Hendrix S L, Piereson S D, McNeeley S G
Department of Obstetrics and Gynecology, Wayne State University, Detroit, MI 48201, USA.
Am J Obstet Gynecol. 1995 Jun;172(6):1719-23; discussion 1723-5. doi: 10.1016/0002-9378(95)91403-x.
Our purpose was to determine whether primary and preventive care is practiced by a university obstetrician-gynecologist group practice.
A retrospective chart review spanning 2 years of four academic physicians' private practices was performed. A total of 335 patients were reviewed with 739 patient encounters and 1032 patient problems identified. The definition of a primary care physician according to The American College of Obstetricians and Gynecologists was used to standardize data collection and evaluation.
Obstetric complaints accounted for 27.7% of all visits, whereas 65.4% were for gynecologic problems. Almost 7% of all complaints were neither obstetric nor gynecologic, and of those 74.6% were primary care problems completely managed by the obstetrician-gynecologist. Only 19.7% of these were referred for management. More than 89% of all encounters (659/739) involved some element of primary care.
This study provides evidence that the majority of health care provided by the obstetrician-gynecologist is primary care.
我们的目的是确定大学妇产科医生的团体执业中是否开展了初级和预防保健服务。
对四位学术医生两年的私人执业病历进行回顾性分析。共回顾了335例患者，有739次患者诊疗，发现了1032个患者问题。采用美国妇产科医师学会对初级保健医生的定义来规范数据收集和评估。
产科主诉占所有就诊的27.7%，而65.4%是妇科问题。所有主诉中近7%既非产科也非妇科问题，其中74.6%是由妇产科医生完全处理的初级保健问题。这些问题中只有19.7%被转诊处理。超过89%的诊疗（659/739）涉及某种初级保健要素。
本研究提供了证据，表明妇产科医生提供的大部分医疗服务是初级保健服务。
