Wilkinson A, Kazantzis G, Williams D J, Dewar R A, Bristow K M, Miller D L
J R Coll Gen Pract. 1977 Dec;27(185):727-33.
Patients who attended the casualty department of the Middlesex Hospital during one week in 1973 were interviewed. A predominantly young and working population used the department. Relatively few patients lived close to the hospital but many worked nearby. One third of all attendances were by patients who had been asked to return by casualty doctors. About half the new patients came of their own accord; the next largest group had been sent directly from work by an employer or occupational health service. Half the patients came with injuries, many of them superficial, although there were also serious accident cases. One fifth of the patients had no general practitioner whom they could consult. Age and geographical mobility were related to whether or not patients were registered with a general practitioner. The main reasons for not consulting a general practitioner were that patients felt they needed hospital treatment or that it was more convenient to attend the casualty department. It is suggested that the view that casual attenders with relatively trivial complaints should be encouraged to go to a general practitioner is not always applicable since social as well as medical circumstances determine whether or not patients decide to visit casualty.
1973年，对在米德尔塞克斯医院急诊部就诊一周的患者进行了访谈。使用该部门的主要是年轻的在职人群。住在医院附近的患者相对较少，但很多人在附近工作。所有就诊患者中有三分之一是应急诊医生要求复诊的。大约一半的新患者是自行前来的；第二大群体是由雇主或职业健康服务机构直接从工作单位送来的。一半的患者是受伤前来，其中许多是轻伤，不过也有严重的事故病例。五分之一的患者没有可以咨询的全科医生。年龄和地域流动性与患者是否在全科医生处注册有关。不咨询全科医生的主要原因是患者觉得他们需要住院治疗，或者去急诊部更方便。有人认为，对于鼓励有相对轻微病症的临时就诊者去看全科医生这一观点并不总是适用，因为社会以及医疗情况决定了患者是否会决定去急诊就诊。
