Paulsen B
Trondheim kommune, Avdeling helse og omsorg.
Tidsskr Nor Laegeforen. 1995 Sep 20;115(22):2797-800.
To assess the impact of patient mix on general practitioners' work-load within a list patient system, a "key" was constructed for computing expected use of general practitioners' services by patients on a doctor's list. The key was based on empirically observed variations in consultation rates for different age and sex-groups. Computations were made for 90 general practitioners in Trondheim. Expected patient weight varied in accordance with the proportion of women and of old patients on the doctor's list. The mean expected use of consultations was approx. 6% higher for patients on female doctor's lists relative to patients on male doctors' lists. The difference between the patients of male and female doctors respectively was far less than previously expected. This is explained by the fact that female doctors - compared with their male colleagues - usually have more children and fewer old people on their list of patients.
为评估患者构成对按名单分配患者系统中全科医生工作量的影响，构建了一个“关键指标”，用于计算医生名单上患者对全科医生服务的预期使用情况。该关键指标基于不同年龄和性别人群咨询率的实证观察差异。对特隆赫姆的90名全科医生进行了计算。预期患者权重根据医生名单上女性和老年患者的比例而有所不同。女性医生名单上的患者平均预期咨询使用量比男性医生名单上的患者高出约6%。男女医生患者之间的差异远小于先前预期。这可以解释为，与男同事相比，女医生的患者名单上通常孩子更多、老人更少。
