Summerfield G P, Chandler J E
Br Med J (Clin Res Ed). 1986 Oct 25;293(6554):1083-5. doi: 10.1136/bmj.293.6554.1083.
A review of the workload of two newly appointed clinical haematologists in a health district with a population of 307,000 showed that the clinical case load increased rapidly in the first two years. The management of patients with blood disorders, which had previously been dispersed among many departments both within and outside the district, was now concentrated within a single unit with occasional referral as appropriate to regional centres. The development of a clinical haematology service in district general hospitals cannot occur without funding and facilities, including suitably located beds for haematology patients and specifically appointed junior medical staff. Highly trained and experienced nursing staff are essential for the management of patients with bone marrow failure; day care facilities and community nursing are also valuable. Changes and developments in the laboratory as a result of these additional clinical activities are also necessary.
对一个拥有30.7万人口的健康区两名新任命的临床血液学家的工作量进行的审查显示，临床病例量在前两年迅速增加。以前分散在该地区内外许多部门的血液疾病患者的管理，现在集中在一个单一单位，必要时酌情转诊至区域中心。没有资金和设施，包括为血液学患者提供位置合适的床位以及专门任命的初级医务人员，地区综合医院的临床血液学服务就无法发展。训练有素、经验丰富的护理人员对于骨髓衰竭患者的管理至关重要；日间护理设施和社区护理也很有价值。由于这些额外的临床活动，实验室的变革和发展也是必要的。
