Szecsenyi J, Engelhardt N, Wessel M, Bär R, Klein F, Kussmaul P, Leugering L, Meixner M, Kochen M M
Abteilung Allgemeinmedizin, Universität Göttingen.
Gesundheitswesen. 1993 Feb;55(1 Suppl):32-6.
In countries with fee for service billing and direct access to specialist care the general practitioner does not know key figures of the population he serves. As the role of general practice in health-service-research, quality assurance activities and the construction of sentinel-networks is becoming more important, valid methods to determine the denominator are needed. Results from five practices suggest that yearly contact groups should be used as a common denominator for general practice in our health care system. For certain groups of patients (e. g. the elderly > 60 yrs.) even quarterly contact groups can give sufficient information to forecast the yearly contact group.
在实行按服务收费计费且可直接获得专科护理的国家，全科医生并不了解其服务人群的关键数据。随着全科医疗在卫生服务研究、质量保证活动以及哨点网络建设中的作用日益重要，需要有效的方法来确定分母。来自五个诊所的结果表明，年度接触组应用作我们医疗保健系统中全科医疗的共同分母。对于某些患者群体（例如60岁以上的老年人），甚至季度接触组也能提供足够的信息来预测年度接触组。
