Raynes N V
J R Coll Gen Pract. 1980 Mar;30(212):166-72.
A record of one in three consultations occurring in 10 general practice surgeries in two morning and two evening sessions was made by an observer. The results showed marked variation in the frequency of the general practitioners' use of different means of eliciting information about the patient and in forms of management. These activities were further analysed within subgroups of the patients' symptoms and some activities were shown to be influenced by patients' presenting symptoms whilst others were not. I discuss how much general practitioners' behaviour is responsive to patients' presenting symptoms and also some of the practical implications of these findings for general practice.
一名观察者记录了在两个上午和两个晚上的时间段内，10家普通诊所进行的三分之一的会诊情况。结果显示，全科医生使用不同方式获取患者信息的频率以及管理形式存在显著差异。这些活动在患者症状亚组中进一步分析，结果表明一些活动受患者呈现的症状影响，而另一些则不受影响。我将讨论全科医生的行为对患者呈现症状的响应程度，以及这些发现对普通医疗实践的一些实际影响。
