Alawattegama A B, Rajamanoharan S, Maw R, Carne C A
Department of Genitourinary Medicine, Royal Liverpool & Broadgreen University Hospital Trust, Prescot Street, Liverpool L7 8XP, UK.
Int J STD AIDS. 2006 Apr;17(4):230-3. doi: 10.1258/095646206776253381.
A questionnaire was circulated to all lead genitourinary (GU) medicine physicians in the UK in November 2003 to obtain data on access, waiting times and triaging. Of the 143 responders, 92.3% departments had limited access to some or all GU medicine clinics. Where access was limited, 5.3% had no identifiable process in place to see urgent patients. The mean waiting times in clinics with an open appointment system only for a routine female and male appointment were 2.9 weeks and 2.8 weeks (range 2 days-10 weeks), respectively, and for an urgent appointment, two days (range same day-14 days), for both sexes. The survey has raised concerns that a number of departments did not consider as urgent for prioritizing, patients with documented untreated gonorrhoea, syphilis, or HIV, or contacts of patients with these conditions. This survey has highlighted a need for the national specialist society to provide guidance on prioritizing patients where access is limited.
2003年11月，一份调查问卷被分发给了英国所有的泌尿生殖医学主任医生，以获取关于就诊机会、等待时间和分诊的数据。在143名回复者中，92.3%的科室在某些或所有泌尿生殖医学诊所的就诊机会有限。在就诊机会有限的情况下，5.3%的科室没有确定的流程来诊治急症患者。仅采用开放式预约系统的诊所中，常规女性和男性预约的平均等待时间分别为2.9周和2.8周（范围为2天至10周），而急症预约的平均等待时间为两天（范围为当天至14天），男女皆是如此。该调查引发了人们的担忧，即一些科室没有将记录在案的未经治疗的淋病、梅毒或艾滋病毒患者，或患有这些疾病患者的接触者视为需要优先诊治的急症患者。这项调查凸显了全国性专科协会需要就就诊机会有限时患者的优先排序提供指导。
