Bell N R, Szafran O
Department of Family Medicine, University of Alberta, Edmonton.
Can Fam Physician. 1995 Nov;41:1880-6.
To examine the opportunity for first-year family medicine residents to experience continuity of care during family medicine block time and half-day returns.
Retrospective analysis of patient encounter data during the 1987-1988 and 1991-1992 academic years to determine how much contact residents had with repeat patients.
Two family medicine teaching centres in Edmonton.
First-year family medicine residents: 24 residents during 1987-1988 and 24 during 1991-1992.
Number of patient-resident contacts and number of repeat contacts.
During the 4-month block time and half-day return, residents had repeat contact with 25.9% and 20.3% of the patients seen. These patients provided 48.3% and 37.7% of all visits at Centres A and B, respectively.
Increasing block time from 2 to 4 months resulted in only a slight increase in repeat contact with patients. Half-day returns did not appear to enhance the opportunity for continuity of care.
探讨一年级家庭医学住院医师在家庭医学实习阶段及半天复诊期间体验连续性医疗服务的机会。
对1987 - 1988学年和1991 - 1992学年期间的患者诊疗数据进行回顾性分析，以确定住院医师与复诊患者的接触情况。
埃德蒙顿的两家家庭医学教学中心。
一年级家庭医学住院医师：1987 - 1988学年有24名住院医师，1991 - 1992学年有24名。
患者与住院医师的接触次数及复诊接触次数。
在为期4个月的实习阶段及半天复诊期间，住院医师分别与25.9%和20.3%的就诊患者有复诊接触。这些患者分别占A中心和B中心所有就诊人次的48.3%和37.7%。
将实习阶段时长从2个月增加到4个月，与患者的复诊接触仅略有增加。半天复诊似乎并未增加连续性医疗服务的机会。
