Can Fam Physician. 1990 Aug;36:1409-15.
Historically, house calls played an important role in mainstream medical practice, but since the early part of the 20th century, medical care has been increasingly focused on the acute care hospital. This focus appears to have contributed to increasing physician frustration, patient alienation, and a growing public dissatisfaction with service. The geriatric population, and in particular the frail elderly, are a unique and growing proportion of the general population, and they are also the major consumers of health care resources. Patient-oriented and professional factors point to a need for physicians to return to making more house calls. Active participation by primary care physicians in developing standards and conducting research in this area of practice is necessary.
从历史上看，出诊在主流医疗实践中发挥了重要作用，但自 20 世纪初以来，医疗服务越来越侧重于急性护理医院。这种关注似乎导致医生越来越沮丧，患者疏远，公众对服务的不满情绪日益加剧。老年人群体，尤其是体弱的老年人，是总人口中一个独特且不断增长的比例，他们也是医疗保健资源的主要消费者。以患者为中心的因素和专业因素都表明，医生有必要更多地上门问诊。初级保健医生积极参与制定这一实践领域的标准和开展研究是必要的。
