Rabin D L, Spector K K, Bush P J
Public Health Rep. 1980 Nov-Dec;95(6):511-9.
To document the volume and kinds of ambulatory care, particularly primary care, being provided in a medically self-contained community, a survey was conducted in a county in a Middle Atlantic State during the summer of 1974 at all sites where physicians provided ambulatory care. These sites included not only physicians' offices, but also the emergency room, public health clinics, and physician-patient telephone encounters. Primary care was found to constitute 77 percent of all ambulatory care in the county and to account for 96 percent of all visits to primary care physicians. It also accounted for more than 50 percent of the visits to all physicians except the surgical subspecialists. Most of the primary care visits were for common disorders, common procedures, and common preventive measures. Distinct patterns were observed in the primary care morbidity treated by primary care physicians and that treated by specialists--patterns that seemed appropriate for those practices. The specialties of the physicians who were available to the population may have influenced morbidity patterns in the community surveyed. The primary care provided by primary care specialists appeared to differ in some functional aspects from that provided by other specialists.
为记录在一个医疗设施完备的社区中提供的门诊护理（尤其是初级护理）的数量和种类，1974年夏天在中大西洋地区的一个县，对医生提供门诊护理的所有场所进行了一项调查。这些场所不仅包括医生办公室，还包括急诊室、公共卫生诊所和医患电话问诊。结果发现，初级护理占该县所有门诊护理的77%，占所有初级护理医生诊疗次数的96%。它还占除外科专科医生外所有医生诊疗次数的50%以上。大多数初级护理诊疗是针对常见疾病、常见程序和常见预防措施。在初级护理医生治疗的初级护理发病率和专科医生治疗的发病率中观察到了不同的模式——这些模式似乎与那些诊疗实践相适应。该社区可获得的医生专业可能影响了所调查社区的发病模式。初级护理专科医生提供的初级护理在某些功能方面似乎与其他专科医生提供的不同。
