Stene-Larsen G, Bjørnstad E, Bergesen O, Nordhaug B, Abildgaard U
Avdeling for helsetjenesteforskning, Folkehelsa, Oslo.
Tidsskr Nor Laegeforen. 1990 Nov 30;110(29):3775-8.
As a consequence of the regionalization of the health services in Norway hospitals were given either local, central or regional responsibility. This system was intended to improve the availability of expertise and costly equipment, and at the same time reduce the growth of expenditures on health care. In the last few years, however, many of the smaller hospitals have improved their technical and medical skills to such an extent that this classification system has become less meaningful. Aker hospital in Oslo carries out local, central and regional functions. In a prospective study at this hospital we found that 88% of 980 consecutive medical admissions could be classified as local hospital admissions. Only 5% of the patients needed service at the central level, and 5% at the regional level. In our opinion it would suffice to have two types of hospital ("treatment levels"), standard hospitals and referral hospitals.
由于挪威医疗服务的区域化，医院被赋予了地方、中央或区域责任。该系统旨在提高专业知识和昂贵设备的可及性，同时减少医疗保健支出的增长。然而，在过去几年中，许多较小的医院在技术和医疗技能方面有了很大提高，以至于这种分类系统变得不那么有意义了。奥斯陆的阿克医院承担着地方、中央和区域职能。在该医院的一项前瞻性研究中，我们发现，在连续980例医疗入院病例中，88%可归类为地方医院入院病例。只有5%的患者需要中央级别的服务，5%需要区域级别的服务。我们认为，有两种类型的医院（“治疗级别”）就足够了，即标准医院和转诊医院。
