Møller L A, Paaby J
Medicinsk Afdeling, Sønderborg Sygehus.
Ugeskr Laeger. 1990 Feb 12;152(7):461-4.
On the basis of a questionnaire to general practitioners who had referred 200 patients greater than or equal to 60 years as emergencies to a non-specialized medical ward, possible alternative possibilities to the emergency hospitalization are assessed. It proved possible to obtain information and replies about 175 patients who were, therefore, included in this investigation. As a considerable proportion of the socially-conditioned admissions occurred during daytime hours and these were referred by practitioners who knew their patients well (40% described themselves as knowing these patients very well) it was found that the referring practitioners were well aware of alternatives to emergency hospitalization. The practitioners referring the patients described 36 out of the 175 patients as socially-conditioned and 2/3 of these as sociomedically-conditioned. In agreement with this, the authors found that 70% of the socially-conditioned admissions had a concurrent somatic diagnosis most frequently in the form of pulmonary of cardiac disease. Nevertheless, the referring physicians considered that 33 (93%) of the admissions could either be be entirely avoided (81%) or that admission could be postponed (12%). The requisites for this were primarily easy access to nursing homes or to emergency home nursing facilities.
基于对将200名60岁及以上患者作为急诊转诊至非专科医疗病房的全科医生进行的问卷调查，评估了急诊住院的可能替代方案。结果发现有可能获得175名患者的信息并得到回复，因此这些患者被纳入本调查。由于相当一部分因社会因素导致的住院发生在白天，且这些患者是由非常了解他们的医生转诊的（40%的医生表示非常了解这些患者），结果发现转诊医生非常清楚急诊住院的替代方案。转诊这些患者的医生将175名患者中的36名描述为因社会因素导致住院，其中三分之二为社会医学因素导致。与此一致的是，作者发现70%因社会因素导致的住院患者同时患有躯体疾病，最常见的是肺部或心脏疾病。然而，转诊医生认为33例（93%）住院情况要么可以完全避免（81%），要么可以推迟住院（12%）。这样做的必要条件主要是方便使用养老院或紧急家庭护理设施。
