two percent of the physicians reported they were making house calls. The majority (53%) made less than one house call per month. Fewer than 15% made house calls on a weekly basis. There was a downward trend by residency year in the percentage of physicians making house calls when comparing graduates from 1981 to 1986. House calls do not appear to be a significant part of the practice of young family physicians.
上门问诊曾经是医疗实践的一个主要部分,但多年来其频率一直在下降。最近,有人提出上门问诊的情况正在增加。本研究调查了美国家庭医学住院医师培训项目近期毕业生目前自我报告的上门问诊情况。向301名美国家庭医生学会成员、于1981年至1986年间完成住院医师培训的家庭医生进行了全国性随机抽样问卷调查。经过三次邮寄,回复率为66%,共分析了197份问卷。62%的医生报告他们会进行上门问诊。大多数医生(53%)每月上门问诊不到一次。每周进行上门问诊的医生不到15%。将1981年至1986年的毕业生进行比较时,进行上门问诊的医生比例随住院年份呈下降趋势。上门问诊似乎并非年轻家庭医生医疗实践的重要组成部分。