Fleming D M
J R Coll Gen Pract. 1982 May;32(238):292-7.
Consultation rates, visiting rates and a selection of miscellaneous services were recorded over two weeks in February 1981 by 82 doctors in Bedfordshire and Hertfordshire. The findings are reported here with an emphasis on the variation between individual doctors. Consultations (including visits) were at the rate of 3.27 per patient per year. Undertaking a selection of miscellaneous services for patients is estimated to be equivalent to one third of the doctor's consultation workload. In addition, participating doctors spent an average of 9(1/2) hours in the two weeks undertaking tasks connected with education and health service administration. Time spent in the administration and management of the practice was not included in this study.The home visiting rate reported in this study was 14 per cent of all consultations and, although a little lower than that reported in the General Household Survey, it is similar to the results from the National Morbidity Survey for 1970 and 71 and also similar to other PAA results.The material is presented in such a way that it provides an analysis of workload in a large number of practices, and describes a method which doctors can use to measure their own performance and compare it with the overall results.
1981年2月的两周内，贝德福德郡和赫特福德郡的82名医生记录了会诊率、出诊率以及一系列杂项服务情况。本文报告了研究结果，重点关注个体医生之间的差异。会诊（包括出诊）率为每年每位患者3.27次。为患者提供一系列杂项服务估计相当于医生会诊工作量的三分之一。此外，参与研究的医生在这两周内平均花费9.5小时从事与教育和卫生服务管理相关的任务。本研究未包括在诊所进行行政管理所花费的时间。本研究报告的出诊率占所有会诊的14%，虽然略低于综合住户调查中的报告率，但与1970年和1971年全国发病率调查结果相似，也与其他执业医生协会的结果相似。本文呈现的材料提供了对大量诊所工作量的分析，并描述了一种医生可用于衡量自身表现并与总体结果进行比较的方法。
