Curtis P, Talbot A
J Fam Pract. 1979 Nov;9(5):901-9.
Patient care after hours continues to be an important part of the work of family physicians, in spite of the trend towards increasing Emergency Room utilization. In this paper the literature concerning after-hours care in family practice is reviewed in terms of definition, demography, utilization, morbidity, and patient stereotypes. In the Family Practice Residency Program of the University of North Carolina, 4,760 after-hours calls were recorded over two years by residents and faculty physicians. Seventy-two percent of the calls were handled purely on the telephone with little variation for patient age groups. The overall call rate was 474 calls per 1,000 patients per year. Fever and skin wounds were the most frequent symptoms recorded and respiratory tract infections, minor trauma, and anxiety were the commonest diagnoses. Thirteen percent of the contacts engendered anger or frustration in the physician. A survey of patients calling after hours demonstrated a lack of congruence between physician and patient concerning the main reason for the call in over 30 percent of contacts.
尽管有急诊室利用率上升的趋势，但下班后的患者护理仍是家庭医生工作的重要组成部分。本文从定义、人口统计学、利用率、发病率和患者刻板印象等方面对家庭医疗中关于下班后护理的文献进行了综述。在北卡罗来纳大学家庭医疗住院医师项目中，住院医师和教职医生在两年内记录了4760次下班后的电话咨询。72%的咨询仅通过电话处理，不同年龄组的患者差异不大。总体咨询率为每年每1000名患者474次。发热和皮肤伤口是记录最频繁的症状，呼吸道感染、轻度创伤和焦虑是最常见的诊断。13%的接触使医生产生愤怒或沮丧情绪。一项对下班后打电话的患者的调查显示，在超过30%的接触中，医生和患者对于打电话的主要原因缺乏一致性。
