Ullman R, Kotok D, Tobin J R
Pediatrics. 1977 Dec;60(6):873-80.
The replacement of a community hospital's pediatric outpatient clinics with a physicians' group practice is described, and the effects of this development on the receipt of services by children of indigent families are analyzed. An expanded patient population, frequent telephone utilization, decreased emergency room use, and satisfactory parental perceptions are found. A comparative measure of effectiveness is obtained from a record review of the preventive care received by infants delivered by the hospital's staff obstetricians. The latter data show the group practice to be more successful than the clinics in initiating and maintaining well-child care in its facility, and in achieving the timed completion of immunizations and screening procedures. The experience indicates an acceptance by low-income families of an outpatient service that emphasizes the physician-patient relationship with limited use of outreach services and nonphysician providers. It also inidicates that such a system of care can be provided to a heterogeneous patient population within the same facility.
本文描述了一家社区医院的儿科门诊被一个医师团体诊所取代的情况，并分析了这一发展对贫困家庭儿童接受服务的影响。研究发现患者群体有所扩大，电话使用频繁，急诊室就诊次数减少，家长满意度良好。通过对医院产科工作人员接生的婴儿所接受的预防保健记录进行回顾，获得了一项有效性的比较指标。后一组数据表明，该团体诊所在其机构内开展和维持儿童健康护理、按时完成免疫接种和筛查程序方面比诊所更成功。该经验表明，低收入家庭接受了一种强调医患关系、有限使用外展服务和非医师提供者的门诊服务。这也表明，这样一种护理系统可以在同一机构内为不同类型的患者群体提供服务。
