Wilson M E, Weiner J P, Bender J C, Bergstrom S K, Starfield B H
Department of Pediatrics, Johns Hopkins School of Medicine, Baltimore, Md.
Am J Dis Child. 1989 Jul;143(7):809-12.
Pediatric residents are required to care for a group of children over a period of time. For many, this "continuity" experience is in a hospital outpatient department that may or may not provide primary care. We applied a measure of primary care to the Primary Care Clinic, the continuity clinic at The Johns Hopkins Hospital, Baltimore, Md, and found that it compared favorably with private pediatric practices in the Baltimore area, providing significantly more "principal care" (93% vs. 84.5% of encounters), and to the Harris Lane Home walk-in clinic, where only 51% of encounters were "principal care". The Primary Care Clinic scored higher on a primary care index, a measure of the extent to which the facility serves as a primary care source for patients, suggesting that hospital-based training can provide residents with an opportunity to provide primary care.
儿科住院医师需要在一段时间内照顾一群儿童。对许多人来说，这种“连续性”体验是在医院门诊部进行的，该门诊部可能提供也可能不提供初级保健服务。我们对位于马里兰州巴尔的摩市约翰·霍普金斯医院的连续性诊所——初级保健诊所应用了一项初级保健衡量标准，发现它与巴尔的摩地区的私人儿科诊所相比表现良好，提供了显著更多的“主要保健”（就诊次数占比为93% 对84.5%），而与哈里斯巷家庭随诊诊所相比，后者只有51%的就诊属于“主要保健”。初级保健诊所在初级保健指数上得分更高，该指数衡量的是该机构作为患者初级保健来源的程度，这表明基于医院的培训可以为住院医师提供提供初级保健服务的机会。
