Robertson D L
J Fam Pract. 1981 Aug;13(2):239-44.
Family practice research so far has placed a heavy emphasis upon diagnoses (or problems). There are no published descriptive studies of symptoms collected in a family practice in the United States. This study is a collection of the symptoms encountered by a family medicine resident during his three years in a model unit. Three hundred four patients were seen, offering 1,377 complaints in 956 visits (1.44 symptom per visit). Morbidity related complaints consisted of 59 percent of the total, 9 percent of the total being low back or extremity complaints, while 41 percent were nonsymptomatic reasons for a visit. The majority of morbidity complaints dealt with pain. Three percent of the total consisted of delayed complaints, presented only after the resident previously had dealt with other minor complaints in that visit. The results corresponded closely to those found in the National Ambulatory Medical Care Survey.
到目前为止,家庭医疗研究非常重视诊断(或问题)。在美国,尚无关于在家庭医疗中收集到的症状的已发表描述性研究。本研究收集了一名家庭医学住院医师在一个示范单位的三年中遇到的症状。共诊治了304名患者,956次就诊中有1377项主诉(每次就诊1.44个症状)。与发病率相关的主诉占总数的59%,其中9%为腰背部或四肢主诉,而41%为无症状就诊原因。大多数与发病率相关的主诉涉及疼痛。总数的3%为延迟主诉,仅在住院医师此前已处理该次就诊中的其他轻微主诉之后才出现。结果与国家门诊医疗护理调查的结果非常吻合。