Douglass R A, Hungin A S
J R Coll Gen Pract. 1988 Jan;38(306):28-9.
General practitioners have long been aware of variations in the range of open access services available to them.This study compares the availability of 22 open access services in the Northern and Oxford regions and examines possible reasons for variations. From data collected from general practitioners and community managers two striking patterns emerge. First, there is a difference between the regions with wider availability in the Oxford region. Secondly, there are differences in the range of services available between health authorities, sometimes neighbouring, within the same region, although this is less marked in Oxford.These discrepancies probably reflect the situation nationally and it would appear questionable whether there is any policy coordination at regional or national level to ensure an equitable distribution of open access services.
全科医生早就意识到他们所能获得的开放式接入服务范围存在差异。本研究比较了北部地区和牛津地区22项开放式接入服务的可获得性，并探究了存在差异的可能原因。从全科医生和社区管理人员收集的数据中出现了两种显著模式。第一，不同地区之间存在差异，牛津地区的可获得性范围更广。第二，同一地区内不同卫生当局（有时是相邻的）之间提供的服务范围也存在差异，尽管在牛津这种差异不太明显。这些差异可能反映了全国的情况，而且在区域或国家层面是否存在任何政策协调以确保开放式接入服务的公平分配似乎值得怀疑。
