Oppikofer A M
Helv Paediatr Acta. 1977 Sep;32(3):189-206.
This paper represents a retrospective statistical study of the private activity of a pediatrician practicing in a Swiss urban center. The study ecompases one year (1974). 1325 infants and children were the object of 4665 contacts with the physician, an average of 3.5 contacts per child per year. These contacts were analyzed with regard to the reason why the contact was sought, to the kind of problem observed, to the precise diagnosis, including accessory diagnoses. These contacts wre also analyzed from the point of view of patient's age, nationality, and socio-economic group of the parents. The incidence of affective and behavioral problems, of referals to a consultant or to the hospital, and of requests for laboratory workup etc. was also studied. The suggestion is made that other similar, if possible prospective studies should be undertaken by pediatricians practicing in somewhat different conditions and in other areas of Switzerland. Such studies could be used to influence the teaching of pediatrics in Switzerland.
本文是对一名在瑞士城市中心执业的儿科医生的私人诊疗活动进行的回顾性统计研究。该研究涵盖一年时间(1974年)。1325名婴幼儿和儿童接受了该医生4665次诊疗,平均每名儿童每年3.5次诊疗。对这些诊疗进行了分析,涉及寻求诊疗的原因、观察到的问题类型、精确诊断(包括附加诊断)。还从患者年龄、国籍以及父母的社会经济群体等角度对这些诊疗进行了分析。此外,还研究了情感和行为问题的发生率、转诊至顾问医生或医院的情况以及实验室检查请求等情况。有人建议,瑞士其他条件有所不同的地区以及其他领域的儿科医生应开展其他类似的前瞻性研究(如果可能的话)。此类研究可用于影响瑞士的儿科学教学。