Thomas K B
Br Med J. 1974 Mar 30;1(5908):625-6. doi: 10.1136/bmj.1.5908.625.
Of 3,848 consultations with patients at 330 general practice surgeries during one year, no diagnosis was made in 1,656, The latter received no effective treatment other than contact with their doctor, and were asked to return if they did not feel better. But 1,191 did not return, Subsequent inquiry showed that 976 (82%) said they had been made better, and a further 131 (11%) said that, though they were no better, they had not sought further treatment.The "successfully untreated" patients were shown not to differ significantly from those patients in whom a definite diagnosis had been made, with regard to neuroticism, extraversion, intelligence, age, sex, marital status, social class, length of stay in the practice, number of consultations, and absence from work. These patients have been called "temporarily dependent" patients and their possible influence on diagnosis is discussed.
在一年时间里,330家普通诊所对3848名患者进行了诊疗,其中1656人未得到诊断结果。除了与医生接触外,后者没有接受任何有效治疗,并且被告知如果感觉没有好转就回来复诊。但有1191人没有回来复诊。后续调查显示,976人(82%)表示病情有所好转,另有131人(11%)表示虽然病情没有好转,但他们没有寻求进一步治疗。结果表明,“未经治疗却康复”的患者在神经质、外向性、智力、年龄、性别、婚姻状况、社会阶层、在该诊所就诊的时长、就诊次数以及缺勤情况等方面,与那些已得到明确诊断的患者相比,并无显著差异。这些患者被称为“暂时依赖型”患者,文中还讨论了他们对诊断可能产生的影响。