De Tavernier D
Rev Med Brux. 2000 Sep;21(4):A327-9.
The presence of a general practitioner (GP) at the hospital emergency ward is a first attempt to answer a society phenomenon, challenging the hospital manager, but related to a more complex and extensive problem. New habits, due to various reasons, eventually move an ever growing proportion of patients from the community GP towards the hospital. The relationships between the patient and the practitioner are collapsing down like those between family members especially in towns. How can we resolve such an evolution politically? To have the city GP inside the hospital as it is already the case in big US cities? or, to favor the central role of the community general practitioner in the medical management of the patients, but in opposition to the present course of events? The first solution would be more expensive than the second one.
医院急诊病房配备全科医生是应对一种社会现象的初步尝试，这对医院管理者构成了挑战，且涉及一个更为复杂和广泛的问题。由于各种原因，新的就医习惯最终使得越来越多的患者从社区全科医生转向医院。患者与医生之间的关系，就像家庭成员之间的关系一样，尤其是在城镇中，正在瓦解。我们如何从政策层面解决这种演变？是像美国大城市那样让城市全科医生进驻医院？还是支持社区全科医生在患者医疗管理中的核心作用，但与当前的发展趋势相悖？第一种解决方案比第二种更昂贵。
