Whewell J, Marsh G N, McNay R A
Br Med J (Clin Res Ed). 1983 Apr 16;286(6373):1259-61. doi: 10.1136/bmj.286.6373.1259.
The visiting habits of general practitioners in the north of England in 1969 and in 1980 have been compared. During this period overall visiting was reduced by 41%. The reduction was most pronounced in repeat visits, particularly to children. There was a greater reduction in visits to patients with respiratory disease than to those with other illness. The reduction was least in visits to patients over the age of 65. New visits requested by patients were reduced by 31%, but the general practitioner still considered that about the same percentage of patients could have attended the surgery as in 1969. The reasons for these differences include flexible appointment systems, improved efficiency, better organisation of the surgery, and more flexible arrangements for certification of absence from work. Though total workload (as measured by the number of consultations with patients) has diminished, general practice has changed, being more concerned with prevention, chronic disease, and vocational training.
对1969年和1980年英格兰北部全科医生的出诊习惯进行了比较。在此期间，出诊总量减少了41%。复诊的减少最为明显，尤其是儿童的复诊。呼吸系统疾病患者的出诊减少幅度大于其他疾病患者。65岁以上患者的出诊减少幅度最小。患者要求的新出诊减少了31%，但全科医生仍认为与1969年相比，前来就诊的患者比例大致相同。这些差异的原因包括灵活的预约系统、更高的效率、更好的诊所组织以及更灵活的病假证明安排。尽管总工作量（以与患者的会诊次数衡量）有所减少，但全科医疗已经发生了变化，更加关注预防、慢性病和职业培训。
