Palacios Ortega F, Ricarte Urbano E, Ochoa Gómez J, García Martínez T, Galve Royo E, Latour Pérez J
Aten Primaria. 1989 Oct;6(8):572-6.
171 cases consecutively seen in a hospital emergency service were prospectively evaluated. Several data were recorded to assess the type of care given and the need for attention in an institution with the technical resources of a hospital. These data were evaluated considering whether the user had moved from another town to receive attention and whether he had been referred by a physician or not. There were definite differences in the behavior of the user from the town where the hospital is located and the remaining users. These differences were not attributable to a different performance or evaluation from the primary care services of the several towns involved. It was concluded that, at the present time, the use of the emergency service of our hospital is significantly influenced by the decision of the user to consult the service. Factors other than the severity of the disease influence this decision.
对一家医院急诊室连续收治的171例患者进行了前瞻性评估。记录了若干数据，以评估在一家具备医院技术资源的机构中所提供的护理类型以及护理需求。在考虑使用者是否从另一个城镇前来就医以及是否由医生转诊的情况下，对这些数据进行了评估。来自医院所在城镇的使用者与其他使用者的行为存在明显差异。这些差异并非归因于所涉几个城镇基层医疗服务的不同表现或评估。得出的结论是，目前，我院急诊服务的使用受到使用者决定就诊这一因素的显著影响。疾病严重程度以外的因素影响这一决定。
