全科医疗中的实验室检查
Laboratory investigations in general practice.
作者信息
Salloum S, Franssen E
机构信息
Department of Family and Community Medicine, Sunnybrook Health Services Centre, Toronto.
出版信息
Can Fam Physician. 1993 May;39:1055-61.
Abstract
Forty-eight family physicians completed a 10-item questionnaire about their use of laboratory investigations, and "ordered" tests for five clinical vignettes, estimating the cost of tests ordered. Physicians practising less than 10 years ordered more tests and overestimated the cost. Patients' expectations and risk of litigation affected test-ordering behaviour. Strategies to manage resources dedicated to laboratory investigations are explored.
摘要
48名家庭医生完成了一份关于他们使用实验室检查的10项问卷，并针对5个临床病例“开出”了检查项目，估算所开检查的费用。从业不到10年的医生开出的检查更多，且高估了费用。患者的期望和诉讼风险影响了检查开单行为。文中探讨了管理实验室检查资源的策略。
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本文引用的文献
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Medicolegal Liability for Ontario Physicians: How the threat affects the scope and style of general practice.安大略省医生的医疗法律责任：威胁如何影响普通科医生的实践范围和风格。
Can Fam Physician. 1991 Jun;37:1390-4.
2
Concern over litigation.对诉讼的担忧。
Can Fam Physician. 1991 Jun;37:1347-522.
3
Laboratory Tests: Which Physicians Order More?: How women's practices differ from men's.实验室检查：哪些医生开出的检查更多？女性的医疗行为与男性有何不同。
Can Fam Physician. 1991 Feb;37:349-52.
4
Cost containment and changing physicians' practice behavior. Can the fox learn to guard the chicken coop?成本控制与改变医生的执业行为。狐狸能学会看守鸡舍吗？
JAMA. 1981 Nov 13;246(19):2195-201.
5
Professional review of laboratory utilization.实验室利用情况的专业评估。
Hum Pathol. 1982 Apr;13(4):399-403. doi: 10.1016/s0046-8177(82)80229-3.
6
Laboratory utilization. Problems and solutions.实验室利用：问题与解决方案
Arch Pathol Lab Med. 1980 Feb;104(2):59-62.
7
The role of perceived price in physicians' demand for diagnostic tests.感知价格在医生对诊断测试需求中的作用。
Med Care. 1983 Feb;21(2):243-50. doi: 10.1097/00005650-198302000-00011.
8
Cost efficiency: a new dimension of emphasis for family practice.
J Fam Pract. 1984 Nov;19(5):601-3.
9
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Inquiry. 1983 Winter;20(4):301-13.
10
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Inquiry. 1982 Winter;19(4):363-70.
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