Marsh G N, McNay R A
Br Med J. 1974 Feb 23;1(5903):319-21. doi: 10.1136/bmj.1.5903.319.
The second part of a survey studying factors that affect a general practitioner's work load considers the effects of age, sex, social class and time on list. Women, the old, and the young created the most work for the doctor and his paramedical team. Patients in the lower social classes also generated more work, even though a larger proportion of the higher social classes used the resources of the general practice-and more fully. Newly-registered patients generated slightly more work than the more permanent residents. Not only the size of a doctor's list, therefore, but also the demographic features of the community should be taken into account in determining the size and structure of the general-practice team needed for an area.
一项研究影响全科医生工作量因素的调查的第二部分,考量了年龄、性别、社会阶层以及在册时间的影响。女性、老年人和年轻人给医生及其医护团队带来了最多的工作。社会阶层较低的患者也产生了更多工作,尽管较高社会阶层中有更大比例的人使用全科医疗资源,而且使用得更充分。新登记患者产生的工作量比长期居民略多。因此,在确定一个地区所需全科医疗团队的规模和结构时,不仅要考虑医生的在册患者数量,还要考虑社区的人口特征。