Gulbrandsen P, Fugelli P, Hjortdahl P
Institute of General Practice and Community Medicine, University of Oslo, Norway.
Scand J Prim Health Care. 1998 Dec;16(4):204-10. doi: 10.1080/028134398750002963.
To explore general practitioners' knowledge of their patients' socioeconomic data and their ability to identify vulnerable groups.
A multipractice survey of consecutive adult patients consulting general practitioners during one regular workday. Doctors and patients independently completed mirrored questionnaires.
A geographically defined population of patients and doctors in Buskerud county, Norway.
1401 patients attending 89 general practitioners during the last two weeks of March 1995.
The doctors' ability to state the patients' socioeconomic situation correctly using sensitivity and specificity. Results for patients scarcely and well known to the doctors are compared.
Sensitivity ranged from 0.93 for work as main income source to 0.04 for not having WC/bathroom inside the dwelling. Specificity ranged from 1.00 for several factors to 0.73 for low educational level. Information on household composition and income source was correct for more than half of patients scarcely known to the doctors.
General practitioners' knowledge of various socioeconomic data of their patients differs substantially and are collected at different stages in the relationship. Among socioeconomic data defining vulnerable groups, the patients' self-perceived work disability is the variable general practitioners are best at evaluating.
探讨全科医生对其患者社会经济数据的了解情况以及他们识别弱势群体的能力。
在一个正常工作日对连续前来咨询全科医生的成年患者进行的多机构调查。医生和患者独立完成镜像问卷。
挪威布斯克吕德郡一个地理区域界定的患者和医生群体。
1995年3月最后两周内就诊于89位全科医生的1401名患者。
医生正确陈述患者社会经济状况的能力，用敏感度和特异度衡量。比较医生对了解较少和了解较多患者的结果。
敏感度从工作作为主要收入来源的0.93到住所内没有卫生间/浴室的0.04不等。特异度从几个因素的1.00到低教育水平的0.73不等。对于医生了解较少的患者，超过一半的患者家庭构成和收入来源信息正确。
全科医生对患者各种社会经济数据的了解差异很大，且在医患关系的不同阶段收集。在界定弱势群体的社会经济数据中，患者自我感知的工作残疾是全科医生最擅长评估的变量。
