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一家全科医生医院的贡献。

Contribution of a general-practitioner hospital.

作者信息

Kyle D

出版信息

Br Med J. 1971 Nov 6;4(5783):348-9. doi: 10.1136/bmj.4.5783.348.

DOI:10.1136/bmj.4.5783.348
PMID:5124415
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC1799386/
Abstract

A properly functioning general-practitioner hospital with good facilities including visiting consultants can greatly lighten the work load of the district general hospital. A general-practitioner hospital is described, run entirely by general practitioners, which cares for over 70% of the inpatients of a group practice. It deals with 98% of all who attend casualty, and carries out almost all of its x-ray work. Its facilities reduce the estimated demand for outpatient appointments at the district general hospital by almost half.The social advantages of a general-practitioner hospital are obvious, and there may be economic advantages as well. Moreover, such a hospital increases the attractiveness of general practice and improves its quality. It is suggested that the general-practitioner hospital is good for the patient, the community, and the doctor-and even the Treasury. There is room for many more.

摘要

一家设施良好、配备客座顾问的运作正常的全科医生医院,能够大大减轻地区综合医院的工作量。本文描述了一家完全由全科医生运营的全科医生医院,该医院照顾了一个联合医疗团队中70%以上的住院患者。它接待了98%的急诊患者,并几乎承担了所有的X光检查工作。其设施使地区综合医院门诊预约的预计需求减少了近一半。全科医生医院的社会优势显而易见,可能还存在经济优势。此外,这样的医院增加了全科医疗的吸引力并提高了其质量。有人认为,全科医生医院对患者、社区、医生乃至财政部都有好处。这类医院还有很大的发展空间。

相似文献

1
Contribution of a general-practitioner hospital.一家全科医生医院的贡献。
Br Med J. 1971 Nov 6;4(5783):348-9. doi: 10.1136/bmj.4.5783.348.
2
General practitioners in hospital.医院中的全科医生。
Br Med J. 1970 Jun 13;2(5710):653-6. doi: 10.1136/bmj.2.5710.653.
3
Contribution of a general practitioner hospital: a further study.全科医生医院的贡献:进一步研究
BMJ. 1990 Mar 10;300(6725):644-6. doi: 10.1136/bmj.300.6725.644.
4
Contribution of general practitioner hospitals in England and Wales.英格兰和威尔士全科医生医院的贡献。
Br Med J. 1978 Jul 1;2(6129):34-6. doi: 10.1136/bmj.2.6129.34.
5
General practitioner appointment systems, patient satisfaction, and use of accident and emergency services--a study in one geographical area.全科医生预约系统、患者满意度与急诊服务利用情况——某一地理区域的研究
Fam Pract. 1994 Dec;11(4):438-45. doi: 10.1093/fampra/11.4.438.
6
General practitioners' referrals to specialist outpatient clinics. I. Why general practitioners refer patients to specialist outpatient clinics.全科医生向专科门诊的转诊。一、全科医生将患者转诊至专科门诊的原因。
BMJ. 1989 Jul 29;299(6694):304-6. doi: 10.1136/bmj.299.6694.304.
7
General-practitioner ward in a district general hospital.地区综合医院的全科病房。
Br Med J. 1972 Oct 7;4(5831):27-30. doi: 10.1136/bmj.4.5831.27.
8
General practitioner outpatient referrals: do good doctors refer more patients to hospital?全科医生门诊转诊:好医生会将更多患者转诊至医院吗?
BMJ. 1991 May 25;302(6787):1250-2. doi: 10.1136/bmj.302.6787.1250.
9
The general hospital: a sphere of social medicine?
Med J Aust. 1969 Oct 18;2(16):817-21. doi: 10.5694/j.1326-5377.1969.tb107433.x.
10
Reasons for referral to hospital: extent of agreement between the perceptions of patients, general practitioners and consultants.转诊至医院的原因:患者、全科医生和专科医生认知之间的一致程度。
Fam Pract. 1986 Sep;3(3):143-7. doi: 10.1093/fampra/3.3.143.

引用本文的文献

1
Survey of a rural practice: rainy river 1975.农村医疗实践调查:雨河 1975 年。
Can Fam Physician. 1976 Jun;22:73-83.
2
Do general practitioner hospitals reduce the utilisation of general hospital beds? Evidence from Finnmark county in north Norway.全科医生医院会降低综合医院病床的利用率吗?来自挪威北部芬马克郡的证据。
J Epidemiol Community Health. 1998 Apr;52(4):243-6. doi: 10.1136/jech.52.4.243.
3
Acute medicine in a general practitioner hospital.全科医生医院的急症医学
J R Coll Gen Pract. 1982 Apr;32(237):245-7.
4
Injuries in rural practice: their incidence and management.乡村医疗实践中的损伤:其发生率与处理
J R Coll Gen Pract. 1983 May;33(250):275-7.
5
Tailoring hospital facilities to needs.使医院设施适应需求。
Br Med J (Clin Res Ed). 1982 Mar 13;284(6318):827. doi: 10.1136/bmj.284.6318.827-c.
6
The contribution of general practitioner hospitals.全科医生医院的贡献。
J R Coll Gen Pract. 1972 Apr;22(117):220-6.
7
The context and content of community hospital admissions.社区医院入院的背景和内容。
J R Coll Gen Pract. 1986 Aug;36(289):363-5.
8
Casualty and surgical services in Perthshire general practitioner hospitals 1954-84.1954 - 1984年珀斯郡全科医生医院的伤亡与外科服务情况
J R Coll Gen Pract. 1986 Aug;36(289):359-62.
9
General practitioner beds in Finland--lessons for the UK?芬兰的全科医生病床——英国能从中吸取什么教训?
J R Coll Gen Pract. 1987 Jan;37(294):28-30.
10
End of an experiment: report from an inner city community hospital.一项实验的终结:来自一家市中心社区医院的报告
J R Coll Gen Pract. 1988 Sep;38(314):407-10.

本文引用的文献

1
General practitioners in hospital. Report of a study-group at the London School of Hygiene and Tropical Medicine, 1961-62.
Lancet. 1962 Sep 22;2(7256):601-2. doi: 10.1016/s0140-6736(62)90463-4.
2
General practitioners in hospital.医院中的全科医生。
Br Med J. 1970 Jun 13;2(5710):653-6. doi: 10.1136/bmj.2.5710.653.
3
Economics of outpatient care.
Lancet. 1971 Feb 20;1(7695):390-4. doi: 10.1016/s0140-6736(71)92224-0.