The Relative Complexity of Primary Care Provided by Medical Specialists
The Relative Complexity of Primary Care Provided by Medical Specialists
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医疗专家提供的初级保健相对复杂
作者：
R. C. Mendenhall;C. Moynihan;S. Radecki
利用国家数据提供的家庭医生，普通内科医生，内科专科医生，本研究探讨了由全科医生与专科医生提供的护理的复杂性，在特定疾病的基础上。将分析限制在办公室医生提供的“主要护理”，研究发现心脏病专家提供的心脏病护理和内分泌专家提供的糖尿病护理的复杂性略高于家庭医生和普通内科医生提供的护理，尽管差异的幅度不大。然而，对于慢性阻塞性肺疾病，肺病专家提供的护理比他们的通才同事提供的护理复杂得多。对于所有疾病和专科，医院护理比门诊护理复杂得多。
Utilizing national data on patient care provided by family practitioners, general internists, and subspecialists in internal medicine, this study examines the complexity of care provided by generalist physicians versus subspecialty physicians on a disease-specific basis. Limiting the analysis to “principal care” provided by office-based physicians, the study finds the complexity of care provided by cardiologists for heart disease and by endocrinologists for diabetes mellitus to be somewhat greater than that provided by family practitioners and general internists, though the magnitude of the differences is not large. For chronic obstructive pulmonary disease, however, pulmonary disease specialists are shown to provide care that is substantially more complex than that provided by their generalist colleagues. For all diseases and specialties, hospital care is substantially more complex than ambulatory care.