Slabaugh R C, Ringiewicz M, Babineau R A
J Fam Pract. 1980 Aug;11(2):287-97.
This study examines the hospital work of four family physicians in group practice in a community of 45,000 in north central Massachusetts. During the study year, these four physicians assumed primary management responsibility for 1,021 hospitalizations for an average of 255 admissions per physician. Most admissions (98 percent) were to a 242-bed community hospital, and these 997 admissions were studied in detail. Obstetrical admissions accounted for 21 percent of the total (not counting newborns), with 169 deliveries. Pediatric admissions (newborn to age 21 years) accounted for 42 percent of the total. Sixteen percent were patients over 65 years of age. One or more consultations were requested in 14 percent of the admissions. Some form of cardiovascular disease constituted the most frequent discharge diagnoses, with newborn care and pregnancy related diagnoses second and third. The four physicians were compared to each other for variables including age/sex profile, discharge diagnoses, length of stay, consultations requested, and admission ratio per ambulatory encounter. In spite of their differences in training and length of time in practice, the four physicians were found to be similar to one another on most of these dimensions.
本研究调查了马萨诸塞州中北部一个拥有45000人口的社区中，在团体执业模式下工作的四位家庭医生的医院工作情况。在研究年度内，这四位医生负责了1021例住院治疗，平均每位医生负责255例入院治疗。大多数入院治疗（98%）是在一家拥有242张床位的社区医院进行的，对这997例入院治疗进行了详细研究。产科入院治疗占总数的21%（不包括新生儿），共有169例分娩。儿科入院治疗（新生儿至21岁）占总数的42%。16%为65岁以上患者。14%的入院治疗需要进行一次或多次会诊。某种形式的心血管疾病是最常见的出院诊断，新生儿护理和与妊娠相关的诊断分别位列第二和第三。对这四位医生在年龄/性别构成、出院诊断、住院时间、会诊需求以及每次门诊就诊的入院率等变量方面进行了相互比较。尽管他们在培训和执业时间上存在差异，但在这些维度的大多数方面，这四位医生被发现彼此相似。
