Bain D J
Br Med J (Clin Res Ed). 1984 Aug 25;289(6443):471-3. doi: 10.1136/bmj.289.6443.471.
An analysis of the deputising service in the city of Portsmouth showed that the workload of doctors was not excessive and there was no evidence that the number of calls was higher than in areas where no deputising service exists. Sixty seven per cent of patients were seen within one hour of requesting a call and 93% within two hours. Seven per cent of patients were admitted to hospital and 88% of these were seen within one hour of requesting medical care. Drugs were prescribed at 65% of all contacts between doctor and patient which compares favourably with prescribing rates for consultations in general practice. A notable feature of the Portsmouth scheme is that all subscribers who use the deputising service have to agree to participate as a deputy, with 90% of deputies being practising general practitioners or eligible to be principals in general practice. This has probably conserved costs and hospital resources.
对朴次茅斯市代理服务的一项分析表明，医生的工作量并不过大，而且没有证据表明呼叫次数高于不存在代理服务的地区。67%的患者在请求呼叫后的一小时内得到诊治，93%在两小时内得到诊治。7%的患者住院治疗，其中88%在请求医疗护理后的一小时内得到诊治。在医生与患者的所有接触中，65%的情况都开具了药物，这与全科医疗咨询的开药率相比很有利。朴次茅斯计划的一个显著特点是，所有使用代理服务的订阅者都必须同意作为代理人参与，90%的代理人是执业全科医生或有资格成为全科医疗的负责人。这可能节省了成本和医院资源。
