Simpson D E, Gjerdingen D K
Medical College of Wisconsin, Milwaukee 53226.
Fam Pract Res J. 1989 Spring-Summer;8(2):55-61.
This study compared the psychosocial hypotheses generated by 12 internists and 12 family physicians as they reviewed three patient presentations with diagnoses of congestive heart failure, common duct stone, and sick sinus syndrome. Family physicians, compared to internists, produced a significantly higher proportion of psychosocial hypotheses on two of the three cases. Diagnoses considered more frequently by family physicians included anxiety, anxiety-depression, psychogenic pain, alcoholism, and other alcohol-related diseases. These results are consistent with the findings of previous studies reporting that family physicians attend to psychosocial problems to a greater degree than do internists.
本研究比较了12名内科医生和12名家庭医生在审查3例诊断为充血性心力衰竭、胆总管结石和病态窦房结综合征的患者病例时所产生的社会心理假设。与内科医生相比，家庭医生在这三例病例中的两例中产生的社会心理假设比例显著更高。家庭医生更常考虑的诊断包括焦虑、焦虑抑郁、心因性疼痛、酒精中毒及其他与酒精相关的疾病。这些结果与先前研究的结果一致，先前研究报告称家庭医生比内科医生更关注社会心理问题。
