Feussner J R, McFall S L, Cockrell W E
Ambulatory Care Service, Durham Veterans Administration Medical Center, NC 27705.
Am J Public Health. 1988 Sep;78(9):1224-5. doi: 10.2105/ajph.78.9.1224.
We surveyed 5,225 consecutive patients presenting to a Veterans Administration (VA) Ambulatory Care Triage Clinic to ascertain the characteristics of patients and to assess the role of eligibility in determining disposition from triage. Most patients (66 per cent) had non-service connected (low eligibility) conditions and had no health insurance (64 per cent). Lack of service connected priority (high eligibility) did not influence access to hospitalization (8.3 per cent) or longitudinal outpatient care (24.5 per cent). The study suggests that veterans with no health insurance, with low eligibility for VA service, use the VA triage clinic for episodic medical care.
我们对连续就诊于退伍军人事务部(VA)门诊护理分诊诊所的5225名患者进行了调查,以确定患者的特征,并评估资格在决定分诊处置中的作用。大多数患者(66%)患有与服役无关(资格低)的疾病,且没有医疗保险(64%)。缺乏与服役相关的优先资格(资格高)并不影响住院治疗(8.3%)或长期门诊护理(24.5%)的获得。该研究表明,没有医疗保险、VA服务资格低的退伍军人利用VA分诊诊所进行 episodic医疗护理。 (注:episodic在这里不太好准确翻译,大概意思是偶发性的、阶段性的 )