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一般医疗实践中的列表规模与患者接触情况。

List size and patient contact in general medical practice.

作者信息

Wilkin D, Metcalfe D H

出版信息

Br Med J (Clin Res Ed). 1984 Dec 1;289(6457):1501-5. doi: 10.1136/bmj.289.6457.1501.

DOI:10.1136/bmj.289.6457.1501
PMID:6439291
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC1443722/
Abstract

One hundred and ninety nine general practitioners collected data on consultations with patients for a representative sample of recording days. The number of consultations and amount of time spent in patient contact were positively correlated with the number of registered patients (list size), whereas the consultation rate and the amount of time spent with each patient were negatively correlated. These relations, however, were not too strong, and there was considerable variation among doctors, particularly for those with lower list sizes. These findings have implications for issues concerning quality of care and the potential effects of reductions in patient list size.

摘要

199名全科医生针对具有代表性的记录日样本收集了与患者会诊的数据。会诊次数以及与患者接触所花费的时间与注册患者数量(名单规模)呈正相关,而会诊率以及与每位患者相处的时间呈负相关。然而,这些关系并非特别紧密,医生之间存在相当大的差异,尤其是那些名单规模较小的医生。这些发现对于护理质量问题以及患者名单规模缩减的潜在影响具有启示意义。

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