O'Shea J S, Collins E W, Pezzullo J C
Clin Pediatr (Phila). 1984 Oct;23(10):559-62. doi: 10.1177/000992288402301005.
In this study, 445 patients under 19 years of age who visited an urban hospital emergency facility for acute illnesses four or more times over 2 years were randomly divided into two groups. The parents of 230 of the patients received three letters that stressed the value of continuous pediatric care and the lack of continuity available in emergency facilities. The letters indicated a willingness to offer advice as to how they could obtain continuing care. The remaining 215 patients served as controls. During the following year, the patients whose parents received the letters and the controls were compared in their visits to the hospital's emergency facility, primary care unit, and subspecialty clinics. Very few differences were noted between the two groups.
在这项研究中，445名19岁以下的患者在两年内因急性疾病4次或更多次前往城市医院急诊设施就诊，他们被随机分为两组。230名患者的父母收到了三封信，信中强调了持续儿科护理的价值以及急诊设施中缺乏连续性护理。这些信表示愿意就如何获得持续护理提供建议。其余215名患者作为对照组。在接下来的一年里，对父母收到信件的患者和对照组在前往医院急诊设施、初级保健科室和专科门诊就诊方面进行了比较。两组之间几乎没有发现差异。
