Knight R
J R Coll Gen Pract. 1987 Jan;37(294):19-22.
It is commonly believed that longer consultations are essential to better care and that this can only be achieved by lowering list sizes. The results of a survey of general practitioner trainers show that, on average, the time given to each patient was longer when general practitioners had lower list sizes, but that for a substantial minority of doctors list size played no part. Although the evidence is inconclusive, patients registered with lower list size general practitioners consulted more and received prompter attention. Doctors with smaller lists worked shorter hours and felt less overworked. However most of the correlates were weak owing to great individual differences of practice style between general practitioners. If a case for lower list sizes is to carry force, stronger evidence is needed that patients will receive more of their general practitioners' attention.
人们普遍认为，更长时间的问诊对于提供更好的医疗服务至关重要，而这只有通过减少每位医生负责的患者数量才能实现。一项针对全科医生培训师的调查结果显示，平均而言，当全科医生负责的患者数量较少时，每位患者获得的问诊时间会更长，但仍有相当一部分医生表示，患者数量对问诊时间没有影响。尽管证据尚无定论，但在患者数量较少的全科医生处注册的患者问诊次数更多，且能得到更及时的关注。患者数量较少的医生工作时间更短，感觉工作压力也更小。然而，由于全科医生的执业风格存在很大的个体差异，大多数相关性都很弱。如果要让减少患者数量这一理由更有说服力，就需要更有力的证据证明患者将得到全科医生更多的关注。
