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类风湿关节炎的临床判断。I. 风湿病学家的观点与 “虚拟患者” 的形成。

Clinical judgment in rheumatoid arthritis. I. Rheumatologists' opinions and the development of 'paper patients'.

作者信息

Kirwan J R, Chaput de Saintonge D M, Joyce C R, Currey H L

出版信息

Ann Rheum Dis. 1983 Dec;42(6):644-7. doi: 10.1136/ard.42.6.644.

DOI:10.1136/ard.42.6.644
PMID:6651368
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC1001320/
Abstract

Opinions about the importance of various measures of disease activity in rheumatoid arthritis gathered from a survey of 20% of British rheumatologists showed a wide diversity for all clinical variables. 'Paper patients' have been developed as a method of investigating actual clinical decisions rather than expressed opinions. Assessments based on 'paper patients' correlate highly (r = +0.901) with those made on the equivalent real patients when seen in person.

摘要

通过对20%的英国风湿病专家进行调查,收集到的关于类风湿关节炎各种疾病活动度测量指标重要性的意见表明,所有临床变量的意见都存在很大差异。“纸质患者”已被开发出来作为一种调查实际临床决策而非表达意见的方法。基于“纸质患者”的评估与当面见到的同等真实患者的评估高度相关(r = +0.901)。

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本文引用的文献

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Discriminatory indices of response of patients with rheumatoid arthritis treated with D-penicillamine.青霉胺治疗的类风湿关节炎患者的反应鉴别指数
Ann Rheum Dis. 1980 Aug;39(4):301-11. doi: 10.1136/ard.39.4.301.
2
The use of simulated patients in a certification examination in family medicine.模拟患者在家庭医学认证考试中的应用。
J Med Educ. 1972 Oct;47(10):789-95. doi: 10.1097/00001888-197210000-00005.