Bartholomew L, Schneiderman L J
J Fam Pract. 1982 Sep;15(3):477-81.
There is little information documenting the extent to which the ideal of whole family care is represented in the real world of family practice. A previous study of a suburban family practice group revealed that only 28 percent of families obtained whole family care from a single physician. Interviews were conducted on a sample of 97 of these patients in an effort to gain insights into the factors influencing the choice of a single physician or more than one physician providing their health care. There were no significant differences between same-physician and different-physician families with respect to demographic factors or attitudes toward physician characteristics and family care. Most families had no insights into the potential value of having a single physician for the whole family; indeed, only one family specifically selected a single physician with the belief that it would thereby gain better care. If the observations reported here are representative of the situation at large in the country, family physicians have an important task ahead in patient education.
关于在家庭医疗的现实世界中，全家护理的理想状态在多大程度上得以体现的文献资料很少。之前对一个郊区家庭医疗团队的研究表明，只有28%的家庭能从同一位医生那里获得全家护理。为了深入了解影响选择一位医生或多位医生提供医疗服务的因素，对其中97名患者进行了访谈。在人口统计学因素或对医生特征及家庭护理的态度方面，由同一位医生护理和由不同医生护理的家庭之间没有显著差异。大多数家庭并不了解让同一位医生为全家服务的潜在价值；实际上，只有一个家庭特意选择了一位医生，认为这样能得到更好的护理。如果这里报告的观察结果具有全国普遍情况的代表性，那么家庭医生在患者教育方面面临着一项重要任务。
