Mesker J, Mesker P
J R Coll Gen Pract. 1979 Feb;29(199):92-6.
During a two-month period in general practice we compared morbidity records from the teaching practices at Southampton, UK, and Nijmegen, The Netherlands. Although the commonest conditions - emotional disorders, upper respiratory tract infection, and musculo-skeletal disorders - were equally prevalent, obesity was five times as prevalent and hypertension and urinary tract infection were twice as prevalent in Nijmegen as in Southampton. The Dutch doctors were far more ready to prescribe oral contraception to women over 50 years old. We met many difficulties in what had appeared to be a simple project and our results may reflect important differences about doctors' attitudes to care as well as differences in morbidity.
在两个月的全科医疗期间，我们比较了英国南安普敦和荷兰奈梅亨教学诊所的发病率记录。尽管最常见的病症——情绪障碍、上呼吸道感染和肌肉骨骼疾病——同样普遍，但肥胖症在奈梅亨的发病率是南安普敦的五倍，高血压和尿路感染在奈梅亨的发病率是南安普敦的两倍。荷兰医生更愿意给50岁以上的女性开口服避孕药。在这个看似简单的项目中我们遇到了许多困难，我们的结果可能反映了医生对医疗护理态度的重要差异以及发病率的差异。
