Hoopmann M, Haase I, Weber J, Schwartz F W
Institut für Sozialmedizin, Epidemiologie und Gesundheitssystemforschung (ISEG), Hannover.
Gesundheitswesen. 1994 Nov;56(11):591-5.
A network of about 100 physicians (general practitioners, internists) has been introduced in Lower Saxony, Germany. The participating physicians report on a sample of their patient contacts involving frequent complaints (e.g. vertigo, leg problems, pain due to rheumatic conditions, and gastrointestinal disturbances). The project combines individual, problem-specific patient monitoring with the physicians' estimation of both the conditions under which they conduct their practice and the state of the regional health care system. A standardized questionnaire records sociodemographic variables and major reasons for the patients' visit. It also records data about diagnoses, diagnostic and therapeutic strategies and changes in therapy. In 1993 special attention was given to an assessment of recent health care cost containment legislation and its effects upon the quality of ambulatory medical care. 1400 patient contacts have been reported on in the first two surveys. Results are presented in this article.
德国下萨克森州引入了一个由约100名医生（全科医生、内科医生）组成的网络。参与项目的医生汇报他们接触的有常见病症（如眩晕、腿部问题、风湿性疼痛和胃肠道紊乱）的患者样本情况。该项目将针对特定问题的个体患者监测与医生对其执业条件及地区医疗保健系统状况的评估结合起来。一份标准化问卷记录社会人口统计学变量以及患者就诊的主要原因。它还记录有关诊断、诊断和治疗策略以及治疗变化的数据。1993年，特别关注了对近期医疗保健成本控制立法及其对门诊医疗质量影响的评估。在前两次调查中，已汇报了1400例患者接触情况。本文展示了调查结果。
