Bass M J, Buck C, Turner L, Dickie G, Pratt G, Robinson H C
J Fam Pract. 1986 Jul;23(1):43-7.
The outcome of new episodes of common nonrespiratory tract symptoms was studied in 193 patients attending family physicians. After controlling for demographic, psychological, and social variables, the only element of the process of care that was related to resolution of the patient's symptom at one month was physician-patient agreement about the nature of the problem. Patients with unresolved symptoms were followed for an additional two months. Late resolution was associated with the physician's recording of attention to psychosocial problems. These results have implications both for the provision and audit of primary care.
对193名看家庭医生的患者新发常见非呼吸道症状的转归进行了研究。在控制了人口统计学、心理和社会变量后,在一个月时与患者症状缓解相关的唯一医疗过程要素是医患对问题性质的共识。对症状未缓解的患者又随访了两个月。症状的延迟缓解与医生对心理社会问题的关注记录有关。这些结果对初级医疗的提供和审核均有启示。