Mills K A, Reilly P M
Ulster Med J. 1986 Apr;55(1):33-40.
This study was designed to investigate the relationship between general practice workload, the number of partners in the practice, and the use of health centre premises. Thirty general practitioners in twelve randomly selected practices (each with a list size of 2,000 patients per doctor) agreed to record a week's work on pre-printed forms. Information was gathered on content of care in the surgery, number of non-surgery and indirect contacts and time spent on work activities. Content of care was influenced by whether or not the doctors were based in a health centre, rather on how many partners they had. Conversely the numbers of non-surgery and indirect contacts and the time spent on all work activities were more affected by the number of partners. Two factors - consultation rate and the rate at which doctors initiate consultations - were found to be independent of either of the two variables considered.
本研究旨在调查全科医疗工作量、诊所合伙人数量与健康中心场所使用之间的关系。从12家随机选取的诊所中挑选了30名全科医生（每位医生的患者名单规模为2000人），他们同意在预先印制的表格上记录一周的工作情况。收集了有关诊所护理内容、非诊疗及间接接触的次数以及工作活动所花费时间的信息。护理内容受医生是否在健康中心工作的影响，而非合伙人数量。相反，非诊疗及间接接触的次数以及所有工作活动所花费的时间受合伙人数量的影响更大。研究发现，两个因素——诊疗率和医生发起诊疗的比率——与所考虑的两个变量中的任何一个均无关。
