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本文引用的文献

1
Primary care in London: an evaluation of general practitioners working in an inner city accident and emergency department.伦敦的初级医疗服务:对在市中心意外与紧急情况部门工作的全科医生的评估。
J Accid Emerg Med. 1996 Jan;13(1):11-5. doi: 10.1136/emj.13.1.11.
2
Randomised controlled trial of general practitioner versus usual medical care in an urban accident and emergency department: process, outcome, and comparative cost.城市急诊科全科医生与常规医疗护理对比的随机对照试验:过程、结果及成本比较
BMJ. 1996 May 4;312(7039):1135-42. doi: 10.1136/bmj.312.7039.1135.
3
Primary care in the accident and emergency department: II. Comparison of general practitioners and hospital doctors.急诊科的初级医疗服务:II. 全科医生与医院医生的比较。
BMJ. 1995 Aug 12;311(7002):427-30. doi: 10.1136/bmj.311.7002.427.

在一个郊区急诊科采用非正式分诊系统,对全科医生与常规医疗护理进行的随机对照试验。

Randomized controlled trial of general practitioner versus usual medical care in a suburban accident and emergency department using an informal triage system.

作者信息

Gibney D, Murphy A W, Barton D, Byrne C, Smith M, Bury G, Mullan E, Plunkett P K

机构信息

Department of General Practice, University College Dublin, Republic of Ireland.

出版信息

Br J Gen Pract. 1999 Jan;49(438):43-4.

PMID:10622016
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC1313317/
Abstract

We determined if care provided by general practitioners (GPs) to non-emergency patients, in a suburban accident and emergency (A&E) department using an informal triage system, differs significantly from care provided by usual A&E staff. One thousand eight hundred and seventy-eight patients participated. By comparison with usual A&E staff, GPs prescribed significantly more often (percentage relative difference [% RD] = 12 [95% confidence interval = 1-23]) and referred more patients to hospital (% RD = 21 [95% CI = 9-33]). This is the first study to report that sessional GPs working in an A&E department utilize similar or more resources than usual A&E staff. It emphasizes the need for the continued audit of initiatives that have been introduced into new settings.

摘要

我们判定,在一个郊区事故与急救(A&E)部门,全科医生(GPs)使用非正式分诊系统为非急诊患者提供的护理,是否与A&E部门常规工作人员提供的护理存在显著差异。1878名患者参与了研究。与A&E部门常规工作人员相比,全科医生开处方的频率显著更高(相对差异百分比[%RD] = 12 [95%置信区间= 1-23]),且转诊到医院的患者更多(%RD = 21 [95%CI = 9-33])。这是第一项报告在A&E部门工作的兼职全科医生比A&E部门常规工作人员使用相似或更多资源的研究。它强调了对引入新环境的举措进行持续审计的必要性。