Johnson R
J R Coll Gen Pract. 1974 Dec;24(149):832-6.
Problems of evaluating health care arise partly from the amorphous nature of health itself. Using a method which allows a wide range of clinical information to be analysed in fine detail, the relative efficacy of antibiotics in the treatment of cough is explored, as well as some benzodiazepines, in the treatment of anxiety.Results are presented in terms of percentages of patients whose target symptoms were treated with the drug stated, and who returned or whose symptoms returned after an interval of time. The breadth of the system allows other paramedical factors to be evaluated in the increasingly important impact that the wider social malaise has on medical practice.
评估医疗保健存在问题,部分原因在于健康本身具有不明确的性质。运用一种能够对广泛的临床信息进行详细分析的方法,探讨了抗生素在治疗咳嗽方面的相对疗效,以及某些苯二氮䓬类药物在治疗焦虑方面的相对疗效。结果以使用所述药物治疗目标症状的患者百分比呈现,这些患者在一段时间后症状复发或再次出现。该系统的广度使得在更广泛的社会问题对医疗实践日益重要的影响方面,可以对其他辅助医疗因素进行评估。