Schneider K C, Dove H G
Inquiry. 1983 Spring;20(1):57-64.
A phenomenon well known to emergency room personnel is the high use of ER facilities by a small number of patients. In this study of 335 patients followed in outpatient specialty clinics at a university-affiliated VA medical center, 23% of the patients accounted for 73% of the ER visits. Although some patients may be abusing the system, the problem is difficult to correct because of congressional legislation that deters the VA from providing primary care. Thus, a small subset of patients with chronic medical problems who live close to the hospital are likely to continue to consume a disproportionate amount of ER resources.
急诊室工作人员熟知的一个现象是，一小部分患者大量使用急诊设施。在这项对一所大学附属退伍军人事务部医疗中心门诊专科诊所随访的335名患者的研究中，23%的患者占了急诊就诊次数的73%。尽管有些患者可能在滥用这一系统，但由于国会立法阻碍退伍军人事务部提供初级护理，这个问题很难纠正。因此，一小部分患有慢性疾病且住得离医院近的患者可能会继续消耗不成比例的急诊资源。
