Varnam M
J R Coll Gen Pract. 1987 Jan;37(294):31-3.
A study was undertaken to compare aspects of patient care in private general practice and in a hospital emergency care clinic in Sri Lanka. General practitioners were found to spend more time with each patient, were more likely to write some kind of patient record and were more likely to carry out immunizations and investigations. They prescribed less and referred to specialists less than their colleagues in hospital primary care. In concluding that general practitioners in Sri Lanka provide an important part of primary care the 'orthodox' view that developing countries cannot afford this type of system is challenged.
一项研究旨在比较斯里兰卡私人全科医疗和医院急诊科的患者护理情况。研究发现,全科医生与每位患者相处的时间更长,更有可能撰写某种患者记录,也更有可能进行免疫接种和检查。与医院初级护理的同事相比,他们开的药更少,转诊给专科医生的情况也更少。在得出斯里兰卡的全科医生提供了初级护理的重要组成部分这一结论时,“发展中国家负担不起这种医疗体系”的传统观点受到了挑战。