Baker J E, Goldacre M, Gray J A
J Epidemiol Community Health. 1986 Jun;40(2):117-20. doi: 10.1136/jech.40.2.117.
About one-third of the general practices in the Oxfordshire Health District have access to beds in community hospitals as well as district general hospitals. Hospital Activity Analysis data were used to calculate the average number of hospital beds occupied daily by patients registered with each general practice in the district. Practices with and without access to community hospitals were compared to determine whether such access was associated with a reduction in the use of beds in general medical, geriatric, and other specialties, and an increase in overall utilisation rates. The rate of use of general medical and geriatric beds in district general hospitals by practice populations with access to community hospitals was about half that of populations without such access. Utilisation rates overall, combining the use of beds in both district general hospitals and community hospitals, were a little higher in populations with access to both community hospitals and district general hospitals than in those with access to district general hospitals only.
牛津郡健康区约三分之一的普通诊所既能使用社区医院的床位，也能使用地区综合医院的床位。利用医院活动分析数据来计算该地区每个普通诊所登记患者每日占用医院床位的平均数。对有和没有社区医院床位可用的诊所进行比较，以确定这种可用性是否与普通内科、老年科及其他专科床位使用的减少以及总体利用率的提高相关。有社区医院床位可用的诊所人群在地区综合医院对普通内科和老年科床位的使用率约为没有这种床位可用人群的一半。综合地区综合医院和社区医院床位使用情况来看，既有社区医院又有地区综合医院床位可用人群的总体利用率略高于仅能使用地区综合医院床位的人群。
