Pietschmann G J, Henkel G
Z Gesamte Inn Med. 1987 May 1;42(9):245-9.
There is internationally no standardized therapy of the uncomplicated duodenal ulcer, including the inability to work. In order to obtain a representative behaviour concerning the duration of the inability to work prescribed by specialists for general medicine, internal medicine and surgery, an interrogation was performed. An evaluation of 729 questionnaires shows the following tendency: 1. The younger the attending physician is the longer is the time of inability to work prescribed and the more frequent such a certificate is given. 2. General practitioners in rural districts on an average prescribe a longer time of inability to work. 3. The higher is the qualification of the specialist for internal medicine the shorter is the duration of inability to work attested. 4. In the assessment of the duration of the inability to work the attending physicians increasingly accommodate themselves rather to the symptoms than to the radiological or to the endoscopic control of healing.
在国际上,对于单纯性十二指肠溃疡,包括因该病无法工作的情况,不存在标准化的治疗方法。为了了解普通医学、内科和外科专家规定的无法工作时长的代表性情况,我们进行了一次问卷调查。对729份问卷的评估显示出以下趋势:1. 主治医师越年轻,规定的无法工作时间就越长,开具此类证明的频率也越高。2. 农村地区的全科医生平均规定的无法工作时间更长。3. 内科专家的资质越高,证明的无法工作时长就越短。4. 在评估无法工作的时长时,主治医师越来越多地依据症状而非放射学或内镜检查的愈合情况来做出判断。