Berkeley J S
J R Coll Gen Pract. 1976 Apr;26(165):293-6.
In a study in North-east Scotland, nine out of ten patients had a "medical" reason for referral to hospital-in half it was the severity of their illness and in half the need for investigation or special treatment. One out of five patients was in need of intensive nursing care and one out of 20 patients had a social reason for admission to hospital. General practitioners with access to cottage hospital beds would choose to treat over one quarter of their own patients. The choice of hospital was influenced by the doctor's diagnostic certainty.
在苏格兰东北部的一项研究中,十分之九的患者因“医疗”原因被转诊至医院——其中一半是由于病情严重,另一半是需要进行检查或特殊治疗。五分之一的患者需要重症护理,二十分之一的患者因社会原因入院。能够使用乡村医院病床的全科医生会选择治疗超过四分之一的自己的患者。医院的选择受到医生诊断确定性的影响。