Interspecialty Variation in Office-Based Care
Interspecialty Variation in Office-Based Care
复制标题
办公室护理的跨专业差异
DOI：
10.1097/00005650-198401000-00002
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发表时间：
1984
期刊：
影响因子：
3
通讯作者：
E. Perrin
中科院分区：
文献类型：
--
作者：
H. Greenwald;M. L. Peterson;L. Garrison;L. Hart;I. Moscovice;T. Hall;E. Perrin
对全国调查数据的分析，对医生与病人的接触提出了关于医生教育和人力政策的问题。南加州大学医疗活动和人力资源项目以及美国卫生专业人员局汇编的数据显示，内科医生、心脏病专家、家庭医生和儿科医生在诊断和治疗几种常见疾病的程序中存在差异。在时间花费和广泛的诊断和治疗技术的使用方面观察到差异。即使在控制了个别医生、患者和实践环境的几个重要特征之后，这些差异仍然显著。这项研究的结果强调了审查医学教育内容和鼓励广泛的专家提供初级保健的政策的必要性。研究结果还强调，需要解决医生的知识基础，促进实践模式的变化。
Analysis of national survey data on physician-patient encounters raises questions about physician education and manpower policy. Data compiled by the University of Southern California Medical Activities and Manpower Projects and the United States Bureau of Health Professionals reveal differences among internists, cardiologists, family practitioners, and pediatricians in procedures used for diagnosing and treating several frequently encountered conditions. Differences are observed in expenditure of time and use of a broad range of diagnostic and therapeutic techniques. These differences remain significant even after several important characteristics of individual physicians, patients, and the practice environment have been controlled. Findings from this study underscore the necessity of reviewing the content of medical education and policies that encourage a broad range of specialists to provide primary care. The findings also emphasize the need to address the physician's knowledge base in promoting changes in practice patterns.