Krass M E
Can Med Assoc J. 1976 Dec 18;115(12):1230-3.
Illness patterns of local and tourist patients in an emergency department of a medium-sized Ontario city with a single hospital were compared. Frequencies of specific and broad categories of ailments and rates of admission to the hospital were similar in the two groups. However, non-Canadian tourists were admitted to hospital at a much lower rate than Canadian tourists. Rates of visits to the emergency department within certain age categories were remarkably similar, as were rates within the sexes. It is concluded that, in view of the striking similarity in the illness pattern of a group of patients not professionally referred to the hospital and that of local patients, who have potential contact with a more extensive medical network, public attitudes, rather than availability of health professionals, determine the pattern of illness observed in an emergency department.
对安大略省一个中等规模城市中一家拥有单一医院的急诊科的本地患者和就诊游客的疾病模式进行了比较。两组患者中特定和宽泛疾病类别的频率以及住院率相似。然而，非加拿大游客的住院率远低于加拿大游客。特定年龄组内前往急诊科就诊的比率以及不同性别的就诊比率都非常相似。得出的结论是，鉴于一组未经专业转诊至医院的患者与可能接触更广泛医疗网络的本地患者的疾病模式存在惊人相似性，公众态度而非医疗专业人员的可及性决定了急诊科观察到的疾病模式。
