Richardson S K
Christchurch Hospital Emergency Department, New Zealand.
Accid Emerg Nurs. 1999 Jul;7(3):158-63. doi: 10.1016/s0965-2302(99)80076-9.
Within the New Zealand (NZ) health care system, a number of changes have affected the way health care is accessed and delivered. Emergency Departments (EDs) are noticing increased attendance of patients with minor or non-urgent conditions. This increase in patient volume, together with on-going fiscal constraints and restructuring, has placed an added strain on the functioning of EDs. New Zealand nurses need to question the role currently given to EDs and identify the issues surrounding the increased use of these departments for primary health care. Is this move feasible in the NZ environment, and what are the implications for emergency nurses?
在新西兰医疗体系中，一系列变革已经影响了医疗服务的获取和提供方式。急诊科注意到，轻症或非紧急情况患者的就诊人数有所增加。患者数量的增加，再加上持续的财政限制和结构调整，给急诊科的运作带来了额外压力。新西兰护士需要审视目前急诊科所扮演的角色，并找出围绕这些科室更多用于初级医疗保健的相关问题。在新西兰的环境下，此举是否可行？对急诊护士又有何影响？
