Besançon F, Chabin B, Toupin M
Sem Hop. 1984 Feb 23;60(9):608-14.
Questionnaires calling for answers of yes or no were tested in the field of family medicine (125 questions) and in a hospital outpatient clinic (164 questions). In the hospital, results were not given to physicians before evaluation of the patient. In family medicine, 3 328 positive answers were given by 200 patients (average 17), against 3 439 and 115 (average 30) respectively in the hospital. As compared with questionnaires, conventional case-reports missed two out of three symptoms or antecedents, many of which were important. Examples are given. Such omissions were more frequent in males, and in some, specialties. They were not less frequent in common diseases. Unexpectedly, omissions were all the more numerous that patients already had more diagnoses. Filling the questionnaire took an average of 3.5 seconds per question. The opinion of patients was usually favorable. The duration of consultations was slightly increased when using the questionnaires. Questionnaires were useful: to patients, by reducing risks of omissions, fatigue of physicians and disparities between physicians; to physicians, by reducing risks of lawsuits. Economic results are complex. Acceptability is discussed. The initial reluctance of physicians can be overcome. From this experience, the number of questions can be brought down to 89.
在家庭医学领域（125个问题）和医院门诊（164个问题）对需要回答“是”或“否”的问卷进行了测试。在医院，在对患者进行评估之前，结果不会告知医生。在家庭医学中，200名患者给出了3328个肯定回答（平均每人17个），而在医院中，相应的数字分别为3439个和115个（平均每人30个）。与问卷相比，传统的病例报告遗漏了三分之二的症状或既往史，其中许多都很重要。文中给出了例子。这种遗漏在男性和某些专科中更为常见。在常见疾病中也不少见。出乎意料的是，患者已有的诊断越多，遗漏就越多。填写问卷平均每个问题需要3.5秒。患者的意见通常是积极的。使用问卷时，会诊时间略有增加。问卷是有用的：对患者来说，它降低了遗漏风险、医生的疲劳以及医生之间的差异；对医生来说，它降低了诉讼风险。经济结果很复杂。文中讨论了可接受性。医生最初的不情愿是可以克服的。从这次经验来看，问题数量可以减少到89个。
