医院会诊医生在全科医生开处方方面的作用。
The role of the hospital consultant in general practitioner prescribing.
作者信息
Strickland-Hodge B, Jepson M H
机构信息
Aston University.
出版信息
J R Soc Med. 1988 Apr;81(4):207-9. doi: 10.1177/014107688808100407.
A questionnaire was designed and posted to 600 general medical practitioners in the West Midlands. The results indicated that the prescribers were reassured by the hospital consultant although independence was maintained in prescribing decisions. The hospital medical team was recognized for its expertise rather than the consultant alone. A table was constructed from the results to show the therapy areas in which doctors prefer to refer their patients. Consultant's influence in prescribing is most likely where communication between GP and consultant is optimal. The generalized influence of the consultant as implied by the Greenfield report remains unproven. Any influence is much more specific and may depend upon therapy area, the consultant specialty, and the standing of the hospital medical team. The innovativeness of the prescriber which was also considered may also have an influence as to how the consultant's recommendations will be accepted.
设计了一份问卷并分发给西米德兰兹郡的600名普通医生。结果表明，尽管在开药决策上保持了独立性，但开处方者对医院顾问感到放心。医院医疗团队因其专业知识而受到认可，而不仅仅是顾问。根据结果构建了一个表格，以显示医生更愿意将患者转诊的治疗领域。全科医生与顾问之间沟通最优化时，顾问在开药方面的影响力最大。格林菲尔德报告所暗示的顾问的普遍影响力仍未得到证实。任何影响都更加具体，可能取决于治疗领域、顾问的专业以及医院医疗团队的地位。所考虑的开处方者的创新性也可能对顾问的建议被接受的方式产生影响。
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