Kirkwood C R, Clure H R, Brodsky R, Gould G H, Knaak R, Metcalf M, Romeo S
J Fam Pract. 1982 Sep;15(3):485-92.
Because there are several methodological deficiencies in previously published studies, a prospective study was carried out of the 50 most common diagnoses of community-based family practices in the Pacific Northwest. Age and sex of patients and reliability of data were controlled. The data reported show reasonable concordance with other published accounts for 10 most common diagnostic categories. For less frequent diagnoses, however, high variability in rank order is the rule, both within this study and by comparison with other studies. This suggests that the diagnostic content of family practice is far from universal and that diagnostic idiosyncrasies of physicians, regional differences in rates of disease, practice style, and as yet other unexplained factors may significantly influence the diagnostic content of family practice.
由于先前发表的研究存在若干方法学缺陷，因此对太平洋西北地区以社区为基础的家庭医疗中50种最常见的诊断进行了一项前瞻性研究。对患者的年龄和性别以及数据的可靠性进行了控制。报告的数据显示，在10种最常见的诊断类别中，与其他已发表的记录有合理的一致性。然而，对于不太常见的诊断，无论是在本研究中还是与其他研究相比，排名顺序的高变异性都是常态。这表明家庭医疗的诊断内容远非普遍一致，医生的诊断特质、疾病发生率的地区差异、医疗风格以及其他尚未解释的因素可能会显著影响家庭医疗的诊断内容。
