St George D
Department of Clinical, Royal Free Hospital School of Medicine, London.
BMJ. 1988 Sep 17;297(6650):729-31. doi: 10.1136/bmj.297.6650.729.
Two studies were carried out in different districts with clinicians who were concerned about the proposed numbers of beds to be provided based on regional targets and assessments. It was found that summary statistics can obscure wide variations over time in the demand for services. Providing beds according to average demand can therefore create a shortage of beds for a large part of the year. It is argued that the norms and targets set by regions should be seen as a starting point for negotiations rather than as the definitive answer for setting the levels of services provided. Because of their particular circumstances certain districts may need to provide more than the levels set by the region, and clinicians and community physicians can work together to provide evidence for this.
在不同地区针对关注基于区域目标和评估所提议床位数量的临床医生开展了两项研究。结果发现，汇总统计数据可能掩盖服务需求随时间的巨大差异。因此，按照平均需求提供床位可能导致一年中的大部分时间床位短缺。有人认为，各地区设定的规范和目标应被视为谈判的起点，而非确定所提供服务水平的最终答案。由于某些地区的特殊情况，它们可能需要提供超过该地区设定水平的服务，临床医生和社区医生可以共同努力为此提供证据。
