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**上门诊所和初级保健:文献综述**。

Walk-in Clinics and Primary Care: Review of the Literature.

出版信息

Can Fam Physician. 1989 Oct;35:2019-22.

PMID:21249079
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC2280919/
Abstract

Walk-in clinics have proliferated rapidly in many areas of Canada and the United States. Patients who attend these clinics have illnesses that are similar to those seen in family physicians' offices, yet walk-in patients perceive their symptoms to be more urgent and present at a much earlier stage of their illness than patients who attend their family doctor. Research has not yet proven that the opening of walk-in facilities lowers the demand for traditional primary care services; therefore the cost-effectiveness of walk-in clinics needs further evaluation.

摘要

在加拿大和美国的许多地区, 诊所如雨后春笋般涌现。 这些诊所的患者的疾病与家庭医生办公室看到的疾病相似,但就诊者认为他们的症状比就诊家庭医生的患者更为紧急,而且处于疾病的早期阶段。 研究尚未证明开设诊所会降低对传统初级保健服务的需求; 因此,需要进一步评估诊所的成本效益。

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Walk-in Clinics and Primary Care: Review of the Literature.**上门诊所和初级保健:文献综述**。
Can Fam Physician. 1989 Oct;35:2019-22.
2
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Walk-in clinics in Quebec, Canada: patients and doctors do not agree on appropriateness of visits.加拿大魁北克的免下车诊所:患者和医生对就诊的适宜性存在分歧。
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Comparing costs and quality of care at retail clinics with that of other medical settings for 3 common illnesses.比较零售诊所与其他医疗场所针对3种常见疾病的护理成本和质量。
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Surveying outpatient services in the Southwest.调查美国西南部的门诊服务。
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Walk-in clinics: implications for family practice.即时诊所:对家庭医疗的影响。
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引用本文的文献

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PLoS One. 2025 Jun 9;20(6):e0325793. doi: 10.1371/journal.pone.0325793. eCollection 2025.
2
A shifting terrain: Understanding the perspectives of walk-in physicians on their roles amid worsening primary care access in Ontario, Canada.一个不断变化的领域:了解加拿大安大略省在初级保健准入情况恶化的情况下,执业医师对其角色的看法。
PLoS One. 2024 May 15;19(5):e0303107. doi: 10.1371/journal.pone.0303107. eCollection 2024.
3
The association between patients' timely access to their usual primary care physician and use of walk-in clinics in Ontario, Canada: a cross-sectional study.加拿大安大略省患者及时就诊其常规初级保健医生与使用随诊诊所之间的关联:一项横断面研究。
CMAJ Open. 2023 Sep 26;11(5):E847-E858. doi: 10.9778/cmajo.20220231. Print 2023 Sep-Oct.
4
Community-based urgent care in Israel and worldwide.以色列和全球的基于社区的紧急护理。
Isr J Health Policy Res. 2013 Oct 23;2(1):38. doi: 10.1186/2045-4015-2-38.
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Walk-in primary medical care centres: lessons from Canada.无需预约的基层医疗中心:来自加拿大的经验教训。
BMJ. 2000 Oct 14;321(7266):928-31. doi: 10.1136/bmj.321.7266.928.
6
Is this problem urgent? Attitudes in a community hospital emergency room.这个问题紧急吗?社区医院急诊室的态度。
Can Fam Physician. 1993 Jun;39:1345-52.

本文引用的文献

1
Ontario walk-in clinics: a preliminary descriptive study.安大略省的诊所:一项初步描述性研究。
Can Fam Physician. 1989 Oct;35:2013-5.
2
The development and use of freestanding emergency centers: a review of the literature.独立急诊中心的发展与应用:文献综述
Med Care Rev. 1988 Spring;45(1):129-63. doi: 10.1177/107755878804500106.
3
Multi-unit providers survey--ambulatory services. For-profit chains retreat from ambulatory business; not-for-profits slowly fill the void.多机构供应商调查——门诊服务。营利性连锁机构退出门诊业务;非营利性机构逐渐填补空白。
Mod Healthc. 1988 Jun 3;18(23):74, 76, 78-80.
4
Impact of freestanding emergency centers on hospital emergency department use.独立急诊中心对医院急诊科使用情况的影响。
Ann Emerg Med. 1983 Jul;12(7):429-33. doi: 10.1016/s0196-0644(83)80340-0.
5
A survey of Washington state freestanding emergency centers.华盛顿州独立急诊中心的一项调查。
Ann Emerg Med. 1984 Apr;13(4):259-62. doi: 10.1016/s0196-0644(84)80474-6.
6
Surgical wound infections: causes and treatment.手术伤口感染:病因与治疗
J Oper Room Res Inst. 1983 Sep;3(9):9, 12-4.
7
The effect of including secondary diagnoses on the description of the diagnostic content of family practice.纳入二级诊断对家庭医疗诊断内容描述的影响。
Med Care. 1984 Nov;22(11):1058-63. doi: 10.1097/00005650-198411000-00008.
8
New opportunities for out-of-hospital health services.院外医疗服务的新机遇。
N Engl J Med. 1984 Jan 19;310(3):193-7. doi: 10.1056/NEJM198401193100311.
9
Factors related to the use of health services: an international comparative study.与卫生服务利用相关的因素:一项国际比较研究。
Med Care. 1969 Mar-Apr;7(2):124-33. doi: 10.1097/00005650-196903000-00006.
10
The walk-in chains: the proprietarization of ambulatory care.无需预约的连锁机构:门诊医疗的私有化
Int J Health Serv. 1987;17(4):585-94. doi: 10.2190/XVLP-JC8K-PRWL-EMRK.