Hobday P J
Br Med J (Clin Res Ed). 1984 Sep 15;289(6446):663-4. doi: 10.1136/bmj.289.6446.663.
The night work (11 pm-7 am) in primary care in one health district (population 195 212 with 93 general practitioners) was studied over a three month period, starting 1 January 1983. The workload proved to be small (15% of all "out of hours" work for general practitioners). An average of three night visits was done a night in the whole health district, and 26 general practitioners were available for these. On average, over seven doctors were available each night for each patient who required a visit in primary care in the health district. It is concluded that there is only sufficient work for (at maximum) two doctors, and a system is proposed to make more efficient use of the general practitioner's time.
对一个健康区(人口195212人,有93名全科医生)的基层医疗夜间工作(晚上11点至早上7点)进行了为期三个月的研究,从1983年1月1日开始。结果证明工作量很小(占全科医生所有“非工作时间”工作量的15%)。整个健康区平均每晚进行三次夜间出诊,有26名全科医生负责这些出诊。平均而言,每晚有超过七名医生可随时为该健康区需要基层医疗出诊的每位患者提供服务。得出的结论是,(最多)只有两名医生的工作量就足够了,并提出了一种更有效利用全科医生时间的系统。