Terland O
Tidsskr Nor Laegeforen. 1994 Sep 10;114(21):2510-1.
The practice of general practitioners varies widely when handling different conditions, even when strict guidelines are available. This variation is probably no less in relation to persons without any specific disease, when both doctor and patient stress the somatic symptoms. For this group the final result is determined by factors beyond the doctor's control. Medicine may appear to be stochastic, which could mask the use of treatments of no proven value. In any medical situation, good quality in general practice must be associated with the treatment. A better understanding of the patient's situation is the means of raising quality in general practice.
即使有严格的指导方针,全科医生在处理不同病情时的做法仍有很大差异。在处理没有任何特定疾病但医患双方都强调躯体症状的人群时,这种差异可能同样不小。对于这一群体,最终结果由医生无法控制的因素决定。医学可能看似具有随机性,这可能掩盖了对未证实有价值的治疗方法的使用。在任何医疗情况下,全科医疗的高质量必须与治疗相关联。更好地了解患者情况是提高全科医疗质量的方法。