Goldacre M J, Lee A, Don B
Unit of Clinical Epidemiology, University of Oxford, Headington.
Br Med J (Clin Res Ed). 1987 Oct 31;295(6606):1105-8. doi: 10.1136/bmj.295.6606.1105.
The relation between changes in inpatient workload, measured as increases or decreases in the number of inpatients admitted from the waiting list, and the overall length of the waiting list was studied. Overall trends in admissions from the waiting list, the influence of seasonal patterns, and the impact of industrial action on admissions were also studied. The hypothesis was that when admissions from the waiting list increased the length of the waiting list would decrease and vice versa. No such simple relation was found. In fact, if anything, as the number of admissions from the waiting list increased so did the length of the waiting list. This result could be due to inconsistencies in compiling waiting list data or to the use of waiting lists to improve organisational efficiency. It is also possible, and perhaps likely, that the ability to meet need in admitting patients to hospital influences patients and their doctors to translate previously unmet need into demand for hospital services.
研究了以从候补名单入院的住院患者数量增加或减少来衡量的住院工作量变化与候补名单总长度之间的关系。还研究了候补名单入院的总体趋势、季节模式的影响以及工业行动对入院的影响。假设是当从候补名单入院的人数增加时,候补名单的长度会减少,反之亦然。但未发现这种简单关系。事实上,恰恰相反,随着从候补名单入院的人数增加,候补名单的长度也增加了。这一结果可能是由于候补名单数据编制不一致,或者是由于利用候补名单来提高组织效率。也有可能,甚至很可能,医院收治患者满足需求的能力会影响患者及其医生,将以前未满足的需求转化为对医院服务的需求。