Chaput de Saintonge D M, Hathaway N R
Br Med J (Clin Res Ed). 1981 Oct 3;283(6296):883-4. doi: 10.1136/bmj.283.6296.883.
Diagnostic and prescribing practices in otitis media vary, and audit is difficult because doctors may not see comparable cases. Seven general practitioners took part in a pilot study to discover if simulated patients evoked the same diagnostic and treatment responses as reveal patients. Forty-eight patients entered the study over three weeks and provided data for two simulations; one included the doctor's description of the ear and the other a photograph instead. Each doctor was shown the two sets of simulations and asked to state his diagnosis and treatment. The diagnoses each doctor reached agreed significantly with those reached on the simulations of the same patients. The decisions to prescribe antibiotics also showed good agreement.
中耳炎的诊断和处方做法各不相同，而且由于医生可能看不到类似病例，所以审核很困难。七名全科医生参与了一项试点研究，以探究模拟患者是否会引发与真实患者相同的诊断和治疗反应。在三周内，有48名患者参与了该研究，并提供了两组模拟的数据；一组包括医生对耳部的描述，另一组则是一张照片。每位医生都看了这两组模拟，并被要求说出他的诊断和治疗方案。每位医生得出的诊断与对相同患者模拟得出的诊断显著一致。开抗生素的决定也显示出高度一致性。
