Cauthen D B
J Fam Pract. 1981 Aug;13(2):209-13.
There is currently a resurgence of interest in house calls in American primary care. Studies have shown that at least 53 percent of family physicians still do house calls, although younger physicians may be less likely to do house calls than their older colleagues. To gain a deeper insight into the house call, one must appreciate the types of house calls: (1) the emergency house call, (2) the acute illness house call, (3) the chronic illness house call, (4) the dying patient house call, (5) the house call to pronounce death, (6) the grief house call, (7) home management vs hospitalization house call, and (8) the home visit house call. The chronic illness house call is by far the most common type, but all can become important ingredients in comprehensive family practice. The training environment should emphasize the home visit type of house call, since one must learn to appreciate this type of encounter.
目前,美国初级保健领域对上门问诊的兴趣再度兴起。研究表明,至少53%的家庭医生仍会进行上门问诊,不过年轻医生进行上门问诊的可能性可能低于年长的同事。为了更深入地了解上门问诊,必须认识到上门问诊的类型:(1)紧急上门问诊,(2)急性病上门问诊,(3)慢性病上门问诊,(4)临终患者上门问诊,(5)宣告死亡的上门问诊,(6)悲伤慰藉上门问诊,(7)家庭管理与住院治疗对比的上门问诊,以及(8)家访式上门问诊。慢性病上门问诊是迄今为止最常见的类型,但所有这些类型都可能成为综合家庭医疗实践中的重要组成部分。培训环境应强调家访式上门问诊,因为必须学会重视这种问诊方式。