Grol R, Mokkink H, Smits A, van Eijk J, Beek M, Mesker P, Mesker-Niesten J
Fam Pract. 1985 Sep;2(3):128-35. doi: 10.1093/fampra/2.3.128.
The emotional reactions of 57 general practitioners to three aspects of work was assessed by means of questionnaires. The quality of patient care was assessed by means of observations of general practice consultations, assessment of audiotaped consulting hour contacts and an analysis of the referral and prescription figures. A distinction was made between the degree of positive and the degree of negative feelings general practitioners have about their work. Many positive feelings (satisfaction, feeling at ease) correlated with more openness to patients, more attention to psychosocial aspects of the complaints but also with a higher rate of referral to medical specialists. On the other hand, many negative feelings (frustration, tension, lack of time) correlated with a high prescription rate and with giving little explanation to patients. To some extent the way that work is experienced by general practitioners correlated with the quality of care for the patients, but what constitutes cause and effect requires further study. A reflection of a doctor's own feelings about work should become part of training, continuing education and medical audit programmes.
通过问卷调查评估了57名全科医生对工作三个方面的情绪反应。通过观察全科医疗咨询、评估录音咨询时段接触情况以及分析转诊和处方数据来评估患者护理质量。区分了全科医生对工作的积极感受程度和消极感受程度。许多积极感受（满意度、自在感）与对患者更开放、更关注投诉的社会心理方面相关，但也与更高的转诊给医学专家的比例相关。另一方面，许多消极感受（沮丧、紧张、时间不足）与高处方率以及对患者解释甚少相关。在某种程度上，全科医生体验工作的方式与患者护理质量相关，但因果关系究竟如何还需要进一步研究。医生对工作的自身感受的反思应成为培训、继续教育和医疗审计项目的一部分。
