Ettlinger P R, Freeman G K
Br Med J (Clin Res Ed). 1981 Apr 11;282(6271):1192-4. doi: 10.1136/bmj.282.6271.1192.
While lip service is paid to the concept of the personal doctor in British general practice, little evidence is available to show that personal doctoring improves patient care. The hypothesis that close identification with a general practitioner leads to better drug compliance was therefore tested. One hundred and nineteen patients from two health centres who were prescribed an antimicrobial drug for a new episode of illness were visited at home four or five days after the prescription was given and their compliance with the prescription and identification with their doctor assessed. Compliance with the prescription was found to be strongly associated with whether the patient thought that he knew the prescribing doctor well. It is suggested that more attention is paid to consultation technique, particularly with new patients. One way of improving compliance may be for patients to see the same general practitioner using a personal list system. Further studies are needed for patients taking long-term treatment, especially hypotensive drugs.
虽然在英国的全科医疗中，人们口头上重视私人医生的概念，但几乎没有证据表明私人医生服务能改善患者护理。因此，对与全科医生密切联系会带来更好的药物依从性这一假设进行了检验。从两个健康中心选取了119名因新发病而被开了抗菌药物的患者，在开药后的四五天进行家访，评估他们对处方的依从性以及与医生的熟悉程度。结果发现，患者对处方的依从性与患者是否认为自己很了解开处方的医生密切相关。建议更多地关注诊疗技巧，尤其是对于新患者。提高依从性的一种方法可能是让患者通过个人名单系统看同一位全科医生。对于长期治疗的患者，尤其是服用降压药的患者，还需要进一步研究。
