Moore S H, LoGerfo J, Inui T S
JAMA. 1980 Jun 13;243(22):2317-20.
A self-care book that guides patients in seeking home care or physician care for 63 medical problems was assessed in three randomly selected groups of families to determine the book's effect on the number of visits to physicians. The first group was given the book and an optional seminar on its use; the second group was identical to the first but each family was promised $50 if their visits to physicians dropped by one third; the third group was a control group (total, 699 families). The book had no significant effect on the number of physician's visits during six- and 12-month study periods even though one half of the families read most or all of the book, and more than one third used it for a specific medical problem. Large-scale distribution of this self-care book therefore did not result in significantly less dependence on physicians for treatment of acute medical problems.
一本指导患者针对63种医疗问题寻求家庭护理或医生护理的自我护理书籍，在三组随机挑选的家庭中进行了评估，以确定该书对看医生次数的影响。第一组被给予这本书以及关于如何使用它的一个可选研讨会；第二组与第一组相同，但每个家庭若看医生次数减少三分之一，将获得50美元；第三组是对照组（共699个家庭）。在为期6个月和12个月的研究期间，这本书对看医生的次数没有显著影响，尽管有一半的家庭阅读了这本书的大部分或全部内容，并且超过三分之一的家庭将其用于特定的医疗问题。因此，大规模分发这本自我护理书籍并没有显著减少在治疗急性医疗问题时对医生的依赖。
