Verby J E, Holden P, Davis R H
Br Med J. 1979 Jun 23;1(6179):1686-8. doi: 10.1136/bmj.1.6179.1686.
A rating scale was designed to measure performance in interviewing techniques in primary care. Peer review of audiovisual recordings of their consultations showed that a group of experienced general practitioners achieved significantly higher scores on the rating scale compared with a group of similarly experienced general practitioners who did not observe their recordings. The higher scores were obtained at the expense of longer consultations. The traditional five-minute appointment system in general practice needs to be reconsidered if an improved interviewing technique results in a more favourable outcome.
设计了一种评分量表来衡量初级保健中问诊技巧的表现。对他们会诊的视听记录进行同行评审发现，与一组未观看自己记录的经验相当的全科医生相比，一组经验丰富的全科医生在评分量表上的得分显著更高。较高的分数是以更长的会诊时间为代价获得的。如果改进的问诊技巧能带来更有利的结果，那么全科医疗中传统的五分钟预约制度就需要重新考虑。
