Rosenblatt R A, Moscovice I S
West J Med. 1985 Oct;143(4):537-40.
This paper examines the hospital role of a random sample of all general and family physicians in the state of Washington. Of the 287 physicians in our sample, 81% admitted at least one patient to hospital during the two-week study period, and the average physician admitted six patients. The majority of the admitting diagnoses fell within the realm of internal medicine. Residency-trained and board-certified respondents were more likely to admit patients to hospital, and residency-trained and rural practitioners were much less likely to refer patients to other physicians for hospital care than their urban counterparts. Residency-trained physicians, in particular, were much more likely to practice hospital obstetrics than those without formal residency training. These data demonstrate the broad and significant hospital role of the family physician. Given the increased scope and intensity of hospital practice of residency-trained family physicians, and barring major changes in admitting privileges or new regulatory constraints, we predict that this group of physicians will continue to have a significant inpatient role in the United States.
本文研究了华盛顿州所有普通内科医生和家庭医生随机样本的医院角色。在我们的样本中的287名医生里，81%在为期两周的研究期间至少收治了一名患者入院，平均每位医生收治了6名患者。大多数收治诊断属于内科领域。接受过住院医师培训并获得委员会认证的受访者更有可能收治患者入院，而接受过住院医师培训的乡村医生比城市同行将患者转诊给其他医生进行住院治疗的可能性要小得多。特别是，接受过住院医师培训的医生比没有接受过正规住院医师培训的医生从事医院产科工作的可能性要大得多。这些数据表明了家庭医生在医院中广泛且重要的角色。鉴于接受过住院医师培训的家庭医生在医院实践中的范围和强度不断增加，除非收治特权发生重大变化或出现新的监管限制，我们预计这组医生在美国的住院患者治疗方面将继续发挥重要作用。
