Robinson G C, Kinnis C, Anderson D O, Argue C, Miller H S
Can Med Assoc J. 1969 Nov 1;101(9):69-73.
This study was planned to determine the extent to which the emergency service of a large general hospital in Vancouver was providing a primary medical care function for children and adolescents. The data were collected during 14-day study periods in each season of the year. Medical data and physician urgency rating were obtained on all patients. Demographic and socioeconomic data and data pertaining to patterns of medical care were obtained by interview of a one-third sample.The study identified a group of patients receiving primary medical care for non-urgent and non-traumatic conditions. This group resided close to the hospital and had lower socioeconomic indices than the remainder of the patients.The trend to utilize the emergency department for reasons other than the accident and emergency function was confirmed. These findings will be incorporated in the planning of the New Children's Hospital in Vancouver with the provision of separate facilities for the care of non-urgent attenders.
本研究旨在确定温哥华一家大型综合医院的急诊服务为儿童和青少年提供初级医疗保健功能的程度。数据收集于一年中每个季节为期14天的研究期间。获取了所有患者的医疗数据和医生紧急程度评级。通过对三分之一样本进行访谈，获取了人口统计学和社会经济数据以及与医疗保健模式相关的数据。该研究确定了一组因非紧急和非创伤性疾病接受初级医疗保健的患者。这组患者居住在医院附近，社会经济指数低于其他患者。利用急诊科进行事故和急诊功能以外的其他原因的趋势得到了证实。这些发现将被纳入温哥华新儿童医院的规划中，为非紧急就诊者提供单独的设施。
