Treasure R A, Davies J A
Brecon Medical Group Practice, Brecon, Powys.
BMJ. 1990 Mar 10;300(6725):644-6. doi: 10.1136/bmj.300.6725.644.
To audit the workload of a general practitioner hospital and to compare the results with an earlier study.
Prospective recording of discharges from the general practitioner hospital plus outpatient and casualty attendances and of all outpatient referrals and discharges from other hospitals of patients from Brecon Medical Group Practice during one year (1 June 1986-31 May 1987).
A large rural general group practice which staffs a general practitioner hospital in Brecon, mid-Wales.
20,000 Patients living in the Brecon area.
1540 Patients were discharged from the general practitioner hospital during the study period. The hospital accounted for 78% (1242 out of 1594) of all hospital admissions of patients of the practice. There were 5835 new attendances at the casualty department and 1896 new outpatient attendances at consultant clinics at the hospital. Of all new outpatient attendances by patients of the practice, 71% (1358 out of 1896) were at clinics held at the general practitioner hospital. Since the previous study in 1971 discharges from the hospital have increased 37% (from 1125 to 1540) and new attendances at consultant clinics 30% (from 1450 to 1896). The average cost per inpatient day is lower at this hospital than at the local district general hospital (pounds 71.07 v pounds 88.06 respectively).
The general practitioner hospital deals with a considerably larger proportion of admissions and outpatient attendances of patients in the practice than in 1971 and eases the burden on the local district general hospital at a reasonable cost.
General practitioner hospitals should have a future role in the NHS.
审核一家全科医生医院的工作量，并将结果与早期研究进行比较。
前瞻性记录该全科医生医院的出院人数、门诊和急诊就诊人数，以及布雷肯医疗集团诊所患者在一年期间（1986年6月1日至1987年5月31日）从其他医院的所有门诊转诊和出院情况。
威尔士中部布雷肯的一家大型农村全科医疗集团，该集团为一家全科医生医院配备人员。
布雷肯地区的20000名患者。
在研究期间，有1540名患者从该全科医生医院出院。该医院占该诊所所有患者住院人数的78%（1594例中的1242例）。急诊科有5835例新就诊患者，医院顾问门诊有1896例新门诊患者。该诊所患者所有新门诊就诊中，71%（1896例中的1358例）在全科医生医院举办的诊所就诊。自1971年上次研究以来，该医院的出院人数增加了37%（从1125例增至1540例），顾问门诊新就诊人数增加了30%（从1450例增至1896例）。该医院每名住院患者每天的平均费用低于当地地区综合医院（分别为71.07英镑和88.06英镑）。
与1971年相比，该全科医生医院处理的诊所患者住院和门诊就诊比例大幅增加，并以合理成本减轻了当地地区综合医院的负担。
全科医生医院在国民医疗服务体系中应发挥未来作用。
