Andersson S O, Mattsson B
Mariehem Health Centre, Umeå, Sweden.
Scand J Prim Health Care. 1994 Dec;12(4):227-32. doi: 10.3109/02813439409029245.
To relate specifically defined 'good consultations' (GC) to length of consultation, continuity, patients' age and sex, and different doctors.
A questionnaire about consultation length, communication and problem character, given to doctors and patients immediately after consultations.
The number of GCs for different doctors in relation to time, continuity, and patients' age and sex were calculated.
581 consultations were registered with six male general practitioners working at three different health centres in Umeå, a university town in northern Sweden.
A significant difference in the number of GCs was only found between the doctors (p < 0.01). Length of consultation, patients' age and sex, and continuity and no impact on the GC frequency.
The doctor as a person and his working style is most important in achieving good consultations in general practice. Length of consultation is less influential.
将明确界定的“良好会诊”（GC）与会诊时长、连续性、患者年龄和性别以及不同医生相关联。
会诊结束后立即向医生和患者发放一份关于会诊时长、沟通及问题性质的问卷。
计算不同医生的良好会诊数量与时间、连续性以及患者年龄和性别的关系。
在瑞典北部大学城于默奥的三个不同健康中心工作的六名男性全科医生登记了581次会诊。
仅在医生之间发现良好会诊数量存在显著差异（p < 0.01）。会诊时长、患者年龄和性别以及连续性对良好会诊频率没有影响。
在全科医疗中，医生个人及其工作方式对于实现良好会诊最为重要。会诊时长的影响较小。
