Weller S D
Br Med J. 1975 Nov 15;4(5993):390-3. doi: 10.1136/bmj.4.5993.390.
The work of the paediatric clinics in nine general-practitioner hospitals in country towns in the Bath Health District during 1972 was analysed with respect to the pattern of referrals and methods of management. It is concluded that no child suffered harm from being seen in a clinic without full laboratory and x-ray facilities. Nearly 98% of the consultations were deemed, even with a long period of hindsight, to have been completely satisfactory. The tremendous benefit to the patients and their families of being seen in a hospital near their home is not bought at the cost of a second-rate medical service.
对1972年巴斯健康区乡村城镇九家全科医生医院儿科诊所的工作,从转诊模式和管理方法方面进行了分析。得出的结论是,在没有完备实验室和X光设备的诊所看病,没有一个孩子受到伤害。即使经过很长时间的事后观察,近98%的会诊仍被认为是完全令人满意的。在离家较近的医院看病给患者及其家庭带来的巨大好处,并非是以二流医疗服务为代价换来的。