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新泽西州家庭医生的上门问诊模式。

House call patterns of New Jersey family physicians.

作者信息

Warburton S W, Sadler G R, Eikenberry E F

出版信息

J Fam Pract. 1977 May;4(5):933-8.

PMID:864415
Abstract

House call attitudes and practice patterns of New Jersey family physicians were studied in order to assist residency programs in curriculum development. House calls were offered by 82 percent of the 290 physicians in the sample; no difference was noted between rural and urban or between younger and older physicians. The average number of house calls per week was 6.05, of which 4.71 and 1.34 were scheduled and emergency respectively. Patients who were elderly, home-bound, had suffered a stroke, had cancer or congestive heart failure made up the majority of those receiving house calls. This survey also showed that many of the physicians who stated that they do not "offer" house calls to their patients, did in fact perform them. These study results support the thesis that family practice residencies should develop criteria and a protocol for house calls. Among the results which may be expected following such an innovation are increased satisfaction for patients and physicians alike.

摘要

为协助住院医师培训项目进行课程开发,对新泽西州家庭医生的上门问诊态度和执业模式进行了研究。样本中的290名医生中有82%提供上门问诊服务;农村和城市医生之间以及年轻和年长医生之间没有差异。每周上门问诊的平均次数为6.05次,其中预约问诊4.71次,急诊问诊1.34次。接受上门问诊的患者大多数是老年人、行动不便者、中风患者、癌症患者或充血性心力衰竭患者。这项调查还表明,许多声称不给患者“提供”上门问诊服务的医生实际上进行了此类服务。这些研究结果支持这样一个论点,即家庭医学住院医师培训项目应该制定上门问诊的标准和方案。在这种创新之后可能预期的结果包括患者和医生满意度的提高。

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