Dixon P N, Morris A F
Br Med J. 1971 Oct 23;4(5781):214-6. doi: 10.1136/bmj.4.5781.214.
In six months patients from a defined population of 11,417 provided 826 casual attendances for minor conditions at a hospital accident department and 1,430 similar attendances at a health centre treatment room. Attendances at the accident department reached a peak during the early evening, and included relatively more males, more adults, more patients with injuries than with symptoms, and more residents from the area immediately adjoining the hospital.Care of most of the casual attenders with minor conditions at the health centre treatment room would require additional nursing staff and some reorganization of primary care to enable a doctor to be available at most times. Attendances at night and at week-ends were insufficient to justify a 24-hour service at the health centre.
在6个月的时间里，来自11417名特定人群的患者在医院急诊科因轻症进行了826次临时就诊，在健康中心治疗室进行了1430次类似就诊。急诊科的就诊高峰出现在傍晚时分，其中男性、成年人、受伤患者（而非有症状患者）以及紧邻医院区域的居民相对较多。在健康中心治疗室，为大多数轻症临时就诊者提供护理需要额外的护理人员，并对初级护理进行一些重组，以便大多数时候都能有医生值班。夜间和周末的就诊人数不足以支持健康中心提供24小时服务。
