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关于心脏病治疗的当前观点。泰赛德地区全科医生邮政调查的报告。

Current opinion concerning the treatment of heart disease. Report of a postal survey among Tayside general practitioners.

作者信息

Mason C, Murdoch J C

出版信息

J R Coll Gen Pract. 1983 Feb;33(247):91-9.

Abstract

Using a postal questionnaire method of investigation, the views of Tayside general practitioners were examined with respect to the management of three hypothetical patients with ischaemic heart disease. In the case of a man showing symptoms suggestive of infarction, hospital care was preferred by the majority of doctors. Of three categories of employment, the person in a manual occupation would be advised by most doctors to change his job after a second serious infarction. The advice given to patients was orientated towards the risk factors associated with ischaemic heart disease. Such advice was general rather than specific and emphasized restriction of activities rather than return to normal life. Commonly held social stereotypes appeared to affect the advice which practitioners said they would offer. The implications of these findings are discussed.

摘要

采用邮政问卷调查的调查方法,研究了泰赛德地区全科医生对三名假设的缺血性心脏病患者治疗的看法。对于一名出现梗死症状的男性患者,大多数医生更倾向于让其住院治疗。在三类职业中,大多数医生会建议从事体力劳动的人在第二次严重梗死后更换工作。给予患者的建议是针对与缺血性心脏病相关的危险因素。这些建议较为笼统而非具体,强调限制活动而非恢复正常生活。普遍存在的社会刻板印象似乎影响了从业者表示会提供的建议。本文讨论了这些研究结果的意义。

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