Whitehouse C R, Hodgkin P
J R Coll Gen Pract. 1985 Dec;35(281):581-3.
The management of 12 330 cases of minor illness by 201 urban general practitioners has been studied. The results were analysed by the characteristics of the patients (age and social class) and by the characteristics of the doctors (for example, age of doctor, area of practice, mean time spent with patient).The age of the patients had little effect on the management of minor illness. Prescribing rates were not found to vary with the social class of the patient but the level of home visiting was affected.Doctors working in the most affluent wards were found to be lower prescribers than those in the less affluent wards and younger doctors tended to be low prescribers while older doctors tended to be high prescribers. There was a large proportion of non-vocationally trained doctors among the high prescribers. Doctors with short mean consultation times were found to be high prescribers and were more likely to label patients as having minor illness than doctors with longer mean consultation times. In addition, those doctors who used the minor illness codes more often were higher prescribers than those who used them less often.
对201名城市全科医生管理的12330例轻症病例进行了研究。根据患者特征（年龄和社会阶层）以及医生特征（例如，医生年龄、执业区域、与患者相处的平均时间）对结果进行了分析。患者年龄对轻症管理影响不大。未发现开药率随患者社会阶层而变化，但家访水平受到影响。发现在最富裕病房工作的医生开药率低于较不富裕病房的医生，年轻医生开药率往往较低，而年长医生开药率往往较高。高开药率医生中非职业培训医生的比例很大。发现平均会诊时间短的医生是高开药率医生，与平均会诊时间长的医生相比，他们更有可能将患者诊断为轻症。此外，那些更频繁使用轻症编码的医生比使用频率较低的医生开药率更高。
