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全科医疗中的临床判断与抗生素使用

Clinical judgement and antibiotic use in general practice.

作者信息

Howie J G

出版信息

Br Med J. 1976 Oct 30;2(6043):1061-4. doi: 10.1136/bmj.2.6043.1061.

Abstract

Illustrated booklets that contained standard physical but variable social and psychological information relating to 16 patients with sore throats were posted to 1000 general practitioners. The doctors were asked whether they would prescribed antibiotics in each of the cases presented. Replies were received from 634 doctors and it was found that the variations in social and psychological history provided had significantly affected the doctor's responses.

摘要

包含16例咽喉痛患者标准身体状况但社会和心理信息各异的图文手册被寄给了1000名全科医生。医生们被问及在呈现的每个病例中是否会开抗生素。收到了634名医生的回复,发现所提供的社会和心理病史的差异显著影响了医生的回答。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e955/1689105/42c614ca458a/brmedj00541-0046-a.jpg

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