Sjönell G
Scand J Prim Health Care. 1984 May;2(2):77-83. doi: 10.3109/02813438409017708.
The expansion of the primary care services and its effect on utilization of the out-patient services in hospitals by the public have been analysed by a number of authors. Evaluation of the links vary: some studies state that an expansion of primary care goes together with an increase or an unchanged utilization of hospital visits - out-patient clinics, while others say that a decrease occurs. The present study analyses this problem in Stockholm city. This study has a longitudinal design and it covers a study district and a control district. The results support the hypothesis that the expansion of primary care in the study area results in a significant decrease in hospital visits in this area. The decrease occurred in most age groups among men as well as women, regardless of the type of visit (emergency or by appointment); it also occurred in the usual speciality areas in the general practitioner's everyday work.
一些作者分析了初级保健服务的扩展及其对公众在医院门诊服务利用情况的影响。对两者之间联系的评估各不相同：一些研究表明，初级保健的扩展与医院就诊（门诊诊所）人数的增加或不变相关，而另一些研究则称就诊人数会减少。本研究分析了斯德哥尔摩市的这一问题。该研究采用纵向设计，涵盖一个研究区和一个对照区。结果支持了这样的假设，即研究区域内初级保健的扩展导致该区域医院就诊人数显著减少。这种减少在男性和女性的大多数年龄组中均有发生，无论就诊类型（急诊或预约）如何；在全科医生日常工作的常见专科领域也出现了这种减少。
