Diehl A K, Gau D W
J Epidemiol Community Health. 1982 Jun;36(2):146-9. doi: 10.1136/jech.36.2.146.
Regional differences in mortality from cardiovascular diseases, respiratory diseases, strokes, and other causes have been observed in England and Wales. To determine to what extent the death certification practices of doctors influence these variations, we surveyed 123 British general practitioners and housemen. Each doctor completed death certificates based on fictitious case histories. We found that diagnostic groupings did not vary significantly according to the doctors' region, type of practice, place of medical training, sex, or year of qualification. Doctors qualifying before 1955, however, appeared more inclined than their younger colleagues to list stomach cancer on the death certificate.
在英格兰和威尔士，已观察到心血管疾病、呼吸系统疾病、中风及其他病因导致的死亡率存在地区差异。为确定医生的死亡证明开具做法在多大程度上影响这些差异，我们对123名英国全科医生和实习医生进行了调查。每位医生根据虚构的病史填写死亡证明。我们发现，诊断分组并未因医生所在地区、执业类型、医学培训地点、性别或资格年份而有显著差异。然而，1955年以前取得资格的医生似乎比年轻同事更倾向于在死亡证明上列出胃癌。
