Feldman W, Cullum C
Can Med Assoc J. 1984 Apr 15;130(8):1003-5.
In an affluent city with many pediatricians a 20% increase in patients seen in a hospital-based walk-in clinic in 1982 prompted a study to determine the characteristics of clinic users and their reasons for using the clinic. It was found that users of the clinic were middle-class, that they had a higher employment rate than the average for the region, and that in 54% of the families both parents worked outside the home. The children of 85% of the families were patients of pediatricians in private practice; most of the others were patients of a family physician in private practice. Most of the children seen at the clinic had had symptoms for more than 24 hours, but few parents had attempted to contact their own physicians. In the previous 12 months 95% of the children had been seen at the clinic, 43% in the month preceding the study. They came to the clinic for two main reasons: the broad range of services offered --laboratory, radiology and pharmacy as well as medical--and the convenient hours, with 71% coming outside of their physicians' office hours. Given the reality of social trends pediatricians will either have to share their patients with facilities that offer services outside of regular office hours or devise another system for the treatment of their patients.
在一个有许多儿科医生的富裕城市，1982年一家医院的即时诊疗门诊接待的患者增加了20%，这促使开展一项研究，以确定该门诊使用者的特征及其就诊原因。研究发现，该门诊的使用者是中产阶级，他们的就业率高于该地区的平均水平，而且在54%的家庭中，父母双方都在外工作。85%家庭的孩子是私人执业儿科医生的患者；其他大多数是私人执业家庭医生的患者。在该门诊就诊的大多数孩子出现症状已超过24小时，但很少有家长试图联系自己的医生。在之前的12个月里，95%的孩子在该门诊就诊过，在研究前一个月就诊的占43%。他们来该门诊主要有两个原因：提供的服务范围广泛——包括实验室、放射科和药房以及医疗服务——以及就诊时间方便，71%的人是在自己医生的办公时间之外来就诊的。鉴于社会趋势的现实情况，儿科医生要么必须与提供非正规办公时间服务的机构共享患者，要么设计出另一种为患者治病的体系。
