Lees R E, Steele R, Spasoff R A
Can Med Assoc J. 1976 Feb 21;114(4):333-7.
A total of 1117 visits by patients to two hospital emergency departments and 15 family physicians' offices for nontraumatic complaints over two 2-week periods were studied. Patients visiting the two settings fell into two distinct subgroups, and they appeared to select where to seek care by the acuteness and duration of the complaint. Several highly significant differences were noted between the two groups: those who visited an emergency department had complaints of shorter duration, underwent more investigations (which more often gave abnormal results), were more likely to undergo investigation for mental symptoms, had more consultations, received counselling and drug therapy less often (but intramuscular injections more often), were admitted to hospital more often, returned for further care for the same complaint less often, complied with disposal instructions less often, were more likely to receive fewer than 5 days' care and were less likely to receive more than 31 days' care; those without a family physician more often received additional care (were referred, admitted or asked to return).
在两个为期2周的时间段内，对患者前往两家医院急诊科和15位家庭医生办公室就诊的1117次非创伤性投诉进行了研究。在这两种场所就诊的患者分为两个不同的亚组，他们似乎根据投诉的急性程度和持续时间来选择就医地点。两组之间存在几个高度显著的差异：前往急诊科就诊的患者投诉持续时间较短，接受的检查更多（检查结果异常的情况更常见），更有可能接受精神症状方面的检查，会诊更多，接受咨询和药物治疗的频率较低（但接受肌肉注射的频率较高），住院的可能性更大，因同一投诉返回接受进一步治疗的可能性较小，遵守处置指示的可能性较小，接受少于5天治疗的可能性更大，接受超过31天治疗的可能性更小；没有家庭医生的患者更常接受额外治疗（被转诊、住院或被要求返回）。
