Johnson R A, Murata P J
Division of Family Medicine, University of California, Los Angeles 90024-1683.
J Fam Pract. 1988 Jul;27(1):87-91.
The content of care in a family practice residency program was analyzed using a microcomputer information system. The distribution of recorded diagnoses in the training program was found to be very similar to results of two national studies of family medicine. Despite this overall similarity, important differences were found when distributions for patients with six types of insurance coverages were analyzed separately. This study demonstrates the potential effect of insurance coverage on the clinical content of family medicine. As the health care system changes, residency programs will need to remain adaptable to maintain patient bases reflecting the broad content of family medicine.
使用微机信息系统对家庭医疗住院医师培训项目中的护理内容进行了分析。发现该培训项目中记录的诊断分布与两项全国性家庭医学研究的结果非常相似。尽管总体上有这种相似性，但在分别分析六种保险类型患者的分布时，发现了重要差异。这项研究证明了保险覆盖范围对家庭医学临床内容的潜在影响。随着医疗保健系统的变化，住院医师培训项目将需要保持适应性，以维持反映家庭医学广泛内容的患者群体。
