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影响全科医生诊疗名单规模及所开药物数量的因素:近期一项研究的结果

Factors affecting list size of general practitioners and number of drugs prescribed: findings of a recent study.

作者信息

Renieri A, Piperno A

出版信息

Soc Sci Med. 1983;17(6):335-41. doi: 10.1016/0277-9536(83)90235-6.

DOI:10.1016/0277-9536(83)90235-6
PMID:6857291
Abstract

Using information obtained from a previous in-dept study on primary health care in one Italian region, we examined first the relationship between list size and the socio-professional profile of the doctor and second the relationship between the number of drugs prescribed at each visit and the social characteristics of both doctor and patient. Using the technique of multiple regression, these figures show that: (a) list size depends mainly on age of doctor, place of residence and that the doctor is primarily a general practitioner, i.e. he is not involved in any other medical activity; (b) the doctor's level of prescribing remains virtually constant, unaffected by his own or the patients' characteristics or the particular problem presented by the patient.

摘要

利用从先前对意大利一个地区初级卫生保健进行的深入研究中获得的信息,我们首先考察了名单规模与医生社会职业概况之间的关系,其次考察了每次就诊时所开药物数量与医生和患者双方社会特征之间的关系。运用多元回归技术,这些数据表明:(a) 名单规模主要取决于医生的年龄、居住地点,且该医生主要是全科医生,即他不参与任何其他医疗活动;(b) 医生的开药水平几乎保持不变,不受其自身或患者的特征以及患者所呈现的特定问题的影响。

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引用本文的文献

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Prescribing: the power to set limits.处方:设定限制的权力。
Br Med J (Clin Res Ed). 1985 Feb 9;290(6466):450-3. doi: 10.1136/bmj.290.6466.450.