Martin-Bates C, Agass M, Tulloch A J
Department of Public Health and Primary Care, University of Oxford.
Br J Gen Pract. 1993 Oct;43(375):413-6.
The aim of this study was to design and test a form to review workload in training and non-training practices. The study was conducted in the Oxford, Reading and Milton Keynes districts over a period of one week and involved 31 training and 21 non-training practices consisting of 156 and 66 doctors, respectively. Doctors in training practices (excluding trainees) spent a mean of one hour less per week in contact with their patients than doctors in non-training practices. Doctors in training practices spent approximately the same time per week on administration as those in non-training practices, one hour more in both meetings and non-practice work and almost two hours more in training and studying. The mean total practice workload per doctor in training practices was two hours more than in non-training practices and, when non-practice work was included, the difference increased to three hours. Compared with other doctors, trainees saw fewer patients in the surgery, in clinics and on visits, but spent more time on studying and training. This study produced broadly similar results to previous surveys, although doctors in the present study saw fewer patients each week and spent more time with each patient than in other studies.
本研究的目的是设计并测试一种用于评估培训及非培训医疗机构工作量的表格。该研究在牛津、雷丁和米尔顿凯恩斯地区进行，为期一周，涉及31家培训医疗机构和21家非培训医疗机构，分别有156名和66名医生参与。培训医疗机构的医生（不包括实习生）每周与患者接触的时间平均比非培训医疗机构的医生少一小时。培训医疗机构的医生每周在行政工作上花费的时间与非培训医疗机构的医生大致相同，在会议和非医疗工作上多花一小时，在培训和学习上多花近两小时。培训医疗机构中每位医生的平均总工作量比非培训医疗机构多两小时，若将非医疗工作计算在内，差异增至三小时。与其他医生相比，实习生在门诊、诊所和出诊时看诊的患者较少，但在学习和培训上花费的时间更多。尽管本研究中的医生每周看诊的患者比其他研究中的少，且与每位患者相处的时间更多，但该研究得出的结果与之前的调查大致相似。
