Hopkins A, Menken M, DeFriese G
Department of Neurological Sciences, St Bartholomew's Hospital, London, UK.
J Neurol Neurosurg Psychiatry. 1989 Apr;52(4):436-8. doi: 10.1136/jnnp.52.4.436.
Thirteen consultant neurologists working in ten different towns or cities in the United Kingdom were asked to log all their encounters with patients in 1 week. The median number of encounters was 79 (range 33-144). Forty-one per cent were new patients; 85% of all new patient encounters were with National Health Service patients. In more than four-fifths of all encounters, the neurologist felt that the consultation was a justified use of his experience. Consultations for headache/migraine and epilepsy together accounted for over a quarter of all encounters.
在英国十个不同城镇或城市工作的13名神经科顾问医师被要求记录他们在1周内与所有患者的接触情况。接触次数的中位数为79次(范围33 - 144次)。41%为新患者;所有新患者接触中85%是与国民医疗服务体系患者。在超过五分之四的所有接触中,神经科医师认为此次会诊合理利用了他的经验。头痛/偏头痛和癫痫的会诊合计占所有接触的四分之一以上。